Parenting Program for Improved Parenting Skills

(REC Trial)

Recruiting at 1 trial location

Overseen By Deborah Gross, DNSc

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Johns Hopkins University

Disqualifiers: Previous CPP participation, others

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

Approved in 1 Jurisdiction This treatment is already approved in other countries

Compensation: Varies

Number of Visits: 12

840 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

What data supports the effectiveness of the treatment Chicago Parent Program (CPP) and similar parenting programs?

The Chicago Parent Program (CPP) has been shown to be a cost-effective way to help with childhood behavior problems, especially in low-income families. The Parent-to-Parent program, which shares similar goals, has been effective in improving parent-child interactions and helping parents access community resources. ^{1 2 3 4 5}

Is the Parenting Program for Improved Parenting Skills safe for participants?

The available research on the Chicago Parent Program (CPP) and its adaptations, like the ezParent program, does not report any safety concerns for participants. These programs are designed to improve parenting skills and are generally considered safe for use in humans. ^{4 6 7 8 9}

How is the Chicago Parent Program (CPP) treatment different from other parenting programs?

The Chicago Parent Program (CPP) is unique because it was developed with input from African-American and Latino parents to specifically address the needs of low-income families, using a group-based approach to improve parenting skills and child behavior. Unlike other programs, it emphasizes community involvement and cultural relevance, making it more effective for diverse populations. ^{3 4 10 11 12}

What is the purpose of this trial?

Purpose of this study is to test the effectiveness and implementation of an evidence-based parenting intervention for improving parenting and school outcomes in a sample of 4-year-old children enrolled in public prekindergarten (PreK) programs in Maryland.

Research Team

Deborah Gross, DNSc

Principal Investigator

JHU School Of Nursing

Eligibility Criteria

This trial is for parents of 4-year-old children enrolled in public prekindergarten programs in Maryland. It aims to improve parenting skills and school outcomes.

Inclusion Criteria

Consents to completing study surveys

Completes CPP group leader training

At least a High School diploma/General Equivalency Diploma (GED)

Exclusion Criteria

School located in a geographic area with 80% connectivity

School previously offered CPP

Principal, teacher, or other school-based staff is a study parent

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

The Chicago Parent Program (CPP) is implemented in groups of 10-15 parents of PreK students, either virtually or in-person, over 12 sessions.

12 weeks

12 sessions (in-person or virtual)

Post-Intervention Evaluation

Evaluation of study outcomes including children's social-emotional-behavioral competence, parent engagement, and parenting skills at multiple time points.

4-5 months

Multiple assessments (in-person or virtual)

Follow-up

Participants are monitored for long-term outcomes such as kindergarten readiness and retention.

1 year

Treatment Details

Interventions

• Chicago Parent Program (CPP)

Trial Overview The study tests the Chicago Parent Program (CPP), a program designed to enhance parenting abilities, and observes its effectiveness within public PreK settings.

Participant Groups

Group I: Title 1 schools receive the Chicago Parent Program intervention Experimental Treatment 1 Intervention

The experimental group from Title 1 or Community Schools across two Maryland school districts (Baltimore City Public Schools and Cecil County Public Schools) will receive the Chicago Parent Program intervention.

Group II: Title 1 schools receive the usual school practice Active Control 1 Intervention

The control group from Title 1 or Community Schools across two Maryland school districts (Baltimore City Public Schools and Cecil County Public Schools) will receive the usual school practice.

Chicago Parent Program (CPP) is already approved in United States for the following indications:

Approved in United States as Chicago Parent Program for:

• Parenting skills improvement for caregivers of young children aged 2-8 years old

Who Is Running the Clinical Trial?

Johns Hopkins University

Lead Sponsor

Trials

2,366

Recruited

15,160,000+

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

Collaborator

Trials

2,103

Recruited

2,760,000+

Findings from Research

The paper by Ward et al. highlights the development of a new program aimed at parents of children at high risk for behavioral problems in a deprived South African township, indicating a focus on early intervention in challenging environments.

It raises important questions about the necessity of creating new programs when effective ones already exist, suggesting a need for collaboration among program developers to identify the most effective strategies for different populations.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Commentary: Do we need new parenting programmes for different cultural groups or should we adapt those that already exist: a commentary on Ward et al. (2019). Thompson, M., Thompson, C.[2021]

The Parent and Child Enhancement (PACE) program showed sustained effectiveness over 18 months, with participants maintaining improvements in children's learning and behavior, as well as in parenting skills.

Out of 149 participants, only 44 from the intervention group and 11 from the control group provided complete data, indicating that the PACE program may have long-term benefits compared to no significant changes in the control group.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

18-month follow-up of randomized controlled trial of parent and child enhancement program. Leung, C., Tsang, S., Chan, LY.[2019]

The Parent-to-Parent program is a home-based initiative that provides long-term support to adolescent parents through trained volunteers, aiming to improve parent-child interactions and help parents access necessary services.

The program also focuses on increasing community involvement and empowering parents to plan for their futures, addressing the broader developmental needs often overlooked in traditional prenatal and neonatal care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Community support for adolescent parents and their children: The parent-to-parent program in Vermont. Halpern, R., Covey, L.[2021]

This randomized trial compares the effectiveness of two parent training programs, the Chicago Parent Program (CPP) and Parent-Child Interaction Therapy (PCIT), involving 262 parents of children aged 2 to 5 from low-income, predominantly African-American backgrounds.

