Incredible Years® Program for Parenting

(FFHI Trial)

Overseen By Lindsey R Thompson, MS, MPH

Age: Any Age

Sex: Any

Trial Phase: Academic

Sponsor: Kaiser Permanente

Disqualifiers: Move out of California, Previous IY participation, Not fluent in English, Unable to consent, Prisoners

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

Compensation: Varies

Number of Visits: 6

500 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. It seems focused on parenting practices rather than medical treatments.

What data supports the effectiveness of the Incredible Years® School Age Basic Parent Training Program treatment?

Research shows that the Incredible Years® program helps reduce children's behavior problems and improves their ability to manage emotions. Parents who participated in the program reported stronger bonds with their children and were more supportive and involved in their children's education. ^{1 2 3 4 5}

Is the Incredible Years® Program safe for participants?

The Incredible Years® Program has been widely used and accepted by diverse populations, with parents reporting high satisfaction levels. There is no mention of safety concerns in the studies, suggesting it is generally considered safe for participants. ^{3 6 7 8 9}

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

The Incredible Years® School Age Basic Parent Training Program is unique because it is a comprehensive training program that involves parents, teachers, and children, focusing on building strong relationships and improving parenting skills. It is delivered in a group setting, which encourages peer support and shared learning, and has been shown to be effective in various age groups and settings, including disadvantaged areas. ^{3 5 8 10 11}

What is the purpose of this trial?

The goal of this clinical trial is to test the effectiveness of an online parenting program on Filipino parents living in California. The main aims are to: * Test the effectiveness of the online Incredible Years® model of parent training and its impact on primary outcomes. * Determine the impact of intervention engagement (i.e., higher attendance) on parenting practices and child behavior outcomes. * Describe Intervention delivery and its online implementation in real-world community settings. The study involves two phases: * Phase 1: Participants will receive the Online Incredible Years® School Age Basic \& Advanced Parent Training Program (intervention) and complete parent-reported and child-reported measures at baseline, 3 months and 6 months. * Phase 2: Parenting Group Leaders will each participate in one semi-structured interview to inform the sustainability of the intervention in real world community settings. Researchers will compare 250 Filipino families, half of which will receive the 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. Both groups will be followed for a minimum of 6 months with follow- up assessments that include parent-report and child report measures.

Research Team

Joyce R Javier, MD MPH MS

Principal Investigator

Kaiser Permanente School of Medicine

Eligibility Criteria

This trial is for Filipino parents or guardians in California with at least one child aged 8-12. They must be of Filipino descent and English-speaking. Pregnant women qualify if they have an eligible child.

Inclusion Criteria

My parent or guardian is Filipino.

I am pregnant or a guardian with a child eligible for the trial.

I am a parent or guardian of a child aged 8-12.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention Phase 1

Participants receive the Online Incredible Years® School Age Basic & Advanced Parent Training Program and complete parent-reported and child-reported measures at baseline, 3 months, and 6 months.

6 months

Online workshops and assessments at baseline, 3 months, and 6 months

Intervention Phase 2

Parenting Group Leaders participate in semi-structured interviews to inform the sustainability of the intervention in real-world community settings.

Ongoing

Follow-up

Participants are monitored for sustained improvements in parenting practices and child behavior outcomes.

6 months

Follow-up assessments at 3 months and 6 months

Treatment Details

Interventions

• Incredible Years® School Age Basic Parent Training Program

Trial Overview The study tests an online parenting program, the Incredible Years® School Age Basic & Advanced Parent Training, against standard Bright Futures handouts from the American Academy of Pediatrics to see its effect on parenting and child behavior over six months.

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 online workshops led by a certified peer coach in the Incredible Years Parent Training Series.

Group II: Control Experimental Treatment 2 Interventions

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?

Kaiser Permanente

Lead Sponsor

Trials

563

Recruited

27,400,000+

University of Southern California

Collaborator

Trials

956

Recruited

1,609,000+

National Institute on Minority Health and Health Disparities (NIMHD)

Collaborator

Trials

473

Recruited

1,374,000+

Children's Hospital Los Angeles

Collaborator

Trials

257

Recruited

5,075,000+

University of California, San Diego

Collaborator

Trials

1,215

Recruited

1,593,000+

Findings from Research

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® (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® 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 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]

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 Triple P and Incredible Years parent programs are effective in reducing problematic behaviors in children and negative parenting practices, based on a review of 49 studies using rigorous methodologies.

While both programs show positive outcomes, they have distinct differences, suggesting the need for a tailored parent education program that fits specific cultural contexts, such as in Turkey.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

An analysis of two evidence-based parent training programmes and determination of the characteristics for a new programme model. Arkan, B., Ustün, B., Güvenir, T.[2013]

The study evaluates the effectiveness of two parenting programs, The Incredible Years (IY) and The International Child Development Programme (ICDP), over 15 and 12 weeks respectively, aimed at improving parenting practices for refugee families in Norway, with a target sample size of 360 participants.

It also incorporates a measurement feedback system (MFS) to provide regular updates on parents' progress, which may help reduce parental stress and improve child behavior, ultimately aiding families in successfully integrating into a new cultural context.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Parenting interventions for families with refugee backgrounds: a randomized factorial, mixed-methods design study protocol. Patras, J., Saus, M., Douglas, M., et al.[2022]

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]

The Incredible Years Parenting Program significantly improved parenting skills among mothers from diverse ethnic backgrounds, with intervention mothers showing more positive and consistent parenting behaviors compared to control mothers.

Children of mothers who participated in the program exhibited fewer behavior problems, indicating the program's effectiveness in enhancing child behavior as well.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Parent training in head start: a comparison of program response among African American, Asian American, Caucasian, and Hispanic mothers. Reid, MJ., Webster-Stratton, C., Beauchaine, TP.[2022]

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 (IY) parent programme significantly improved child behavior problems in a study involving 280 parents of children aged 8-13 years at risk for antisocial behavior, with strong statistical support (p < .001).

The program also led to notable enhancements in parental depression and parenting skills, indicating its effectiveness in promoting both child and parental well-being.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The extended school aged Incredible Years parent programme. Hutchings, J., Bywater, T., Williams, ME., et al.[2020]

References

1. 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]

2. 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]

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

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

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. England pubmed.ncbi.nlm.nih.gov

An analysis of two evidence-based parent training programmes and determination of the characteristics for a new programme model. [2013]

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

Parenting interventions for families with refugee backgrounds: a randomized factorial, mixed-methods design study protocol. [2022]

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

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

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

Parent training in head start: a comparison of program response among African American, Asian American, Caucasian, and Hispanic mothers. [2022]

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

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

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

The extended school aged Incredible Years parent programme. [2020]