Parenting Program for Family Health

Overseen By Joyce R Javier, MD, MPH, MS

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Children's Hospital Los Angeles

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 12

Duration: 12 weeks

360 Participants Needed

Trial Summary

What is the purpose of this trial?

The overall objective of this research is to test the effectiveness of a parenting program on Filipino parents living in California. The sample will include 180 Filipino immigrant families, half of which will receive the Online Incredible Years® School Age Basic \& Advanced Parent Training Program (intervention) and the other half will receive the American Academy of Pediatrics' Bright Futures handouts (control) and be placed on a 3-month waitlist for the IY parenting program.

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 treatment Parenting Program for Family Health?

Research shows that the Incredible Years® Parenting Program, a part of the treatment, helps reduce behavior problems in children and improves parenting skills. Studies have found it effective in various settings, including families using child protection services and in schools, leading to better child behavior and stronger parent-child relationships. ^{1 2 3 4 5}

Is the Parenting Program for Family Health safe for participants?

The available research does not provide specific safety data for the Parenting Program for Family Health or related programs like the American Academy of Pediatrics, Bright Futures Handouts, or Incredible Years® School Age Basic Parent Training Program. However, these programs are generally educational and behavioral in nature, which typically do not pose safety risks like medical treatments might. ^{6 7 8 9 10}

How is the Incredible Years® School Age Basic Parent Training Program different from other treatments for family health?

The Incredible Years® School Age Basic Parent Training Program is unique because it is a comprehensive training program designed for parents, teachers, and children, focusing on building strong relationships and effective parenting skills. It is delivered in a group setting, which encourages peer support and shared learning, and has been shown to be effective across different cultural contexts. ^{2 3 5 11 12}

Research Team

Joyce R Javier, MD, MPH, MS

Principal Investigator

Children's Hospital Los Angeles, USC Keck School of Medicine

Eligibility Criteria

This trial is for Filipino immigrant parents, aged 18 or older, living in California with at least one child who is Filipino or half-Filipino and between the ages of 8-12. The study focuses on evaluating a parenting program's effectiveness.

Inclusion Criteria

NOTE: All parent participants in the study are 18 years or older. Youth participants are 8-12 years old. Since parents are the MAIN participants in this study (parents are randomized; children only fill out surveys), the age limits in this record are set for parents.

is 18 years or older

identified as a parent of at least one Filipino or Half-Filipino child aged 8-12 years

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive the Incredible Years® School Age Basic & Advanced Parent Training Program or AAP Bright Futures handouts

12 weeks

12 classes (2 hours each, online)

Waitlist Control

Control group participants wait for 3 months before receiving the intervention

3 months

Follow-up

Participants are monitored for changes in parenting practices and child behavior

6 months

Treatment Details

Interventions

• American Academy of Pediatrics, Bright Futures Handouts
• Incredible Years® School Age Basic Parent Training Program

Trial Overview The study compares two approaches: an online Incredible Years® Parent Training Program versus receiving educational handouts from the American Academy of Pediatrics. Participants are randomly assigned to either group.

Participant Groups

Group I: Intervention Experimental Treatment 1 Intervention

Parents assigned to the intervention arm will receive the Incredible Years® School Age Basic \& Advanced Parent Training Program. It consists of twelve (12) 2-hour classes led by Dean Coffey, a senior psychologist and certified peer coach in the Incredible Years Parent Training Series.

Group II: Control Experimental Treatment 1 Intervention

Parents assigned to the control arm will be emailed and mailed written parent education materials from the American Academy of Pediatrics called the Bright Futures handouts. The control group is offered the Incredible Years® School Age Basic \& Advanced Parent Training Program after a 3-month wait list period.

Who Is Running the Clinical Trial?

Children's Hospital Los Angeles

Lead Sponsor

Trials

257

Recruited

5,075,000+

Robert Wood Johnson Foundation

Collaborator

Trials

161

Recruited

697,000+

Findings from Research

The Incredible Years® (IY) Parenting Program showed short-term effectiveness in reducing child conduct problems among families in Child Protection Services, with 102 children participating in the study.

However, the positive effects of the program were not sustained at the one-year follow-up, and there were no significant improvements reported in daycare/school settings, indicating challenges in maintaining and generalizing the benefits of the intervention.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Parent- and teacher-reported long-term effects of parent training on child conduct problems in families with child protection and other support services: a randomized controlled trial. Karjalainen, P., Santalahti, P., Aronen, ET., et al.[2021]

The Incredible Years Basic Parent Programme (IYBPP) showed significant improvements in child behavior and social competence among 214 parents who attended at least nine sessions, with effect sizes ranging from 0.50 to 0.77, indicating moderate to strong efficacy.

Parental satisfaction with the IYBPP was high across both Maori and non-Maori participants, suggesting that the program is culturally acceptable and effective for diverse groups.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Preliminary data on the efficacy of the Incredible Years Basic Parent Programme in New Zealand. Fergusson, D., Stanley, L., Horwood, LJ.[2021]

The Incredible Years® Toddler Parenting Programme showed significant improvements in parental mental well-being and observed praise after 6 months, indicating its effectiveness in enhancing parenting skills.

