Efficacy of a positive parental practices promotion program in families of Chilean pre-school children

ISRCTN ISRCTN90762146
DOI https://doi.org/10.1186/ISRCTN90762146
Secondary identifying numbers ID14I10058
Submission date
20/02/2016
Registration date
08/03/2016
Last edited
10/10/2018
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
It is generally considered that children’s experiences can help to shape their development. There is a lot of evidence that suggests that early parenting interventions (programs) can significantly enhance parenting skills, as well as parent-child relationships and child wellbeing. A growing number of children show signs of behavioral problems at home and at school. Many studies have shown that this problem behavior in young children can get worse with age, and so it is important that behavioral problems are addressed early on to ensure healthy childhood development. Parenting interventions have been proven to be very successful at improving child behavior. The most effective of these programs are shown to teach parents how to stimulate and encourage good behaviour and appropriately deal with bad behaviors, while avoiding being overly punitive (inflicting punishment) and harsh. This study is looking at a new parenting intervention called the Day UdeC Program, which has been designed at the University of Concepción. The aim of this study is to test whether the Day UdeC Program can help to improve parenting practices and parent-child relationships.

Who can participate?
Families with pre-school age children (between 2 and 6) who attend educational centres in Concepcion, Chile.

What does the study involve?
Educational centres are randomly allocated to one of two groups. Parents/guardians of children who attend educational centres in the first group take part in the Day UdeC Program. This involves attending six, weekly sessions which last for around two hours. In these sessions, parents/guardians are taught skills to strengthen their relationship with their children and learn positive discipline strategies (helping the child to develop a conscience so that they behave properly in a loving and supportive way). Those in the second group do not take part in the Day UdeC Program during the study period, but are able to attend the program after all of the study assessments have been completed. At the start of the study and then again after the program ends (8-9 weeks), participants in both groups complete a number of questionnaires in order to test their parenting skills as well as their overall mood.

What are the possible benefits and risks of participating?
Participants may benefit from being able to improve their parenting skills. There are no risks involved with taking part in this study.

Where is the study run from?
Educational centers (public and subsidized schools, and centers from JUNJI and Integra Foundation) in Concepcion (Chile)

When is the study starting and how long is it expected to run for?
March 2015 to October 2016

Who is funding the study?
National Commission for Scientific and Technological Research FONDEF Program Ideas (Chile)

Who is the main contact?
Dr Félix Cova
fecova@udec.cl

Contact information

Dr Félix Cova
Public

Faculty of Social Sciences
Dpt. Of Psychology
University of Concepción
University District s/n
Concepción
4030000
Chile

ORCiD logoORCID ID 0000-0002-9290-6875
Phone +56 41 2204301
Email fecova@udec.cl

Study information

Study designMulti-centre cluster randomised interventional trial
Primary study designInterventional
Secondary study designCluster randomised trial
Study setting(s)School
Study typePrevention
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet.
Scientific titleAssessment of a parenting practices promotion program focused on prevention and early intervention of behavioral problems in Chilean preschool children: a cluster randomized trial
Study objectives1. Participants receiving the parental training program will present less frequency of inconsistent parental practices and less frequency of harsh and punitive practices than participants assigned to the control group
2. Participants receiving the parental training program will present more frequency of positive parental practices than participants assigned to the control group. They will also have higher satisfaction degrees with the parental role
3. Participants receiving the parental training program will show more frequency of positive interactions in the observational assessment of a ludic interaction with their child than participants assigned to the control group
4. Participants’ children receiving the parental training program will present less frequency of externalized behavior than children’s participants assigned to the control group
5. The lower frequency of externalized behavior in children of participants assigned to the experimental group will be mediated by the greater positive parental practices and the lower negative practices that participants assigned to that condition will present
Ethics approval(s)Ethics Committee of the University of Concepción, 01/06/2013
Health condition(s) or problem(s) studiedParental practices
InterventionFamilies who are interested in participating sign informed consent stating that they are willing to comply with the study assessments and workshops. A limit of invitations will be set in order to evaluate between 16 and 18 participants per center. The participating educational centres are then randomised to one of two groups.

Intervention group: Centers will receive the day to Day UdeC Program. The program is implemented in six, two hour sessions, and is delivered to the guardians of the child (mothers, fathers or other caregivers). Sessions take place weekly, with the exception is the sixth session which will be held fifteen days after the fifth session. The program also considers two sessions of 2 hours with the educational personnel from the centers. The first of them will be carried out before the beginning of the sessions including the families and the second one, at convenience. The duration of the whole application of the program is approximately two months. The program is designed to develop skills to strengthen the relationship with the children, create a stable and predictable media for them and implement positive discipline strategies.

