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NCT Number: NCT07109661

Efficacy of the Rational Positive Parenting Program (s-rPPP) for Disruptive Behaviors

The goal of this clinical trial is to learn if the Rational Positive Parenting Program (s-rPPP), a group-based intervention based on Rational Emotive Behavior Therapy (REBT), can help reduce disruptive behaviors in children and improve parenting among mothers in Pakistan. The study focuses on mothers of children aged 6-12 years who show behavioral problems like aggression, defiance, and temper outbursts.

The main questions it aims to answer are:

Does the s-rPPP reduce disruptive behavior in children? Does it improve parents' beliefs, emotional regulation, and sense of competence? Researchers will compare a group of mothers receiving the s-rPPP to a wait-list control group to see if the intervention leads to positive changes in both parent and child behavior.

Participants will:

Attend weekly group sessions based on s-rPPP techniques. Complete assessments before and after the program using standardized tools. Be followed up to evaluate the program's effectiveness in improving parenting and child outcomes.

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This study is active but is not currently recruiting participants.

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Key information

Conditions

Disruptive Behaviors Behavior Behavioral Symptoms Child Behavior Problem Behavior

Age range

30 year–45 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Centre for Clinical Psychology, University of the Punjab

Lahore, Punjab Province, 54590, Pakistan

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • For Mothers
  • Mothers with the age range between 30 and 45 years.
  • Mothers who score high on the PAS and P RIBS will be included in the study.
  • Mothers willing and available to attend group-based rPPP sessions throughout the intervention period.

For Children

  • Children between 6 and 12 years of age.
  • Children who score high on measures of externalizing and internalizing behavioral problems.

Exclusion criteria

  • For Mothers
  • Mothers with Psychological illness (screening questions will be included in the demographic section),
  • Mothers enrolled in any other parenting or psychological intervention programs. For Children

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  • Children with comorbid neurodevelopmental disorders (e.g., autism, ADHD) (screening questions will be included in the demographic section)

Treatment and study plan

Rational Positive Parenting Program (s-rPPP)

Behavioral

The Rational Positive Parenting Program (s-rPPP) is a structured cognitive-behavioral group intervention based on Rational Emotive Behavior Therapy (REBT). It comprises 4 weekly sessions focused on addressing irrational parenting beliefs, improving emotion regulation, and teaching positive behavior management strategies for children with disruptive behaviors. Participants in the control group will not receive the intervention during the active phase, but will be offered the rPPP after final assessment to ensure ethical treatment.

Primary outcomes

  1. Measure of Externalizing and Internalizing Behavioral Problems

    Time frame: Baseline (pre-intervention) and post-intervention at 4 weeks

    The developed scale is a 5-point Likert scale consisting of 36 items, designed to assess externalizing and internalizing behavioral problems in children aged 6 to 12 years. Each item requires respondents to rate the frequency of specific behaviors observed in the child.

    Response options range from:

    • = Not at all (absence of the behavior)
    • = Rarely
    • = Sometimes
    • = Often
    • = Always (consistent presence of the behavior)

    The scale evaluates two domains:

    Externalizing behaviors (hyperactivity & impulsivity, aggression, anti-social tendencies, defiance) Internalizing behaviors (anxiety, depression, hypersensitivity) Minimum score: 36 Maximum score: 180 Higher scores indicate worse outcomes, reflecting greater severity and frequency of behavioral problems.

    Lower scores indicate better outcomes, reflecting fewer or absent behavioral problems.

  2. Parenting Sense of Competence Scale - PSCS

    Time frame: Baseline (pre-intervention) and post-intervention at 4 weeks

    The Parenting Sense of Competence Scale (PSCS) assesses parents' self-perceived competence in their parenting role. It evaluates two subscales:

    Satisfaction Subscale - measures comfort and frustration in the parenting role

    Efficacy Subscale - assesses perceived competence and capability as a parent

    Different versions have slightly varying scoring, but the original 17-item version uses a 6-point Likert scale (from 1 = Strongly Disagree to 6 = Strongly Agree).

    Score Range (for 17-item version):

    Total Score

    Range: 17 to 102

    Higher scores indicate greater parenting competence and satisfaction

    Subscale Ranges:

    Efficacy Subscale (8 items): 8-48

    Satisfaction Subscale (9 items): 9-54

  3. Parent Rational and Irrational Belief Scale - PRIBS

    Time frame: Baseline (pre-intervention) and post-intervention at 4 weeks

    The Parent Rational and Irrational Beliefs Scale (PRIBS) evaluates both rational and irrational parental beliefs related to child behavior and discipline.

    Items are rated on a 5-point Likert scale (from 1 = strongly disagree to 5 = strongly agree).

    Includes two major dimensions:

    Rational Beliefs Subscale

    Irrational Beliefs Subscale

    Score Ranges:

    Total Score Range: Depends on the number of items used. Typically:

    20 items total: 10 rational + 10 irrational

    Score Range (each subscale): 10 to 50

    Higher Rational Belief Scores = More adaptive, logical parenting beliefs

    Higher Irrational Belief Scores = More rigid, demanding, or unrealistic beliefs

  4. Parent Anger Scale - PAS

    Time frame: Baseline (pre-intervention) and post-intervention at 4 weeks

    The Parent Anger Scale (PAS) is a 30-item self-report measure assessing the frequency and intensity of parental anger in response to child-related situations. Items are rated on a 5-point Likert scale from 1 (Strongly Disagree) to 5 (Strongly Agree).

    Score Range:

    Total Score Range: 30 to 150

    Higher Scores: indicate greater frequency and intensity of parental anger

    Lower Scores: reflect better emotional regulation and lower anger expression in parenting contexts

Sponsors and collaborators

Lead sponsor

Sadia Ramzan

Other

Registry information

Acronym: s- short

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Aug 7, 2025
Registry last updated
May 5, 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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