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Completed

NCT Number: NCT02973906

Comparing Web, Group, and Telehealth Formats of a Military Parenting Program

The overarching goal of this study is to advance research on family-based prevention of negative child outcomes for reintegrating Operation Enduring Freedom/Operation Iraqi Freedom personnel by evaluating different formats of a parenting program, After Deployment, Adaptive Parenting Tools (ADAPT). The ADAPT program is based upon the Parent Management Training-Oregon Model/PMTO, but adapted for military deployed families. The PI will examine which of three delivery formats of ADAPT is most effective at reducing youth risk behaviors associated with negative childhood outcomes by improving parenting, child, and parent adjustment. There is a clear intent to benefit all subjects in this study (except surveyed teachers), including children.

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Key information

Conditions

Age range

18 year–100 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Institute for Translational Research in Children's Mental Health

Minneapolis, Minnesota, 55415, United States

About this study

The overarching goal of this study is to advance research on family-based prevention of negative child outcomes for reintegrating Operation Enduring Freedom/Operation Iraqi Freedom personnel by evaluating different formats of a parenting program, After Deployment, Adaptive Parenting Tools (ADAPT). The ADAPT program is based upon the Parent Management Training-Oregon Model/PMTO, but adapted for military deployed families. The investigators will examine which of three delivery formats of ADAPT is most effective at reducing youth risk behaviors associated with negative childhood outcomes by improving parenting, child, and parent adjustment. There is a clear intent to benefit all subjects in this study (except surveyed teachers), including children.

Combat deployment and related challenges are family stressors, associated with more negative parent-child interactions, ineffective and coercive parenting practices and lower levels of parenting satisfaction. Disrupted parenting practices are well-known predictors of risk for child adjustment difficulties that are precursors to youth substance use, including behavior problems, school failure, deviant peer association, and depression . These child adjustment problems can contribute to continuing parental stress, increasing parental distress, and further disrupting parenting.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Inclusion criteria

are:

  • one parent has returned from deployment to OIF or OEF
  • at least one child ages 5-12 in their custody and living with parent(s) in the home
  • high speed internet access at home We will include both single-and two-parent families, as well as families where care is shared between non-partnered adults (e.g. grandparent and mother)

Exclusion criteria

  • active psychosis
  • an open child protection case for abuse or neglect in the family
  • a serious child mental health diagnosis
  • families who piloted material or participated in or are currently participating in the original ADAPT RCT.

Treatment and study plan

ADAPT Self Directed web

Other

In the self-directed web-only ADAPT condition, participants have access to the full ADAPT website (10 modules, online discussion forum

ADAPT individualized web-facilitated

Other

This condition comprises access to the full ADAPT web program as described above, with augmentation of individual facilitator web support (i.e. the facilitator connects via Google Hangout). Facilitators meet with families at a mutually convenient time weekly (10-14 weeks, approximately 3 sessions per month).

Group-based ADAPT

Other

Groups will meet weekly for 120 minutes, at a time convenient to participants (usually early evening). Groups cover core ADAPT/PMTO topics:

Primary outcomes

  1. Change in parenting practices and parent/child interactions

    Time frame: Change from Baseline, 6 months, 12 months, 24 months

    Observed parenting is coded using FIT (Family Interaction Task) and self-report of parenting using the APQ (Alabama parenting Questionnaire),

Secondary outcomes

  1. Change in child adjustment and substance use

    Time frame: Change from Baseline, 6 months, 12 months, 24 months

    Child adjustment assessed using BASC-2 (teacher, parent, and child self-report); Child intentions and use of substances assess using the Alcohol Use Intentions and Behavior Scale; Child distress measured by CDI (Children's Depression Inventory); Child peer adjustment is measured by 16-item scale assessing loneliness and dissatisfaction with peer relations; Deviant peer association measured using "Describing Friends"

  2. Change in parenting stress and support

    Time frame: Change from Baseline, 6 months, 12 months, 24 months

    Parenting Stress Index-Short Form

  3. Participant report of satisfaction with intervention

    Time frame: Change from Baseline, 6 months, 12 months, 24 months

    Two 10-item measures: (1) group satisfaction and (2) online satisfaction

Sponsors and collaborators

Lead sponsor

University of Minnesota

Other

Registry information

Important dates

Study start
2014
Primary completion
2020
Study completion
2020
First posted
Nov 28, 2016
Registry last updated
Mar 19, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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