The study aims to determine if CPP, designed specifically for underserved populations, can effectively reduce child behavior problems and improve parenting, potentially offering a cost-effective alternative to the established PCIT program.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Study protocol for a comparative effectiveness trial of two parent training programs in a fee-for-service mental health clinic: can we improve mental health services to low-income families? Gross, DA., Belcher, HM., Ofonedu, ME., et al.[2021]

In a pilot study involving 21 program directors and 25 practitioners from 19 agencies, it was found that 37.1% of the parent training programs were developed by the agencies themselves, while the majority were adaptations of existing interventions.

Only a few of the identified parent programs had strong empirical support, but many incorporated key features commonly associated with effective, evidence-based parenting programs.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The State of Parent Training: Program Offerings and Empirical Support. Kohl, PL., Schurer, J., Bellamy, JL.[2019]

The ezParent program, a tablet-based adaptation of the Chicago Parent Program, achieved an impressive module completion rate of 85.4%, significantly higher than the 50.6% attendance rate of the traditional face-to-face program, indicating it is a more accessible option for busy parents.

Parents using the ezParent program reported high satisfaction, with 88% finding it very helpful, and showed significant improvements in parenting warmth, suggesting that this digital approach can effectively enhance parenting skills in low-income, ethnic minority families.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Parent Use and Efficacy of a Self-Administered, Tablet-Based Parent Training Intervention: A Randomized Controlled Trial. Breitenstein, SM., Fogg, L., Ocampo, EV., et al.[2018]

The ezParent program, a tablet-based adaptation of a parent training program, was used by 59 parents of young children in low-income areas, revealing that those who completed more modules experienced greater benefits from the program.

Parents who faced barriers to completing the modules were less likely to report benefits, indicating that understanding user experiences can help improve the design and effectiveness of digital parenting interventions.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Low-Income Parents' Perceptions of and Engagement With a Digital Behavioral Parent Training Program: A Mixed-Methods Study. Brager, J., Breitenstein, SM., Miller, H., et al.[2021]

The Regional Partnership Grant (RPG) program significantly reduced trauma and depressive symptoms in adult caregivers, with effect sizes of -0.25 for both outcomes, indicating improved mental health among participants.

Children enrolled in the RPG program showed reduced behavior problems and executive functioning deficits, with effect sizes of -0.31, suggesting positive impacts on child well-being, although no significant changes were observed in child safety and permanency outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The impact of the Regional Partnership Grant program on adult recovery and well-being, and child safety, permanency, and well-being outcomes. Cole, R., Burnett, A., Strong, D.[2021]

The Incredible Years parenting program, studied in 1,799 participants across 14 trials, effectively improves parenting practices and reduces children's conduct problems and ADHD symptoms, with no evidence of harmful effects.

While the program enhances certain family dynamics, it does not significantly improve children's emotional problems or parental mental health, indicating its benefits are somewhat limited to specific areas.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Research Review: Harnessing the power of individual participant data in a meta-analysis of the benefits and harms of the Incredible Years parenting program. Leijten, P., Gardner, F., Landau, S., et al.[2021]

Parent programming, which includes direct services to help parents manage their family life and develop necessary skills, is essential for enhancing parental competence.

Competency-based programming has shown promise in improving parent skills, with initial studies focusing on identifying and assessing parental competencies to inform effective instructional methods.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Involving parents in special programming. Turner, RM., Macy, DJ.[2019]

The parent education program at the San Fernando Valley Child Guidance Clinic effectively increased participants' knowledge about alternatives to physical punishment and normal child development, based on assessments from 40 parents who completed pre- and posttests.

Over 200 parents engaged with the program, which utilized a videotape series to facilitate group discussions, leading to positive changes in attitudes towards children's misbehavior.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A videotape parent education program for abusive parents. Golub, JS., Espinosa, M., Damon, L., et al.[2019]

The Triple P-Positive Parenting Program is designed as a public health approach to improve parenting skills, aiming to enhance children's mental health and family relationships on a large scale.

This program combines universal and targeted interventions to effectively reach a broader population, particularly benefiting high-risk families and reducing behavioral and emotional issues in children.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Correction to sanders (2008). [2015]

References

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

Commentary: Do we need new parenting programmes for different cultural groups or should we adapt those that already exist: a commentary on Ward et al. (2019). [2021]

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

18-month follow-up of randomized controlled trial of parent and child enhancement program. [2019]

3. Netherlands pubmed.ncbi.nlm.nih.gov

Community support for adolescent parents and their children: The parent-to-parent program in Vermont. [2021]

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

Study protocol for a comparative effectiveness trial of two parent training programs in a fee-for-service mental health clinic: can we improve mental health services to low-income families? [2021]

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

The State of Parent Training: Program Offerings and Empirical Support. [2019]

6. Canada pubmed.ncbi.nlm.nih.gov

Parent Use and Efficacy of a Self-Administered, Tablet-Based Parent Training Intervention: A Randomized Controlled Trial. [2018]

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

Low-Income Parents' Perceptions of and Engagement With a Digital Behavioral Parent Training Program: A Mixed-Methods Study. [2021]

8. England pubmed.ncbi.nlm.nih.gov

The impact of the Regional Partnership Grant program on adult recovery and well-being, and child safety, permanency, and well-being outcomes. [2021]

9. England pubmed.ncbi.nlm.nih.gov

Research Review: Harnessing the power of individual participant data in a meta-analysis of the benefits and harms of the Incredible Years parenting program. [2021]

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

Involving parents in special programming. [2019]

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

A videotape parent education program for abusive parents. [2019]

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

Correction to sanders (2008). [2015]