To answer the question whether an intervention, aimed to reduce problem behavior, is more effective for a particular genetic subgroup of children, and why this might be. The current studie study gives insight into the moderating effects of specific…
ID
Source
Brief title
Condition
- Personality disorders and disturbances in behaviour
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary outcome measures of the study are possible moderating effects of
genetic polymorphisms on the intervention effect. The intervention effect is: a
significantly stronger decrease of externalizing behavior problems over time
and/ or a significantly stronger increase in prosocial behavior in the IC than
in de CC, with an alpha of .05. Externalizing problem behavior will be measured
with the ECBI and DPICS. Prosocial behavior will be measured with the SSRS and
DPICs.
Secondary outcome
The secondary outcome measures are the observed child behavior in parent-child
interactions. This in particular concerns the behavioral and affective
responses of the child on negative/ corrective/ punitive signals and positive/
encouraging/ rewarding signals from parents, and behavioral processes that are
underlying the moderating effects of the polymorphisms. Furthermore, parenting
measurements (both observed as well obtained by questionnaires) will be
included as secundary outcome measures.
Background summary
Externalizing behavior problems are the most common and as most stressful
experienced problems in children (SCP, 2006). Both environmental factors (e.g.
parenting, Shaw et al, 1998) and child factors (e.g. neurobiological factors;
Matthys, Vanderschuren & Schutter, in press) play an important role in the
development of externalizing problem behavior. Research has shown that certain
polymorphisms are related to the development of these problems (Rutter, Moffit,
& Caspi, 2006). Most studies however have only focused on the cumulative
negative effects of specific risk genes and a negative environment. Potential
benefits of the same genes in interaction with a positive environment are
therefore underestimated. Recently there is evidence that children with certain
genes, that suffer from adverse environmental conditions, can also benefit the
most when exposed to positive environmental conditions. This interaction can be
explained by a recently raised hypothesis, namely that some children based on
their genetic makeup are susceptible to both positive and negative
environmental factors (*differential susceptibility theorie*; Belsky, 1997;
2005).
Study objective
To answer the question whether an intervention, aimed to reduce problem
behavior, is more effective for a particular genetic subgroup of children, and
why this might be. The current studie study gives insight into the moderating
effects of specific polymorphisms on externalizing behavior, and behavioral
processes that are underlying the moderating effects .
Study design
The study will use a randomized controlled trial (RTC) with an experimental
(IC) and a no-active intervention control group (CC). De effectiveness of the
parent training Incredible Years will be used as intervention (see METC
protocol number 03-119-k en 09-433).
Intervention
The IY program is a 14-16 week parent training where parents learn parenting
skills specifically tailored to reduce externalizing problem behavior of
children. Parents watch videos together, discuss them, and practice in
role-plays with different parenting techniques. Trainers are not prominently
teaching parents new skills, but are part of the group and guide the discussion
by asking open-end questions and by emphasizing positive parenting techniques.
This way, parents are encouraged to come up with their own solutions to their
problems and will not develop a dependency upon the professionals.
Study burden and risks
Burden on participants will be minimal. Participants are not at any risk for
injury caused by participating in the study.
Heidelberglaan 1
3584 CS Utrecht
NL
Heidelberglaan 1
3584 CS Utrecht
NL
Listed location countries
Age
Inclusion criteria
Parents of children aged 4-8
Score on the Eyberg Child Behavior Inventory (ECBI) on the 70th percentile or higher
Exclusion criteria
No mastery of the Dutch language
Intellectual disability (total IQ <= 70)
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
CCMO | NL37113.041.11 |