Control group: Participants in this group do not receive the Day UdeC program during the study period. These participants are given access to the program after the follow up measures are collected.

Following the intervention period (8-9 weeks) participants in both groups are assessed in order to record frequency of inconsistent and punitive parental practices and the increase of positive parental practices using questionnaires.
Intervention typeBehavioural
Primary outcome measureReduction of frequency of inconsistent and punitive parental practices and the increase of positive parental practices are measured using at Alabama’s Questionnaire adapted to pre-schoolers CAP Pr-20 and from the List of Severe Discipline Practices at baseline and post-intervention (8-9 weeks).
Secondary outcome measures1. Parental satisfaction is measured using at Parental Evaluation Scale post-intervention (8-9 weeks)
2. Reduction of depressive parental symptoms are measured using at depressive scale from Inventario de Problemas Conductuales y Socioemocionales post-intervention (8-9 weeks)
3. Reduction of externalized behaviours are measured using at Eyeberg Child Behavior Inventory baseline and post-intervention (8-9 weeks)
Overall study start date01/03/2015
Completion date30/10/2016

Eligibility

Participant type(s)Healthy volunteer
Age groupMixed
SexBoth
Target number of participantsThe trial considers a minimun of 300 participants. A minimun of 18 clusters will be include (17 participants by cluster).
Key inclusion criteriaFamilies with preschool age children (aged 2 to 6 years) currently attending educational centers (public and private subsidized schools, and centers from JUNJI and Integra Foundation) in Concepción, Chile.
Key exclusion criteriaFamilies with children diagnosed with:
1. Intellectual disability (severe and profound)
2. Generalized developmental disorder
Date of first enrolment20/03/2016
Date of final enrolment30/04/2016

Locations

Countries of recruitment

  • Chile

Study participating centres

Lafkeen
Galvarino 1121
San Pedro de la Paz
4130000
Chile
Los Pinos
Escocia con Italia s/n
Chiguayante
4100000
Chile
El Porvenir
Calle 2 esquina calle 3 s/n
Porvenir
Chiguayante
4100000
Chile
Juan Pablo II
Toltén 1284
Valle Nonguén
Concepción
4130000
Chile
Diego Portales
Dalcahue esquina Aisén s/n
Población Diego Portales
Talcahuano
4260000
Chile
Leonera
Los Andes esquina Escocia S/N
Chiguayante
4030000
Chile
La Gloria
Pasaje Malalcahuello 540
Población La Gloria
Talcahuano
4260000
Chile
Nuestra Señora de las Nieves
Avenida 5 De Octubre 375 Boca Sur
San Pedro de la Paz
4260000
Chile
Brisas del Mar
Esperanza 640 Población 18 de Septiembre
Tomé
4160000
Chile
Escuela Penco
Maitén 297
Penco
4150000
Chile
Escuela Los Conquistadores
Cochrane 40
Penco
4150000
Chile
Escuela Almirante Jorge Montt
Lorenzo Riveros, N° 338
Penco
4150000
Chile
Escuela República Italia
Roberto Ovalle 2
Penco
4150000
Chile
Escuela Isla de Pascua
Las Heras 485
Penco
4150000
Chile
Escuela Los Libertadores
Los Yaganes 290
Hualqui
4180000
Chile
Escuela Thompson Mattews
Juan Manual Vacle, 430
Lota Alto
4190000
Chile
Colegio María Inmaculada
General Cruz Nº 250
Concepción
4030000
Chile
Colegio Guillermo Velasco
Maipú N°1150
Tomé
4160000
Chile
Clegio San Pedro
Lautaro 431, del BíoBío
Coronel
4190000
Chile
Escuela Santa Teresita
Yugoeslavia 1464
Hualpén
4600000
Chile

Sponsor information

University of Concepción
University/education

Barrio Universitario s/n
Concepción
4030000
Chile

Website www.udec.cl
ROR logo "ROR" https://ror.org/0460jpj73

Funders

Funder type

Research organisation

National Commission for Scientific and Technological Research FONDEF Program Ideas (Comisión Nacional de Investigación Científica y Tecnológica Programa FONDEF Ideas)

No information available

Results and Publications

Intention to publish date31/12/2017
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication of study results in a peer reviewed journal.
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 21/09/2018 Yes No

Editorial Notes

10/10/2018: Publication reference added.
10/10/2017: Internal edits.