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Tailoring CPP for the Foster Care Setting (CPP-FC)

Primary Purpose

Behavior Problem

Status
Active
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Chicago Parent Program for Foster Care
Sponsored by
Children's Hospital Medical Center, Cincinnati
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Behavior Problem focused on measuring foster care, child behavior, parenting skills, behavioral health

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Must be a licensed foster caregiver or kinship caregiver to a child ages 2 years to 8 years Must be in good standing with the foster care agency Must be English-speaking Exclusion Criteria: Not having a foster child ages 2 - 8 years in the home Caregiver is unable to commit to participating in CPP-FC This foster child age 2 - 8 years was placed in the home more than 45 days prior to enrollment

Sites / Locations

  • Cincinnati Children's Hospital Medical Center

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Chicago Parent Program for Foster Care

Arm Description

Caregiver parent training sessions.

Outcomes

Primary Outcome Measures

Change in Perceived Stress Scale
The Perceived Stress Scale is a 14-item self-report measure of how unpredictable, uncontrollable, and overloaded individuals find their life circumstances. All items are rated on a 5-point scale, ranging from 0 ("Never") to 4 ("very often"). Some items are reverse-scored. Responses are summed to yield a total score (range 0 - 56), with higher scores indicating greater perceived stress.
Change in Child Adjustment & Parent Efficacy Scale
The Child Adjustment & Parent Efficacy Scale (CAPES) is a 27-item measure of child behavior and emotional adjustment and parenting efficacy. Twenty items are 2-part questions that measure child behavior and parenting efficacy. Item responses are rated on a 4-point scale, ranging from 0 ("Not true of my child at all") to 3 ("True of my child very much"/"Most of the time") and a 2-point Yes/No scale. The Behavior Scale uses 26 items, and the Emotional Maladjustment Scale uses 4 items. Some items are reverse-scored. Items are summed to yield a total intensity score, which includes a behavior score and an emotional maladjustment score (range 0 - 12). Higher scores indicate a higher level of problems. The self-efficacy scale consists of 20 items on a 10-point scale, with responses ranging from 1 ("Certain I can't do it") to 10 ("Certain I can do it"). Items are summed to yield a total efficacy score, with higher scores indicating higher self-efficacy.
Change in Parenting Sense of Competence Scale
The Parenting Sense of Competence Scale is a 17-item questionnaire that measures overall parenting satisfaction and competence. Items are measured on a 6-point scale, with responses ranging from 1 ("Strongly disagree") to 6 ("Strongly agree"). Some items are reverse-scored. Items are summed to yield two subscales: parental satisfaction and parental self-efficacy. Higher scores indicate higher levels of parental satisfaction and parental self-efficacy.
Change in Eyberg Child Behavior Inventory
The Eyberg Child Behavior Inventory is a 36-item measure that assesses disruptive behavior problems in children. Each item has two parts that make up the two subscales: Intensity and Problem. Intensity Scale items are rated on a 7-point scale, ranging from 1 ("Never") to 7 ("Always"), and Problem Scale items are Yes/No responses. Items from each scale are summed to yield the raw scale scores, which are converted to T-scores. Higher Intensity Scale scores indicate more frequent displays of the behaviors by the child, and higher Problem Scale scores indicate the parent perceives the behaviors as more problematic.
Change in Strengths and Difficulties Questionnaire
The Strengths and Difficulties Questionnaire (SDQ) is a 25-item questionnaire that assesses child behavior. Items are rated on a 3-point scale and responses range from 0 ("Not true") to 2 ("Certainly true"). Some items are reverse-scored. Items are summed to yield 5 subscales: Emotional Problems, Conduct Problems, Hyperactivity, Peer Problems, and Prosocial. A total score is calculated using the sum of all the subscales, except Prosocial. Higher scores in each subscale and the total score indicate more child behavior problems.
Change in Parental Stress Scale
The Parental Stress Scale is an 18-item questionnaire that assesses parental stress relating to parental sensitivity to the child, child behavior, and quality of the parent-child relationship. Items are rated on a 5-point scale, ranging from 1 ("Strongly disagree") to 5 ("Strongly agree"). Some items are reverse-scored. Items are summed to yield a total score, with higher scores indicating higher levels of parental stress.
Change in Group Environment Scale
The Group Environment Scale is a 25-item measure that assesses the dimensions of intervention group environments. Items are rated on a 5-point scale, with responses ranging from 1 ("Strongly disagree") to 5 ("Strongly agree"). Items are averaged to yield three subscales: Cohesiveness, Implementation and Preparedness, and Counterproductive Activity. Higher scores on the Cohesiveness Scale indicate more group cohesiveness. Higher scores on the Implementation and Preparedness indicate greater group implementation quality. Higher scores on the Counterproductive Activity Scale indicate more counterproductive group activities.

