Primary objective is to investigate the effectiveness of ADAPT vs TAU on family functioning of veteran families as reported by the veteran. Secondary objective is to investigate the effectiveness of ADAPT versus TAU on family functioning as reported…
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
Traumagerelateerde gezondheidsproblematiek
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Family functioning, measured using the SCORE-15, which is filled in by the
veteran.
Secondary outcome
Family functioning as noted by the partner using the SCORE-15, the veteran*s
reported child functioning (SDQ), the partner*s reported child functioning
(SDQ), the veteran*s reported couple adjustment (ERC), the spouse*s reported
couple adjustment (ERC), veteran*s PTSD symptom severity (PCL-5), veteran*s
emotion regulation (DERS), and veteran*s mentalization (perspective-taking
(BHP) and reflective functioning (RFQ)). Secondary study parameters are
assessed all time-points (see Figure 1). See section 6.3.3 C1
Onderzoeksprotocol for the measures.
Background summary
A growing body of evidence highlights the potential challenges military
families face following war-time deployment of veterans. The enhancement of
parenting might be of crucial importance in supporting military parents and
their children, as it is well documented that improved parenting practices is
associated with increased family functioning and child adjustment. However,
there remains a dearth of empirically supported parenting programs addressing
family functioning within veteran populations. In particular, interventions
that are tailored to the needs of veteran families are relatively new and
under-studied.
Study objective
Primary objective is to investigate the effectiveness of ADAPT vs TAU on family
functioning of veteran families as reported by the veteran. Secondary objective
is to investigate the effectiveness of ADAPT versus TAU on family functioning
as reported by the veteran*s partner, child functioning as reported by the
veteran and partner separately, couple adjustment as reported by the veteran
and partner separately. PTSD symptom severity, emotion regulation, and
mentalization, are included indices on a veteran level.
Study design
An observational design will be applied with a two-arm model in which the
intervention group/ADAPT+TAU will be compared with the control group/TAU.
Intervention
ADAPT is a group-based parenting intervention program delivered in 14 weekly
multifamily sessions of 2 hours each. ADAPT is given by two therapists, trained
in ADAPT. Groups are mixed, consisting of 10 veteran couples, including couples
who are enrolled in this study and couples in treatment without participating
in this study. Children do not enrol in ADAPT. Within ADAPT, the following five
core parenting skills are trained: skill encouragement, positive involvement,
family problem-solving, monitoring, and effective discipline. Emotion
regulation capacities are additionally learned through mindfulness exercises
and emotion coaching (i.e., how to respond effectively to the child*s emotional
distress). Various training methods will be utilized, such as role play,
practice, and discussion. The program is furthermore web-enhanced such that all
skills taught within sessions are summarized in short video vignettes available
online, together with home practice assignments, quizzes, skill summaries, and
mindfulness exercises.
Study burden and risks
ADAPT is already implemented and test among American military families and the
first empirical results are promising. ADAPT is moreover evaluated as feasible
and acceptable among military family members. Therefore, it is not likely that
ADAPT will be counterproductive. Besides one computer task, measurements
include questionnaires which are brief and some are even already part of the
routine outcome measurement. The assessments are not upsetting and well
supervised. The risk and burden are therefore minimal. When this study ends,
care/treatment is offered to the couples when needed. Participants can
potentially benefit from this study as it immediately increases the
availability of a parenting intervention. In the long term this study adds to
the evidence for programs targeting family functioning among veteran families.
Padualaan 2 Padualaan 2
Utrecht 3584CS
NL
Padualaan 2 Padualaan 2
Utrecht 3584CS
NL
Listed location countries
Age
Inclusion criteria
1. One parent is being deployed (i.e. is a veteran)
2. Family disfunctioning: the totalscore on the SCORE-15 (a family functioning measure), as filled in by the veteran, is above 30
3. Parents aged 18 years or older
4. Parents having at least one child living with them (aged 4-12)
5. Veterans attribute the family problems to the deployment
Exclusion criteria
1. Acute suicidality according to the DSM-5
2. Current psychotic disorder
3. Current abuse of partner or child(ren)
4. Neurological-, physical-, cognitive-, or intellectual deficits among veteran or partner which interferes with ADAPT group participation.
5. Couples receiving any form of couple, family, or parenting related therapy
6. Couples are excluded when the veterans' totalscore on the SCORE-15 is 37.5 or higher
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 | NL64138.041.17 |