CompletedNot Applicable

Parenting Strength At Home- Parents Pilot

United States91 participantsStarted 2019-03-01

Plain-language summary

The overall goal of this work is to adapt, refine, and conduct an open trial of a parent-training intervention for Veterans with posttraumatic stress disorder (PTSD) symptoms using feedback from Veterans, VA clinicians, and expert consultants as key stakeholders. PTSD symptoms are associated with parent-child functioning difficulties, which are also an important determinant of quality of life and functional recovery. This project will examine the feasibility and acceptability of an evidence-based group intervention to improve parenting behaviors, parenting satisfaction, and family functioning in Veteran parents with PTSD symptoms and who have children between the ages of 3 and 12. This intervention is derived from an existing evidence-based intervention to improve Veteran relationship functioning (Strength at Home; SAH), and it is informed by the Cognitive Behavioral Theory of Interpersonal Functioning and the Military Family Attachment frameworks for the association between PTSD and family functioning problems. The intervention also includes a pre-treatment Motivational Interviewing Assessment (MIA) to assist Veterans in strengthening and building motivation to change their parenting behaviors. The goals and change talk identified in the pre-treatment MIA are then referred to throughout the treatment. Groups are gender-specific, meaning that the investigators will pilot the treatment in separate groups of women and men Veterans.

Who can participate

Age range18 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * English speaking and able to provide written informed consent * Current parent to a child between the ages of 3 and 12. * If the parent has more than one child within the target group, they will choose one of their children to be the index child for the purposes of SAHP * Though we expect skills learned will translate to other children in the family * The child must reside with the Veteran or spend at least an average of two days per week with the Veteran * Screen positive for elevated PTSD symptoms on the PTSD checklist for DSM 5 (PCL-5) * The PCL-5 is a 20 item self-report measure of PTSD symptoms in the past month. Items are rated on a 5 point Likert scale (0 = not at all, 4= extremely) and participants endorse symptoms based on "a very stressful experience." * Items are summed with higher scores reflecting greater symptomatology. The measure evidences good reliability (Internal consistency = .96; test-retest = .84), discriminant and convergent validity and takes 5-10 min. to complete * Screen positive (above the 85th percentile) for parent-child functioning problems based on Parenting Stress Index- Short Form; PSI-SF * All three subscales and the total stress scale on the short-form are highly correlated with those on the long-form (.97-.99), and is expected to take respondents about 10 minutes to complete * The total stress scale can successfully differentiate between different levels of risk for parent-child functioning problems a…

What they're measuring

Client Satisfaction Questionnaire-8 (CSQ; Attkisson & Greenfield, 2004)

Timeframe: 8 weeks

Strength at Home Parents Specific Satisfaction Questionnaire

Timeframe: 8 weeks

The Credibility/Expectancy Questionnaire (CEQ; Devilly & Borkovec, 2000)

Timeframe: 8 weeks

Trial details

NCT IDNCT03403153

SponsorVA Office of Research and Development

Sponsor typeFED

Study typeINTERVENTIONAL

Primary completion2022-03-30

Results submitted2023-03-23

View on ClinicalTrials.gov More Parenting Behaviors and PTSD Symptoms trials

Plain-language summary

Who can participate

Age range18 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.