The objective is to study the effectiveness of the Triple P program compared to a control group, for parents and their NICU-graduates with emotional and/or behavioral problems. Effectivenes concerns children's problems, parents' parenting…
ID
Source
Brief title
Condition
- Other condition
- Neonatal and perinatal conditions
Synonym
Health condition
opvoedingsproblemen; emotionele en/of gedragsproblemen kind
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Emotional and behavioral problems as indicated by the parents, measured with
the Total Problems scale of the CBCL.
Secondary outcome
Internalising and externalising problems as indicated by the parents (CBCL),
disruptive behavior (ECBI), parents' parenting experiences (NOSI), attitude of
parents towards parenting (CRPR), vulnerability of the child as perceived by
the parents (VCS), internalising and externalising problems as indicated by the
teacher (TRF), observed parent-child interaction (DPICS-R) and number of
families that need more (intensive) counselling after the intervention.
Background summary
At toddler age, NICU graduates show more emotional and behavioral problems than
term born children without a medical condition. Having a child in neonatal
intensive care burdens parenting, not only during the acute phase of illness
but also in the years thereafter. Most interventions up till now take place
during the NICU period or in the first year of life. These interventions
usually aim at directly stimulating the motor and cognitive development of the
child. The effects of early interventions are positive, but at school age the
positive effects have usually disappeared. As of yet, there are no studies of
interventions aimed at parenting support of parents of NICU graduates at
toddler age, while emotional and/or behavioral problems surface specifically at
this age.
Study objective
The objective is to study the effectiveness of the Triple P program compared to
a control group, for parents and their NICU-graduates with emotional and/or
behavioral problems. Effectivenes concerns children's problems, parents'
parenting experiences, and the interaction between parents and child.
Study design
After screening, a multicenter open randomized trial is performed.
Data will be collected using a developmental test for the child, structured
behavioral observations of parent-child interactions, questionnaires for the
parents, and a questionnaire for the teacher. The used developmental test is
the BSID-II or the WPPSI-III, dependent on the child's age. The structured
behavioral observation that will be conducted is the DPICS-R. Parents fill in
the CBCL, ECBI, NOSI, NOSIK, CRPR, VCS, CSQ and the FBQ. The teacher fills in
the TRF.
Intervention
The intervention is an evidence-based parenting program, Triple P (level 3)
compared to a control group. It aims at improving the competences and the
self-reliance of parents regarding their parenting behaviour. Triple P tries to
establish a more competent parenting style in dealing with the child's
emotional and/or behavioral problems, less use of cohersion and negative
discipline, better communication about parenting between parents and between
parent and child, and less parenting stress for the parents.
The duration of the intervention is four times 30 minutes.
Study burden and risks
Parents who participate have four therapy sessions of 30 minutes. They also
fill out questionnaires at home. One of the parents and the child are invited
to come to the treatment centre four times, so the researchers can conduct
behavioral observations of family interactions.
The child is invited to come to the treatment centre with one of the parents
four times. At the first measurement moment a developmental test of 45 minutes
will be conducted. At all four measurement moments child and parent are given a
play-assignment which is observed by the investigators and videotaped.
Parents who participate in the research have four therapy sessions of 30
minutes. Besides this they come to the treatment center to conduct a
play-assignment with their child. Finally, parents fill in questionnaires at
five measurement moments.
Time for each measurement moment:
Screening:
parents: questionnaires, 40 min (home)
Week 1:
kind: developmental test, 45 min (treatment center)
kind en ouder: play-assignment, 30 min (treatment center)
parents: questionnaires, 55 min (home)
leerkracht: questionnaire, 20 min (home)
Week 2-5
parents: Triple P intervention, 4 times 30 min
Week 6:
kind en ouder: play-assignment, 30 min (treatment center)
parents: questionnaires, 10 min (home)
Maand 6 en 12:
kind en ouder: play-assignment, 30 min (treatment center)
parents: questionnaires, 1 hour, 15 min (home)
leerkracht: questionnaire, 20 min (home)
Postbus 85090
3508 AB Utrecht
NL
Postbus 85090
3508 AB Utrecht
NL
Listed location countries
Age
Inclusion criteria
Parents and their NICU graduates whom are between 2 and 5 years of age.
Children are (1) born < 32 weeks and/or birthweight < 1500 grams or (2) children born between 37-42 weeks with perinatal asphyxia.
Exclusion criteria
Parents of children with motor- and/or intellectual disabilities.
Parents who do not sufficiently speak the Dutch language.
Parents of children who fit the inclusion criteria but already receive professional support for the emotional and/or behavioral problems of their child.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
In other registers
| Register | ID |
|---|---|
| CCMO | NL24922.041.08 |
| OMON | NL-OMON27727 |