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CompletedNCT01549561KEEP2Updated Apr 8, 2014

Preventing Behavior and Health Problems in Foster Teens

An interventional study of Parent Training and Youth Skills Training in Parent Management Training, sponsored by Oregon Social Learning Center. Completed at 2 sites in United States. Open to participants aged 12 Years to 16 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-04-08.

Sponsored by Oregon Social Learning Center · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
259
Allocation
Randomized
Ages
12 Years to 16 Years
Sex
All
01

Study summary

The primary goal of this study is to test the efficacy of two levels of the KEEP intervention with adolescents and their foster and kin parents in the San Diego Child Welfare System.

Read the detailed description

The cost of child welfare services in the U.S. has been estimated at $20 billion per year. During the past decade, the number of teenagers in foster care has nearly doubled. Numerous studies have documented that these adolescents are at high-risk for developing serious problems, including substance use, participation in health-risking sexual behaviors, involvement in the juvenile justice system, serious educational problems and school drop-out, failed placements/foster care "drift" and homelessness. Yet, there is little research on the characteristics of interventions that can be used to guide the improvement of services for this vulnerable population of youngsters. The proposed study extends our previous research with adolescents referred for serious behavioral and emotional problems and research with elementary-aged children in foster care to a test of the efficacy of a preventive intervention for adolescents placed with foster and kin care providers in the San Diego County Child Welfare System. Two hundred and forty adolescents and their foster/kin care providers will participate (i.e., 60 in a foster/kin parent training only condition, 60 in a parent training plus youth skill training condition, and 120 in a casework "as usual" control condition). In addition to testing the efficacy of the two levels of intervention, the investigators propose to examine the effects of the intervention on a set of youth behavioral and health-related outcomes. Parenting mediators to be tested include positive parenting, parental supervision, and non-harsh discipline. Youth mediators are social competence, commitment to school, and knowledge about norms related to health-risking behaviors including substance use and high-risk sexual behavior. In addition, theoretical hypotheses about the effects of early risk/adversity factors to youth outcomes will be examined, and an economic analysis will be conducted to examine the relative benefits and costs associated with the two levels of intervention.

02

Conditions studied

  • Parent Management Training

Keywords

  • behavior problems
  • foster care
  • parent training
  • youth skills training
03

In context

Lead sponsor

Oregon Social Learning Center is the lead sponsor of 19 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Years to 16 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Any child between ages 12 and 16 years in relative or non-relative foster care

Exclusion criteria

Exclusion Criteria:

  • Only medically fragile children
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
259 participants (actual)

Study arms

  • No intervention
    Services As Usual

    Foster care services as usual

  • Experimental
    Parent and Youth Training

    16 Weeks of Parent Training in group context with 5 to 10 relative and non-relative foster caregivers; Youth training with skills coaches

    Behavioral: Parent Training · Behavioral: Youth Skills Training

  • Experimental
    Parent Training

    16 weeks of parent training with 5 to 10 relative and non-relative foster caregivers

    Behavioral: Parent Training

Interventions

  • BehavioralParent Training

    16 weeks of parent training led by a trained group facilitator

    Also known as: Parent Management Training, KEEP

  • BehavioralYouth Skills Training

    16 weeks of one-on-one sessions with a trained youth skills coach

    Also known as: Skills Coaching

06

What researchers measure

Primary outcomes

  1. Reduction in child behavior problems as assessed by the Parent Daily Report (PDR)

    Time frame: Baseline, 6 Months, 12 Months, 18 Months

Secondary outcomes

  1. Placement Disruptions from Foster Placement

    Time frame: 6 Months, 12 Months, 18 Months

07

Study locations

2 sites
  • Child and Adolescent Services Research Center
    San Diego, California 92123, United States
  • Oregon Social Learning Center
    Eugene, Oregon 97401, United States
08

References and documents

Publications

  • Price, J., Chamberlain, P., Landsverk, J., & Reid, J. B. (2010). KEEP foster parent training intervention: Model description and effectiveness. Child and Family Social Work, 14, 233-242.
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 8, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01549561
Lead sponsor
Oregon Social Learning Center
Collaborators
National Institute on Drug Abuse (NIDA)
Responsible party
Sponsor
First posted
Mar 9, 2012
Start date
Nov 2006
Primary completion
Oct 2013
Completion
Oct 2013
Last update
Apr 8, 2014

Study contacts

Patricia Chamberlain, PhD
principal investigator · Oregon Social Learning Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2014. You cannot join it, but the record below documents what was studied.

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