An interventional study of Helping the Noncompliant Child (HNC) and Technology-Enhanced Helping the Noncompliant Child (TE-HNC) in Child Externalizing Behavior, sponsored by University of North Carolina, Chapel Hill. Completed at 1 site in United States. Open to participants aged 3 Years to 8 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-09-11.
Sponsored by University of North Carolina, Chapel Hill · Not applicable, Interventional, and Treatment
This study aimed to examine if technology could enhance the treatment engagement and outcomes of low income parents of 3 to 8 children with externalizing problems.
The aim of this pilot study is to determine whether a technology-enhanced version of an established behavioral treatment protocol, Helping the Noncompliant Child (HNC; McMahon \& Forehand), enhances the engagement and treatment outcomes of lower income parents of 3 to 8 children with externalizing problems in treatment. It is predicted that families in both the HNC and technology-enhanced HNC (TE-HNC) programs will evidence significant improvement in parenting behavior and child externalizing problems; however, it is predicted that parent-child dyads in the TE-HNC program will require fewer sessions, will be more likely to be retained in the program, will be more likely to remain engaged in the program (e.g., practicing skills between sessions etc.), and will be more likely to have active involvement from their coparenting partners (i.e., other adults and family members who participate in childrearing).In turn, it is expected that the TE-HNC program will boost treatment outcomes.
64 studies on the registry are indexed under Child Behavior; 20 are open to participants now.
This study's enrollment of 22 is below the median of 184 across 61 interventional studies indexed under Child Behavior.
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Exclusion Criteria:
Standard HNC (see HNC Arm/Title) Program plus Technology-Enhancement (smartphones, which are being used for mid-week video calls to check-in re: skill-building, videotaping of family practice of skills at home, daily surveys re: skills practice \& child behavior, reminders re: practice \& sessions.
Behavioral: Helping the Noncompliant Child (HNC)
Standard HNC (see HNC Arm/Title) Program plus Technology-Enhancement (smartphones, which are being used for mid-week video calls to check-in re: skill-building, videotaping of family practice of skills at home, daily surveys re: skills practice \& child behavior, reminders re: practice \& sessions.
Behavioral: Technology-Enhanced Helping the Noncompliant Child (TE-HNC)
Well-established behavioral parent training program (McMahon \& Forehand) for parents of 3 to 8 y.o. children with externalizing problems
Also known as: HNC
Standard HNC program plus technology-enhancements (see description under Arm)
Also known as: TE-HNC
Retention
Retention assesses whether or not the family completed the full treatment program.
Time frame: Baseline to Post-Intervention (average 8 to 12 weeks)
Mean % Sessions Attended as Scheduled
Participation in each weekly session as scheduled was recorded for each family. Mean attendance of scheduled sessions was computed for each parent-child dyad and then for each group. For example, if a parent-child dyad required 8 sessions to master the program skills and attended all 8 sessions as scheduled they would have 100%. If instead, another parent-child dyad also required 8 sessions to complete the program, but half of those were rescheduled at least once. Then the overall average attendance is calculated across the parent-child dyads in each group. Greater scheduled attendance = optimal outcome.
Time frame: Baseline to Post-Intervention (average 8 to 12 weeks)
Mean Post-treatment Score Eyberg Child Behavior Inventory (ECBI)
The ECBI is a 36 item measure frequently used in treatment outcome research with young children, as it it reflects problem behavior in this age range and is sensitive to change. Parents rate the frequency of each problem behavior as occurring 0 = never to 7 = always. Scores can range from 0 to 252 with higher scores reflecting greater problem behaviors.
Time frame: Baseline to Post-Intervention (average 8 to 12 weeks)
Mean Sessions for Complete Treatment
Mean number of sessions that parent-child dyads in each group required to master the program skills and complete treatment (Fewer sessions to complete treatment considered more cost-effective as parent-child dyads learning skills more efficiently).
