Referral Training and eGen Trials

Обзор

Child and adolescent behavioral health problems are related to the leading causes of youth morbidity and mortality. Parent-focused interventions effectively prevent behavioral health problems such as depression and conduct disorders and can provide a downstream economic benefit to society by reducing criminal activity, education costs, and health care use. Unfortunately, parenting programs are not widely available, accessible, nor well-attended. Pediatric primary care is a non-stigmatizing setting with nearly universal reach and, therefore, an ideal contact point to increase access. However, primary care clinicians (PCCs) often have insufficient training in behavioral health topics and typical referral practices are inadequate. There are also logistical barriers to attending in-person parenting programs, like the need for childcare and a large time-commitment. There is a need to develop effective referral practices in conjunction with increasing the accessibility of parenting programs. The study long-term goal is to prevent significant behavioral health problems through widespread access to effective and accessible parenting programs through primary care referrals. In this study there are two trials: First is the primary care clinicians "PCC" trial, testing the effectiveness of referral training (aim 1). Second is the parents "eGen" trial provided by therapists, testing the effectiveness of eGen parenting intervention (aim 2).

Вмешательства

• Поведенческое Referral and communication skills learning
  assigned to receive a brief, live, experiential training on the referral process and communication strategies.
• Поведенческое Written guide to the referral process
  assigned to receive only written information about the referral process
• Поведенческое Empowered Generations (eGen): parent training
  eGen is a six-session parent training program provided by therapists via video chat online to parents with a child between the ages of 3-8 years.
• Поведенческое control
  The control condition consists of a single scripted session, in which therapists guide the parent to the following resources: (a) a book, Raising Cooperative Kids, by GenPMTO co-developer Marion Forgatch; (b) vetted parenting advice websites; (c) information about Early Childhood and Family Education classes, which are provided for free in Minnesota through public schools; and (d) a list of culturally tailored parenting advice websites.

Первичные конечные точки

• Child behavior problems [Срок оценки: 10 weeks]
• Change in parenting behavior [Срок оценки: 10 weeks]
• Number of Completed Referrals [Срок оценки: 4 years]
• Parent Attendance [Срок оценки: 1 year]

Вторичные конечные точки (6)

• Parents mental health: depression [Срок оценки: 10 weeks]
• Parents mental health: anxiety [Срок оценки: 10 weeks]
• Parents mental health: absenteeism [Срок оценки: 10 weeks]
• Parenting self-efficacy [Срок оценки: 10 weeks]
• Intervention Acceptability, Appropriateness, and Feasibility Measure [Срок оценки: 1 year]
• Readiness to Change - Patient Preferences Subscale Score [Срок оценки: 1 year]

Критерии участия

Критерии включения

• Inclusion criteria for parent in the randomized controlled trial include being a parent or caregiver of a child ages 3 to 8 and having a referral to a participating therapist from a primary care provider.
• The only inclusion criteria is that participants be a PCC who sees children between the ages of 3- 8 years old. PCCs must also have approval from their clinic to participate. Vulnerable populations will not be targeted from inclusion but may be included if they meet the previously stated inclusion criteria.

Критерии исключения

• Parents would be excluded if there is a reasonable belief that participating could increase danger to a child or if they are psychologically unable to engage in the intervention activities.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Профилактика

Центры проведения

США · 1 центр

• University of Minnesota — Minneapolis

Идентификаторы

NCT: NCT06695663 · cont

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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