Behavioral Parent Training for Families With Deaf and Hard of Hearing Preschoolers

Christina Studts250 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

250

Conditions

Deafness Hearing Loss Parenting Child Behavior

Interventions

Eligibility

Sex: ALLMin age: 3 YearsMax age: 99 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Parent is age 18 or older * Parent is custodial guardian of child * Parent can either speak/understand English or use American Sign Language * Parent lives in a state with an established referral network for parents of DHH children if additional services are needed * At baseline, child is between the ages of 3 and 6 years * At baseline, child lives majority of time in the parent/guardian's home * Child is deaf or hard of hearing * Child has used hearing aid(s), cochlear implant(s) and/or bone conduction device(s) for greater than 6 months Exclusion Criteria: * Active child protective services case is open * Parent has already accessed behavioral health services for the child * Parent participated in formative research for this study

Outcomes

Primary Outcomes

Parenting Young Children (PARYC) Scale

parent self-report of use of positive parenting strategies

Time frame: 6 months after parent baseline

Secondary Outcomes

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

Behavioral Parent Training for Families With Deaf and Hard of Hearing Preschoolers

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes