N/A
N=289
Comparative Effectiveness Trail to Reduce Child Maltreatment, Improve Client Outcomes and Examine Client Burden
Child Maltreatment
Bottom Line
View on ClinicalTrials.gov: NCT02549287 ↗Enrolled (actual)
289
Serious AEs
0.0%
Results posted
Jan 2020
Primary outcome: Primary: Parenting Young Children Scale-Supporting Positive Behavior Sub-scale — 6.14; 6.29; 6.43; 6.29 units on a scale — p=0.12
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- SafeCare (Behavioral); Supportive Case Management (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Daniel Whitaker
- Primary completion
- May 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Parenting Young Children Scale-Supporting Positive Behavior Sub-scale |
6.14; 6.29; 6.43; 6.29 | 0.12 |
| PRIMARY Parenting Young Children Scale-Proactive Parenting Sub-scale |
5.79; 6.0; 6.29; 6.14 | 0.14 |
| PRIMARY Parenting Young Children Scale-Setting Limits Sub-scale |
6.38; 6.57; 6.69; 6.57 | 0.20 |
| PRIMARY Parenting Stress Inventory - Short Form |
72; 74; 73; 74 | 0.77 |
| PRIMARY Protective Factors Survey-Parent Knowledge Sub-scale |
6.0; 6.0; 6.2; 5.9 | 0.29 |
| PRIMARY Protective Factors Survey-Family Functioning Sub-scale |
5.0; 5.0; 5.4; 5.2 | 0.15 |
| PRIMARY Brief Symptom Inventory-Significant Case Percentage |
80; 40; 36; 23 | 0.61 |
| PRIMARY BSI-Global Severity Index |
0.35; 0.42; 0.25; 0.37 | 0.47 |
| PRIMARY Devereaux Early Child Assessment-Initiative Sub-scale |
54.92; 54.97; 55.44; 55.84 | 0.65 |
| PRIMARY Devereaux Early Child Assessment-Attachment Sub-scale |
52.4; 53.4; 53.8; 56.3 | 0.63 |
| SECONDARY Mother-Child Neglect Scale (MCNS) |
3.68; 3.64; 3.71; 3.67 | 0.64 |
| SECONDARY Confusion, Hubbub, and Order Scale (CHAOS) |
1.47; 1.47; 1.53; 1.47 | 0.44 |
| SECONDARY Family Resources Scale - Revised |
9.0; 9.0; 8.0; 6.5 | 0.47 |
Summary
In child welfare services, structured behavioral parenting programs have been documented to reduce important child-welfare outcomes, including child maltreatment recidivism.1-3 In this study, we attempt to learn which factors impacted implementation of an evidence-based practice (EBP) in a diversity of child-welfare serving sites and systems. The primary aim of this study was to identify and assess barriers and facilitators of implementation of a structured behavioral parenting program (SC). We utilized a qualitative research strategy that included semi-structured interviews and focus groups with several levels of staff responsible for implementing the model: program administrators, supervisors, and frontline staff (providers). Our second aim was to understand parent and provider reactions to SafeCare (SC) services and Supportive Case Management (SCM), especially parents' perceptions related to trajectory of burden, engagement, satisfaction, and perceived impact across intervention receipt. We employed mixed methods (both quantitative and qualitative data collection) to inform this question. Specifically, we (1) conducted qualitative interviews with families at two time points during the course of service, (2) collected session-by-session ratings from families on service reaction (perceived burden satisfaction, perceived effectiveness) and providers on family engagement, and (3) collected organizational environment surveys from providers at two time points. The final aim of this study wass to examine the short-term impact of SC versus SCM on client-centered outcomes. Quantitative surveys collected in the family's home at the beginning and end of services measured parenting variables, parent mental health and well-being, and child behavioral, social, and emotional well-being.
Eligibility Criteria
Inclusion Criteria
- Home Visitors: Home Visitors who are providing Supportive Case Management or being trained in SafeCare.
- Parents: English or Spanish speaking parents with a child between the ages of 0-5 years who are receiving services from a participating site.
Exclusion Criteria
- Parents under the age of 18, who have no children under the age of 6 years, or do not speak English or Spanish will be excluded from this study.
Data sourced from ClinicalTrials.gov (NCT02549287). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.