N/A
N=48
Improving Future Thinking Among Mothers to Reduce Harsh Parenting and Improve Child Outcomes
Behavioral Health
Bottom Line
View on ClinicalTrials.gov: NCT05229146 ↗Enrolled (actual)
48
Serious AEs
0.0%
Results posted
Mar 2025
Primary outcome: Primary: Change in Monetary Choice Questionnaire — -3.86; -4.13; -4.33 score on a scale — p=.191
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Episodic Future Thinking (Behavioral)
- Age
- Pediatric, Adult, Older Adult
- Sex
- Female
- Sponsor
- Henry Ford Health System
- Primary completion
- Nov 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Monetary Choice Questionnaire |
-3.86; -4.13; -4.33 | .191 |
| PRIMARY Change in Consideration of Future Consequences Scale-Parenting Score |
29.7; 15.7; 31.3; 16.3 | .319 |
| SECONDARY Change in Dyadic Parent-Child Interaction Coding System Scores |
10.73; 9.91; 8.82; 9.18 | .34 |
| SECONDARY Change in Alabama Parenting Questionnaire Score |
40.13; 43; 25.89; 26.50; 15.44; 13.59 | <.001 sig |
| SECONDARY Change in Emotion Regulation Checklist |
25.63; 25.00; 30.13; 29.00 | .197 |
| SECONDARY Client Satisfaction Questionnaire |
29.73 | — |
Summary
Parents of children from impoverished communities are disproportionately more likely to engage in harsh physical discipline, which can lead to serious clinical outcomes, including suicidal ideation and attempts. One mechanism linking low resource environments and maladaptive parenting strategies is maternal delay discounting, or the tendency to value smaller, immediate rewards (such as stopping children's misbehavior via physical means) relative to larger, but delayed rewards (like improving the parent-child relationship). This study will examine the efficacy of implementing a low-cost, brief intervention targeting the reduction of maternal delay discounting to inform broader public health efforts aimed at improving adolescent mental health outcomes in traditionally underserved communities.
Eligibility Criteria
Inclusion Criteria
- Be the mother from the Flint area of a child between the ages of 5-10 who can provide legal consent for that child to participate in this study
- Self-report that the child lives with them for at least 50% of the time
- Willing to participate in the study
- Able to participate in written assessments and an intervention conducted in English
- Have a working cell phone that can receive and send text messages and be willing to receive/send text messages as part of the study
- Have a phone or device that's able to use video conferencing software
Exclusion Criteria
- Self-disclosed active suicidality/homicidality
- Self-disclosed current bipolar disorder, schizophrenia, or psychosis
- Current and ongoing involvement with child protective services
Data sourced from ClinicalTrials.gov (NCT05229146). 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.