Co-Parenting for Resilience Program for Child Wellbeing

(CPR Trial)

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Oklahoma State University

Disqualifiers: Under 18, Illiterate, Non-consenting, others

Compensation: Varies

Number of Visits: 3

Duration: 4 hours

300 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the Co-Parenting for Resilience Program treatment?

Research shows that parenting programs can lead to positive changes in both parents and children, improving mental health and family dynamics. For example, a study found that adding parenting skills to a child trauma recovery program significantly improved children's emotional and behavioral difficulties and reduced caregivers' stress and anxiety. ^{1 2 3 4 5}

How does the Co-Parenting for Resilience Program treatment differ from other treatments for child wellbeing?

The Co-Parenting for Resilience Program is unique because it focuses on enhancing the co-parenting relationship to improve child wellbeing, unlike other treatments that may focus solely on parenting skills or child behavior. This approach is similar to the Family Foundations program, which has shown benefits in reducing family stress and improving family dynamics, especially during challenging times like the COVID-19 pandemic. ^{6 7 8 9 10}

What is the purpose of this trial?

Because parental divorce has been linked to a significant increase in mental health diagnoses among children, it is important to develop effective interventions that reduce the negative impact of divorce on children. This study assesses the efficacy of the Co-Parenting for Resilience (CPR) resilience program by randomly assigning divorcing individuals to three different forms of the intervention to test whether one or both of versions of CPR are better than reading a self-help book, and whether an in-person version of CPR is more effective than an online version. The three conditions or versions are: 1) an in-person version of CPR taught by a trained non-clinician, 2) an asynchronous fully online version of CPR, and 3) a group that simply reads a self-help book and responds to a knowledge check to ensure the material was read.

Research Team

Ronald B Cox, PhD

Principal Investigator

Oklahoma State University

Eligibility Criteria

This trial is for individuals going through a divorce who are interested in programs that could help their children cope better with the situation. Participants must be willing to engage with either an in-person or online program, or read a self-help book as part of the study.

Inclusion Criteria

Must have internet access necessary for the online group

Focus on the oldest child if participants have more than one child with the person they are divorcing who is age 10 or under

I am an adult in Oklahoma County filing for divorce or separation and have a child aged 4-10.

Exclusion Criteria

Parents who do not consent to randomization

I am a parent and I am under 18 years old.

Parents who are illiterate

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants are randomly assigned to one of three conditions: in-person CPR, online CPR, or self-help book with quiz

4 hours

1 session (in-person or online)

Follow-up

Participants are monitored for child adjustment and parenting competencies at 3-month and 12-month intervals

12 months

2 follow-up assessments (remote)

Treatment Details

Interventions

• Co-Parenting for Resilience Program

Trial Overview The trial tests the Co-Parenting for Resilience (CPR) program's effectiveness on child wellbeing post-divorce. It compares three approaches: an in-person CPR session, an online version of CPR, and reading a self-help book about co-parenting after divorce.

Participant Groups

Group I: online condition Experimental Treatment 1 Intervention

This condition tests program effects when the program is delivered asynchronously online

Group II: In person condition Experimental Treatment 1 Intervention

This condition tests program effects when delivered by a trained non-clinical facilitator.

Group III: Self-help book with quiz Placebo Group 1 Intervention

This condition serves as a placebo control comparing the intervention components to a knowledge only condition.

Who Is Running the Clinical Trial?

Oklahoma State University

Lead Sponsor

Trials

51

Recruited

8,600+

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator

Trials

2,103

Recruited

2,760,000+

Findings from Research

The study evaluates the effectiveness of the Circle of Security-Parenting (COS-P) program in improving maternal sensitivity and child attachment among 314 families with infants aged 2-12 months, compared to standard care.

By screening a larger population of 17,600 families for risks like maternal postnatal depression, the study aims to address early childhood adversity and promote better long-term developmental outcomes for children.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Copenhagen infant mental health project: study protocol for a randomized controlled trial comparing circle of security -parenting and care as usual as interventions targeting infant mental health risks. Væver, MS., Smith-Nielsen, J., Lange, T.[2019]

A systematic review of 52 studies highlights that effective parenting interventions, from the prenatal period to adolescence, can significantly improve both parenting quality and children's mental health outcomes.

The review emphasizes the need for skilled professionals to implement these evidence-based programs and calls for further research to develop targeted interventions for high-risk groups.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Parenting for mental health: what does the evidence say we need to do? Report of Workpackage 2 of the DataPrev project. Stewart-Brown, SL., Schrader-McMillan, A.[2011]

In a 5-month study involving 319 parents, the text messaging program (MyTeen) successfully recruited 221 participants, surpassing the target of 214, indicating effective recruitment strategies.

Web-based recruitment methods were particularly effective, but challenges remained in engaging ethnic minority groups and fathers, highlighting the need for targeted outreach in future parenting program trials.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Recruitment and Retention of Parents of Adolescents in a Text Messaging Trial (MyTeen): Secondary Analysis From a Randomized Controlled Trial. Chu, JTW., Wadham, A., Jiang, Y., et al.[2022]

Circle of Security Parenting (COS-P) effectively shifts parents' perspectives on their child, themselves, and their relationship with their child, leading to increased empathy, compassion, and confidence in parenting, based on qualitative insights from 20 facilitators and 14 parents in Australia.

The program's impact is supported by four key components: essential content, skills practice, group dynamics, and facilitator support, although some limitations were noted regarding its application.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Parent and practitioner perspectives on Circle of Security Parenting (COS-P): A qualitative study. Maxwell, AM., Reay, RE., Huber, A., et al.[2021]

References

1. United States pubmed.ncbi.nlm.nih.gov

Group Work Intervention for the Parents of Children with Mental Health Issues Admitted in the Tertiary Care Center. [2020]

2. United States pubmed.ncbi.nlm.nih.gov

Parents' Perceptions and Experiences of Parenting Programmes: A Systematic Review and Metasynthesis of the Qualitative Literature. [2021]

3. England pubmed.ncbi.nlm.nih.gov

Enhancing resilience in the transition to parenthood: a thematic analysis of parents' perspectives. [2021]

4. Switzerland pubmed.ncbi.nlm.nih.gov

Enhancing Teaching Recovery Techniques (TRT) with Parenting Skills: RCT of TRT + Parenting with Trauma-Affected Syrian Refugees in Lebanon Utilising Remote Training with Implications for Insecure Contexts and COVID-19. [2021]

5. Switzerland pubmed.ncbi.nlm.nih.gov

Fidelity Assessment Checklist Development for Community Nursing Research in Early Childhood. [2023]

6. England pubmed.ncbi.nlm.nih.gov

Copenhagen infant mental health project: study protocol for a randomized controlled trial comparing circle of security -parenting and care as usual as interventions targeting infant mental health risks. [2019]

7. England pubmed.ncbi.nlm.nih.gov

Parenting for mental health: what does the evidence say we need to do? Report of Workpackage 2 of the DataPrev project. [2011]

8. Canada pubmed.ncbi.nlm.nih.gov

Recruitment and Retention of Parents of Adolescents in a Text Messaging Trial (MyTeen): Secondary Analysis From a Randomized Controlled Trial. [2022]

9. United States pubmed.ncbi.nlm.nih.gov

Parent and practitioner perspectives on Circle of Security Parenting (COS-P): A qualitative study. [2021]

10. United States pubmed.ncbi.nlm.nih.gov

Building long-term family resilience through universal prevention: 10-year parent and child outcomes during the COVID-19 pandemic. [2023]