Secondary Outcome Measures

Full Information

First Posted
April 17, 2023
Last Updated
July 31, 2023
Sponsor
Children's Hospital Medical Center, Cincinnati
Collaborators
Johns Hopkins University, Ohio State University
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1. Study Identification

Unique Protocol Identification Number
NCT05856435
Brief Title
Tailoring CPP for the Foster Care Setting
Acronym
CPP-FC
Official Title
Tailoring the Chicago Parent Program for the Foster Care Setting
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
May 16, 2023 (Actual)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
June 30, 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Children's Hospital Medical Center, Cincinnati
Collaborators
Johns Hopkins University, Ohio State University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of this study is to tailor the Chicago Parent Program, an evidence-based parent training program, for the foster care setting and pilot the content in two cohorts of foster and kinship caregivers (Gross et al., 2009).
Detailed Description
This study involves the administration of an evidence-based prevention program to prevent and reduce behavior problems in young children (the Chicago Parent Program; CPP). CPP will be tailored by creating additional handouts, discussion questions, and topics that contextualize CPP material to foster care, to meet the needs and social norms of foster and kinship caregivers. The CPP-FC 12-session curriculum will be delivered to two cohorts of foster and kinship caregivers virtually. Data for this study will come from multiple sources, including caregiver participant report and a review of existing electronic databases at CCHMC.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Behavior Problem
Keywords
foster care, child behavior, parenting skills, behavioral health

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Chicago Parent Program for Foster Care
Arm Type
Other
Arm Description
Caregiver parent training sessions.
Intervention Type
Behavioral
Intervention Name(s)
Chicago Parent Program for Foster Care
Intervention Description
The Chicago Parent Program for Foster Care FC consists of a 12-session parent training program that focuses on building caregiver-child relationships, behavioral management strategies, managing caregiver stress, and skill maintenance.
Primary Outcome Measure Information:
Title
Change in Perceived Stress Scale
Description
The Perceived Stress Scale is a 14-item self-report measure of how unpredictable, uncontrollable, and overloaded individuals find their life circumstances. All items are rated on a 5-point scale, ranging from 0 ("Never") to 4 ("very often"). Some items are reverse-scored. Responses are summed to yield a total score (range 0 - 56), with higher scores indicating greater perceived stress.
Time Frame
Pre Intervention and 18 weeks
Title
Change in Child Adjustment & Parent Efficacy Scale
Description
The Child Adjustment & Parent Efficacy Scale (CAPES) is a 27-item measure of child behavior and emotional adjustment and parenting efficacy. Twenty items are 2-part questions that measure child behavior and parenting efficacy. Item responses are rated on a 4-point scale, ranging from 0 ("Not true of my child at all") to 3 ("True of my child very much"/"Most of the time") and a 2-point Yes/No scale. The Behavior Scale uses 26 items, and the Emotional Maladjustment Scale uses 4 items. Some items are reverse-scored. Items are summed to yield a total intensity score, which includes a behavior score and an emotional maladjustment score (range 0 - 12). Higher scores indicate a higher level of problems. The self-efficacy scale consists of 20 items on a 10-point scale, with responses ranging from 1 ("Certain I can't do it") to 10 ("Certain I can do it"). Items are summed to yield a total efficacy score, with higher scores indicating higher self-efficacy.
Time Frame
Pre Intervention and 18 weeks
Title
Change in Parenting Sense of Competence Scale
Description
The Parenting Sense of Competence Scale is a 17-item questionnaire that measures overall parenting satisfaction and competence. Items are measured on a 6-point scale, with responses ranging from 1 ("Strongly disagree") to 6 ("Strongly agree"). Some items are reverse-scored. Items are summed to yield two subscales: parental satisfaction and parental self-efficacy. Higher scores indicate higher levels of parental satisfaction and parental self-efficacy.
Time Frame
Pre Intervention and 18 weeks
Title
Change in Eyberg Child Behavior Inventory
Description
The Eyberg Child Behavior Inventory is a 36-item measure that assesses disruptive behavior problems in children. Each item has two parts that make up the two subscales: Intensity and Problem. Intensity Scale items are rated on a 7-point scale, ranging from 1 ("Never") to 7 ("Always"), and Problem Scale items are Yes/No responses. Items from each scale are summed to yield the raw scale scores, which are converted to T-scores. Higher Intensity Scale scores indicate more frequent displays of the behaviors by the child, and higher Problem Scale scores indicate the parent perceives the behaviors as more problematic.
Time Frame
Pre Intervention and 18 weeks
Title
Change in Strengths and Difficulties Questionnaire
Description
The Strengths and Difficulties Questionnaire (SDQ) is a 25-item questionnaire that assesses child behavior. Items are rated on a 3-point scale and responses range from 0 ("Not true") to 2 ("Certainly true"). Some items are reverse-scored. Items are summed to yield 5 subscales: Emotional Problems, Conduct Problems, Hyperactivity, Peer Problems, and Prosocial. A total score is calculated using the sum of all the subscales, except Prosocial. Higher scores in each subscale and the total score indicate more child behavior problems.
Time Frame
Pre Intervention and 18 weeks
Title
Change in Parental Stress Scale
Description
The Parental Stress Scale is an 18-item questionnaire that assesses parental stress relating to parental sensitivity to the child, child behavior, and quality of the parent-child relationship. Items are rated on a 5-point scale, ranging from 1 ("Strongly disagree") to 5 ("Strongly agree"). Some items are reverse-scored. Items are summed to yield a total score, with higher scores indicating higher levels of parental stress.
Time Frame
Pre Intervention and 18 weeks
Title
Change in Group Environment Scale
Description
The Group Environment Scale is a 25-item measure that assesses the dimensions of intervention group environments. Items are rated on a 5-point scale, with responses ranging from 1 ("Strongly disagree") to 5 ("Strongly agree"). Items are averaged to yield three subscales: Cohesiveness, Implementation and Preparedness, and Counterproductive Activity. Higher scores on the Cohesiveness Scale indicate more group cohesiveness. Higher scores on the Implementation and Preparedness indicate greater group implementation quality. Higher scores on the Counterproductive Activity Scale indicate more counterproductive group activities.
Time Frame
Week 7, Week 11, Week 19

