Triple P With Pediatric Residents

N/ACompletedNCT01946958

Seattle Children's Hospital155 enrolled

Overview

The objective of this study is to conduct a randomized control trial to evaluate the impact of Triple P on the clinic practice of pediatric residents and on select parent and child outcomes. This study will accomplish that overarching goal through addressing two specific aims. Aim 1. Triple P's Effect on Pediatric Resident's Practice: test the effect of Triple P training on practice of pediatric residents in addressing and managing psychosocial problems. Hypothesis 1: At the completion of the trial, residents assigned to the intervention group, compared to residents exposed to the control condition, will have: 1. increased skill levels, 2. increased confidence, and 3. increased satisfaction in dealing with and managing psychosocial issues Aim 2. Triple P's Effect on Parent and Child Outcomes: test the effect of Triple P interventions on parent's feelings of self efficacy, parent's discipline strategies and on children's externalizing behavior. Hypothesis 2: At the completion of the intervention, parents and children receiving the intervention, compared to those receiving the control condition, will have: 1. greater reduction in targeted child behavior problems, 2. greater reduction in dysfunctional parenting practices, 3. increased use of appropriate discipline and positive parenting strategies, and 4. greater confidence in parenting ability.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

155

Conditions

Psychosocial Problem

Interventions

Training in PC Triple PBEHAVIORAL

PC Triple P is a brief parenting intervention combining specific advice from provider with parent rehearsal and self-evaluation.

Care As UsualOTHER

Pediatric residents not exposed to PC Triple P provide their standard care to parents struggling with parenting issues or child behavior concerns.

Eligibility

Sex: ALLMin age: 18 MonthsMax age: 12 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria for Pediatric Resident: * Assigned to a participating continuity clinic Exclusion Criteria for Pediatric Resident: * Not assigned to a participating continuity clinic Inclusion Criteria for Parent: * Parent of an eligible child. * Speaks English Exclusion Criteria for Parent: * A parent of an ineligible child * Non-English speaking Inclusion Criteria for Child: * Treated by a participating resident * Between 18 months and 12 years old * Does not have any mental health diagnosis * Is not receiving medication or therapy from a professional Exclusion Criteria for Child: * Not treated by a participating resident * Age falls outside of eligible range * Has a mental health diagnosis * Currently receiving medication or therapy from a professional

Outcomes

Primary Outcomes

Change in pediatric resident skills and confidence in conducting parent consultations about child behavior

Pediatric residents will complete a parent consultation skills and confidence assessment at baseline, pre-training, post-training and follow-up.

Time frame: One year

Secondary Outcomes

Change in family outcomes - parent sense of self efficacy, use of positive discipline and child behavior

Parents participating in the study will complete an assessment about their discipline strategies, their sense of confidence as a parent and their child's behavior at baseline and follow-up.

Time frame: One year