Children who are deaf and hard of hearing (DHH) rarely receive behavioral interventions to prevent the long-term costly outcomes of behavior problems. This project will systematically adapt an evidence-based parent training intervention to increase its acceptability and relevance for parents of young DHH children. Effectiveness of the adapted intervention and its implementation with parents of young DHH children followed in "real world" hearing healthcare clinics will be assessed.
Aim 1: This part of the study convened a Community Advisory Board for input on the study. CAB members were considered collaborators rather than research subjects. They provided no personal data for use in publications or other research dissemination efforts. No adverse event data related to the CAB were collected. Aim 2: This part of the study involved qualitative interviews with parents and focus groups with stakeholders (speech-language pathologists, audiologists, and teachers of the Deaf) to guide the adaptation of the intervention. There was no intervention in this aim and it was not a clinical trial. No adverse event data related to the qualitative interviews were collected. Aim 3: Please see Record NCT03483428 for details and results of Aim 3. Aim 4: This part of the study was a randomized controlled trial of the adapted parent training intervention. Parents of DHH children were randomized to either receive the intervention or to a control condition. Aim 5: This part of the study is collecting process data about how the intervention was delivered in Aim 4, as well as qualitative data regarding perspectives about the intervention from key stakeholders, including a subset of parents from Aim 4, the interventionists who delivered the intervention, and other stakeholders. There is no intervention in this aim and it is not a clinical trial. No adverse event data will be collected.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
295
Adapted version of the Family Check-Up/Everyday Parenting intervention
University of Kentucky
Lexington, Kentucky, United States
Parenting Young Children (PARYC) Scale
parent self-report use of positive parenting strategies; score on a scale from 1 to 7, with higher scores indicating more positive parenting practices
Time frame: 6 months after parent baseline
Child Behavior Checklist (CBCL)
subscale and total scores
Time frame: 6 months, 12 months, 18 months, 24 months, 30 months, 36 months after parent baseline
Parent Sense of Competence Scale (PSCS)
parent-report self-efficacy and satisfaction with the parenting role
Time frame: 6 months, 12 months, 18 months, 24 months, 30 months, 36 months after parent baseline
Parent Child Interaction System (PARCHISY)
observational measure of parent-child interaction quality
Time frame: 12 months, 24 months, 36 months after parent baseline
Beck Depression Inventory-II (BDI-II)
parent-report depressive symptoms
Time frame: 6 months, 12 months, 18 months, 24 months, 30 months, 36 months after parent baseline
Parent Motivation Inventory (PMI)
parent-report motivation to change parenting behaviors
Time frame: 12 months, 24 months, 36 months after parent baseline
Therapy Attitude Inventory (TAI)
parent-report satisfaction with intervention
Time frame: 6 months, 18 months, 30 months after parent baseline
Hearing Aid Adherence Questionnaire
parent-report use of hearing aids by child
Time frame: 12 months, 24 months, 36 months after parent baseline
Change in Parenting Young Children Scale (PARYC) Scores Over Time
While the primary study outcomes is PARYC scores 6 months after baseline, we will also assess differences in changes over 3 years in PARYC scores within and between study arms
Time frame: 6 months, 12 months, 18 months, 24 months, 30 months, 36 months after parent baseline
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