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Must be a licensed foster caregiver or kinship caregiver to a child ages 2 years to 8 years Must be in good standing with the foster care agency Must be English-speaking Exclusion Criteria: Not having a foster child ages 2 - 8 years in the home Caregiver is unable to commit to participating in CPP-FC This foster child age 2 - 8 years was placed in the home more than 45 days prior to enrollment
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sarah J Beal, PhD
Organizational Affiliation
Cincinnati Children's Hospital Medical Center Cincinnati, OH USA
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cincinnati Children's Hospital Medical Center
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
25031113
Citation
Lee EH. Review of the psychometric evidence of the perceived stress scale. Asian Nurs Res (Korean Soc Nurs Sci). 2012 Dec;6(4):121-7. doi: 10.1016/j.anr.2012.08.004. Epub 2012 Sep 18.
Results Reference
background
PubMed Identifier
30392414
Citation
Guo M, Morawska A, Filus A. Initial Validation of the Parent-Report Child Adjustment and Parent Efficacy Scale (CAPES) in a Chinese Cultural Context. Assessment. 2018 Dec;25(8):1056-1073. doi: 10.1177/1073191116681493. Epub 2016 Dec 20.
Results Reference
background
PubMed Identifier
28092060
Citation
Heerman WJ, Taylor JL, Wallston KA, Barkin SL. Parenting Self-Efficacy, Parent Depression, and Healthy Childhood Behaviors in a Low-Income Minority Population: A Cross-Sectional Analysis. Matern Child Health J. 2017 May;21(5):1156-1165. doi: 10.1007/s10995-016-2214-7.
Results Reference
background
PubMed Identifier
17380522
Citation
Gross D, Fogg L, Young M, Ridge A, Cowell J, Sivan A, Richardson R. Reliability and validity of the Eyberg Child Behavior Inventory with African-American and Latino parents of young children. Res Nurs Health. 2007 Apr;30(2):213-23. doi: 10.1002/nur.20181.
Results Reference
background
PubMed Identifier
11699809
Citation
Goodman R. Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adolesc Psychiatry. 2001 Nov;40(11):1337-45. doi: 10.1097/00004583-200111000-00015.
Results Reference
background
PubMed Identifier
22685867
Citation
Agazio JB, Buckley KM. Revision of a Parental Stress Scale for use on a pediatric general care unit. Pediatr Nurs. 2012 Mar-Apr;38(2):82-7.
Results Reference
background
PubMed Identifier
19018295
Citation
Wilson PA, Hansen NB, Tarakeshwar N, Neufeld S, Kochman A, Sikkema KJ. SCALE DEVELOPMENT OF A MEASURE TO ASSESS COMMUNITY-BASED AND CLINICAL INTERVENTION GROUP ENVIRONMENTS. J Community Psychol. 2008 Apr;36(3):271-288. doi: 10.1002/jcop.20193.
Results Reference
background
PubMed Identifier
19067166
Citation
Gross D, Garvey C, Julion W, Fogg L, Tucker S, Mokros H. Efficacy of the Chicago parent program with low-income African American and Latino parents of young children. Prev Sci. 2009 Mar;10(1):54-65. doi: 10.1007/s11121-008-0116-7.
Results Reference
background

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Tailoring CPP for the Foster Care Setting

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