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

Disqualifiers: Moving, Non-English, Child developmental disability, others

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

Compensation: Varies

Number of Visits: 12

Duration: 12 weeks

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether a parenting program can help Filipino families in California improve family health and relationships. It compares two approaches: an online parenting class called the Incredible Years® School Age Basic Parent Training Program and educational materials from the American Academy of Pediatrics. Filipino parents with children aged 8-12 who haven't taken this program before and speak English might be a good fit. The goal is to determine which method better supports parents and their children. As an unphased trial, this study provides a unique opportunity for families to contribute to valuable research that could enhance parenting support and family well-being.

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 prior data suggests that this parenting program is safe for families?

Research shows that the Incredible Years® School Age Basic Parent Training Program is generally easy for parents to follow. Studies indicate that it helps parents support their children's social and emotional development. Tested in many countries, these programs have shown positive results without significant negative effects.

Evidence from many trials suggests that parents experience less stress and improved coping skills, with no major safety concerns reported. The program's use in different settings provides reassurance of its safety. As this is not a medication, the safety risks are minimal. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the Incredible Years® School Age Basic Parent Training Program because it offers a hands-on, interactive approach to improving family health, which sets it apart from traditional written materials or passive educational resources. Unlike standard options, like the Bright Futures handouts from the American Academy of Pediatrics, this program involves active participation through a series of twelve 2-hour classes led by an experienced psychologist and certified peer coach, Dean Coffey. This interactive format is designed to foster engagement, enhance learning, and provide practical skills for parents, which could potentially lead to more effective and sustained improvements in family dynamics and child behavior.

What evidence suggests that this parenting program is effective for family health?

Research shows that the Incredible Years® School Age Basic Parent Training Program, provided to participants in the intervention arm of this trial, effectively improves children's behavior. Studies have found that about two-thirds of children who participated continued to show better behavior even three years later. Another study found that this program reduced parenting stress and helped mothers manage stress more effectively. A review of multiple studies also confirmed that it encourages positive behavior and reduces disruptive behavior in children. Overall, the program has a strong history of improving family relationships and child behavior. ^{3 6 7 8 9}

Who Is on the Research Team?

Joyce R Javier, MD, MPH, MS

Principal Investigator

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

Are You a Good Fit for This Trial?

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

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

Timeline for a Trial Participant

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

What Are the Treatments Tested in This Trial?

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.

How Is the Trial Designed?

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+

Published Research Related to This Trial

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 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]

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]

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]

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 (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]

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]

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]

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]

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC3077027/

Long-Term Outcomes of Incredible Years Parenting Program At 3-year follow-up, approximately two-thirds of treated children maintained clinically significant improvements on child externalising problems (Webster- ...

2. sciencedirect.com sciencedirect.com/science/article/abs/pii/S0190740922002651

Effectiveness of the Incredible Years parenting program for ... The modified parenting program was effective in improving children's behavior, parenting stress, and general stress among mothers of children aged 6–12 years.

3. incredibleyears.com incredibleyears.com/hubfs/The%20Incredible%20Years-%20Resources%20and%20Files/WP%20Files/Menting-de-Castro-Matthys-2013.pdf

A meta-analytic review The present meta-analytic review examined effectiveness of the Incredible Years parent training (IYPT) regarding disruptive and prosocial child behavior, ...

4. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC4232994/

Assessing the Effectiveness of the 'Incredible Years Parent ... This study examined the effectiveness of an evidence-based parent training program in a real-world Scandinavian setting.

5. incredibleyears.com incredibleyears.com/blog/evidence-based-parenting-programs

Evidence-Based Parenting Programs For example, Incredible Years' Basic Parent Programs target parents of children ages 3-12. So, you might ask if that age range is ...

6. incredibleyears.com incredibleyears.com/early-intervention-programs/parents/schoolage

School Age Parenting Programs Incredible Years provides early intervention programs that give parents tools to promote school-age children's social and emotional development.

7. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC10268544/

The Incredible Years Parenting and Child Treatment Programs This study presents the first randomized controlled trial carried out in Spain to test the effectiveness of the Incredible Years Basic Parenting and Small ...

8. incredibleyears.com incredibleyears.com/hubfs/The%20Incredible%20Years-%20Resources%20and%20Files/Program%20Pages%20Files/Parent-Overview-2020%20(1).pdf

Incredible Years® (IY) Parent Programs Parent programs: 9 RCT treatment trials & 4 RCT prevention trials by developer and 14+ independent RCTs from 5+ countries (including England, Holland,. Norway, ...

9. clinicaltrials.gov clinicaltrials.gov/study/NCT03300128

Incredible Years Program for Parents of Children with Autism "The Incredible Years" has decades of evidence pointing to improved levels of parent stress, depression, and coping skills, as well as decreased negative child ...