At the 12-month mark, families participating in the program experienced notable improvements in child development, home environment, and reductions in parental depression, suggesting long-term benefits for both parents and children.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Evaluating the Incredible Years Toddler Parenting Programme with parents of toddlers in disadvantaged (Flying Start) areas of Wales. Hutchings, J., Griffith, N., Bywater, T., et al.[2022]

The Incredible Years interventions, which included both classroom and parent training, led to significant improvements in children's emotional regulation and reduced externalizing problems, particularly in the group receiving both interventions (PT + CR).

Mothers in the PT + CR group demonstrated stronger bonding with their children and were more supportive and involved in school activities compared to mothers in the control group, highlighting the positive impact of parent training on family dynamics and child behavior.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Enhancing a classroom social competence and problem-solving curriculum by offering parent training to families of moderate- to high-risk elementary school children. Reid, MJ., Webster-Stratton, C., Hammond, M.[2007]

A brief, six-session parent training program called The Incredible Years led to lasting improvements in positive parenting and reduced harsh discipline, which were maintained four years later in a study of 117 mothers.

While the parent training group showed significant changes in parenting practices, there were no notable differences in child behavior problems compared to the control group, suggesting that the program primarily benefited parenting skills rather than directly altering children's behavior.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Improved parenting maintained four years following a brief parent training intervention in a non-clinical sample. Reedtz, C., Klest, S.[2019]

In a study analyzing pediatric hospitalizations, 24 patients experienced 29 adverse events (AEs) related to medical care, with a rate of 3.61% across all pediatric hospitalizations, which is lower than the 6.4% rate seen in non-elderly adults.

A significant 65.5% of these adverse events were deemed preventable, highlighting the need for targeted prevention strategies, especially since medication-related events accounted for 37.9% of the incidents.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Clinical safety paediatric patients]. Requena, J., Miralles, JJ., Mollar, J., et al.[2012]

A systematic review of 130 studies on muscle strengthening training (MST) in youth revealed that only 33.8% reported on adverse events (AEs), highlighting a significant gap in safety monitoring during these interventions.

Among the studies that did report AEs, 40.1% documented at least one adverse event, with over half of the reported events (59.1%) linked directly to the training or testing, indicating a need for better definitions and reporting practices in future research.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Reporting of Adverse Events in Muscle Strengthening Interventions in Youth: A Systematic Review. Mack, DE., Anzovino, D., Sanderson, M., et al.[2023]

The Incredible Years (IY) eight-week parenting group received positive feedback from both parents (n = 34) and leaders (n = 13), indicating its effectiveness in supporting families during early infant development.

The program demonstrated high retention and attendance rates, and it can be delivered at a reasonable cost, making it a viable option for health visitors to support families in the postpartum period.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Parent and group leader reflections on a group-based programme for parents and babies. Jones, CH., Hutchings, J., Erjaves, M., et al.[2012]

The Incredible Years(®) program is a comprehensive training series designed for parents, teachers, and children, aimed at improving child behavior and emotional regulation.

The program has been successfully scaled up through a collaborative approach, ensuring fidelity to its core principles by involving various stakeholders, including developers, administrators, and families.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Bringing The Incredible Years® Programs to Scale. Webster-Stratton, C., McCoy, KP.[2022]

References

1. England pubmed.ncbi.nlm.nih.gov

Parent- and teacher-reported long-term effects of parent training on child conduct problems in families with child protection and other support services: a randomized controlled trial. [2021]

2. England pubmed.ncbi.nlm.nih.gov

Preliminary data on the efficacy of the Incredible Years Basic Parent Programme in New Zealand. [2021]

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

Evaluating the Incredible Years Toddler Parenting Programme with parents of toddlers in disadvantaged (Flying Start) areas of Wales. [2022]

4. England pubmed.ncbi.nlm.nih.gov

Enhancing a classroom social competence and problem-solving curriculum by offering parent training to families of moderate- to high-risk elementary school children. [2007]

5. England pubmed.ncbi.nlm.nih.gov

Improved parenting maintained four years following a brief parent training intervention in a non-clinical sample. [2019]

6. Spain pubmed.ncbi.nlm.nih.gov

[Clinical safety paediatric patients]. [2012]

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

Reporting of Adverse Events in Muscle Strengthening Interventions in Youth: A Systematic Review. [2023]

8. France pubmed.ncbi.nlm.nih.gov

[Oral administration of medications to infants: Implementation of a preliminary risk analysis in a hospital service of pediatrics]. [2014]

9. Switzerland pubmed.ncbi.nlm.nih.gov

The Meanings of "Pediatric Drug Development". [2022]

10. England pubmed.ncbi.nlm.nih.gov

Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool. [2022]

11. England pubmed.ncbi.nlm.nih.gov

Parent and group leader reflections on a group-based programme for parents and babies. [2012]

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

Bringing The Incredible Years® Programs to Scale. [2022]