Time frame: Baseline to Post-Intervention (Average 8 to 12 weeks)
Mean Consumer Satisfaction
Average parent-reported satisfaction with the treatment program on a project-developed consumer satisfaction scale (Possible range = 11 -77; Higher score = greater satisfaction).
Time frame: Post-Intervention (Average 8 to 12 weeks)
| Milestone | Helping the Noncompliant Child | TE-HNC |
|---|---|---|
| Started | 10 | 9 |
| Completed | 8 | 7 |
| Not completed | 2 | 2 |
| Withdrew: Withdrawal by subject | 2 | 2 |
Retention assesses whether or not the family completed the full treatment program.
| Participants | Helping the Noncompliant Child | TE-HNC |
|---|---|---|
| Retention | 8 | 7 |
Participation in each weekly session as scheduled was recorded for each family. Mean attendance of scheduled sessions was computed for each parent-child dyad and then for each group. For example, if a parent-child dyad required 8 sessions to master the program skills and attended all 8 sessions as scheduled they would have 100%. If instead, another parent-child dyad also required 8 sessions to complete the program, but half of those were rescheduled at least once. Then the overall average attendance is calculated across the parent-child dyads in each group. Greater scheduled attendance = optimal outcome.
| percentage of scheduled sessions | Helping the Noncompliant Child | TE-HNC |
|---|---|---|
| Mean % Sessions Attended as Scheduled | 90 ± 11 | 97 ± 5 |
The ECBI is a 36 item measure frequently used in treatment outcome research with young children, as it it reflects problem behavior in this age range and is sensitive to change. Parents rate the frequency of each problem behavior as occurring 0 = never to 7 = always. Scores can range from 0 to 252 with higher scores reflecting greater problem behaviors.
| units on a scale | Helping the Noncompliant Child | TE-HNC |
|---|---|---|
| Mean Post-treatment Score Eyberg Child Behavior Inventory (ECBI) | 91.63 ± 21.25 | 83.00 ± 15.34 |
Mean number of sessions that parent-child dyads in each group required to master the program skills and complete treatment (Fewer sessions to complete treatment considered more cost-effective as parent-child dyads learning skills more efficiently).
| Sessions | Helping the Noncompliant Child | TE-HNC |
|---|---|---|
| Mean Sessions for Complete Treatment | 10 (7 to 12) | 8 (7 to 10) |
Average parent-reported satisfaction with the treatment program on a project-developed consumer satisfaction scale (Possible range = 11 -77; Higher score = greater satisfaction).
| score on a scale | Helping the Noncompliant Child | TE-HNC |
|---|---|---|
| Mean Consumer Satisfaction | 56.56 ± 2.47 | 59.83 ± 1.94 |
Collected over 3 years. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Helping the Noncompliant Child | 0/10 (0%) | 0/10 (0%) | 0/10 (0%) |
| TE-HNC | 0/9 (0%) | 0/9 (0%) | 0/9 (0%) |
22 families enrolled, 3 were therapist practice cases (i.e., 19 remaining for analyses),and 4 were drop-outs, yielding a pilot analysis sample of N = 15
| Age, Continuous(Years) | Helping the Noncompliant Child | TE-HNC | Total |
|---|---|---|---|
| Mean | 5.75 ± 2.12 | 5.57 ± 1.27 | 5.67 ± 1.72 |
| Sex: Female, Male(Participants) | Helping the Noncompliant Child | TE-HNC | Total |
|---|---|---|---|
| Female | 5 | 4 | 9 |
| Male | 5 | 5 | 10 |
| Race/Ethnicity, Customized(Participants) | Helping the Noncompliant Child | TE-HNC | Total |
|---|---|---|---|
| Minority (Racial and/or Ethnic) | 6 | 5 | 11 |
The record gives a start of Sep 2010, a primary completion of Oct 2012 and a completion of May 2013. It does not say whether these dates are actual or estimated.
Results were first posted in Sep 2018, 5 years 11 months after primary completion.
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This study is completed, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.
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University of North Carolina, Chapel Hill →