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Completed

NCT Number: NCT01367847

Technology-Enhanced Helping the Noncompliant Child

This study aimed to examine if technology could enhance the treatment engagement and outcomes of low income parents of 3 to 8 children with externalizing problems.

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Key information

Age range

3 year–8 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

UNC Chapel Hill

Chapel Hill, North Carolina, 27599, United States

About this study

The aim of this pilot study is to determine whether a technology-enhanced version of an established behavioral treatment protocol, Helping the Noncompliant Child (HNC; McMahon & Forehand), enhances the engagement and treatment outcomes of lower income parents of 3 to 8 children with externalizing problems in treatment. It is predicted that families in both the HNC and technology-enhanced HNC (TE-HNC) programs will evidence significant improvement in parenting behavior and child externalizing problems; however, it is predicted that parent-child dyads in the TE-HNC program will require fewer sessions, will be more likely to be retained in the program, will be more likely to remain engaged in the program (e.g., practicing skills between sessions etc.), and will be more likely to have active involvement from their coparenting partners (i.e., other adults and family members who participate in childrearing).In turn, it is expected that the TE-HNC program will boost treatment outcomes.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Lower income
  • caregiver/parent is legal guardian
  • 3 to 8 year old child
  • child meets criteria for externalizing disorder or significant externalizing symptoms

Exclusion criteria

  • Prior report of child abuse or neglect
  • current substance abuse/dependence
  • legal guardian reading level less than 8th grade
  • child has developmental disability that precludes caregiver utilizing the skills

Treatment and study plan

Helping the Noncompliant Child (HNC)

Behavioral

Well-established behavioral parent training program (McMahon & Forehand) for parents of 3 to 8 y.o. children with externalizing problems

Other names: HNC

Technology-Enhanced Helping the Noncompliant Child (TE-HNC)

Behavioral

Standard HNC program plus technology-enhancements (see description under Arm)

Other names: TE-HNC

Primary outcomes

  1. Retention

    Time frame: Baseline to Post-Intervention (average 8 to 12 weeks)

    Retention assesses whether or not the family completed the full treatment program.

  2. Mean % Sessions Attended as Scheduled

    Time frame: Baseline to Post-Intervention (average 8 to 12 weeks)

    Participation in each weekly session as scheduled was recorded for each family. Mean attendance of scheduled sessions was computed for each parent-child dyad and then for each group. For example, if a parent-child dyad required 8 sessions to master the program skills and attended all 8 sessions as scheduled they would have 100%. If instead, another parent-child dyad also required 8 sessions to complete the program, but half of those were rescheduled at least once. Then the overall average attendance is calculated across the parent-child dyads in each group. Greater scheduled attendance = optimal outcome.

Secondary outcomes

  1. Mean Post-treatment Score Eyberg Child Behavior Inventory (ECBI)

    Time frame: Baseline to Post-Intervention (average 8 to 12 weeks)

    The ECBI is a 36 item measure frequently used in treatment outcome research with young children, as it it reflects problem behavior in this age range and is sensitive to change. Parents rate the frequency of each problem behavior as occurring 0 = never to 7 = always. Scores can range from 0 to 252 with higher scores reflecting greater problem behaviors.

  2. Mean Sessions for Complete Treatment

    Time frame: Baseline to Post-Intervention (Average 8 to 12 weeks)

    Mean number of sessions that parent-child dyads in each group required to master the program skills and complete treatment (Fewer sessions to complete treatment considered more cost-effective as parent-child dyads learning skills more efficiently).

  3. Mean Consumer Satisfaction

    Time frame: Post-Intervention (Average 8 to 12 weeks)

    Average parent-reported satisfaction with the treatment program on a project-developed consumer satisfaction scale (Possible range = 11 -77; Higher score = greater satisfaction).

Sponsors and collaborators

Lead sponsor

University of North Carolina, Chapel Hill

Other

Collaborators

  • National Institute of Mental Health (NIMH)

Registry information

Official study title

Technology Enhanced Delivery of Treatment for Early Conduct Problems

Acronym: TE-HNC

Important dates

Study start
2010
Primary completion
2012
Study completion
2013
First posted
Jun 7, 2011
Registry last updated
Sep 11, 2019

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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