An interventional study of Build and Support Your Teen's Strengths in Parent-Child Relations, Parenting and Adolescent Behavior, sponsored by Children's Hospital of Philadelphia. Completed at 1 site in United States. Open to participants aged 13 Years to 15 Years. Per ClinicalTrials.gov, last updated 2019-10-15.
Sponsored by Children's Hospital of Philadelphia · Not applicable, Interventional, and Other
The purpose of this study is to test a strengths-based intervention to be delivered in a primary care setting with adolescents and a parent. Investigators want to find out if the intervention can help parents and teens communicate. Specifically Investigators want to see if they can help parents and teens identify and build teen's strengths. Half the dyads will receive the educational materials in conjunction with their teen's well-child visit, while the other half will receive usual care at the well-child visit and receive the educational materials at the end of the study. Additionally, Investigators expect that a strengths-based intervention may also impact adherence to treatment in youth with a chronic illness. As such, Investigators will include a subgroup of teenagers diagnosed with asthma in this study, to assess whether the strengths-based intervention that the Investigators developed has an impact on adherence.
Recent research suggests that parents and adolescents report an interest in doctors facilitating increased parent-teen communication about teen strengths. However, little research focuses on how to address this need in a primary care setting. Content from subject matter experts along with data gathered from parents and teens were used to develop a novel strengths-based intervention to be tested in primary care.
The study intervention being examined is called the Strengths Intervention Project and includes a written pamphlet, a guided discussion activity, in-person/phone health coaching, and in-person or mailed health care provider endorsement and key messaging. Measures will be collected at baseline pre-intervention (T1), in clinic or over the phone at the time of the intervention (T2), approximately two weeks post-intervention (T3), and approximately 2 months post-intervention (T4). Daily diaries will also be utilized twice to gather data pre- and post- intervention. We will measure feasibility of clinic implementation of intervention, as well as influence of intervention on parent-teen communication and adolescent outcomes.
Adolescent Criteria:
Inclusion Criteria:
Exclusion Criteria:
Parent Criteria:
Inclusion Criteria:
Exclusion Criteria:
Will receive the "Build Your Teen's Strengths" educational pamphlet, health coaching sessions, and provider endorsement.
Behavioral: Build and Support Your Teen's Strengths
Will receive usual care at well-child visit.
Will receive the "Build Your Teen's Strengths" educational pamphlet, health coaching sessions, and provider endorsement.
Behavioral: Build and Support Your Teen's Strengths
Will receive usual care at well-child visit.
Convenience sample used for a post-hoc, exploratory analysis. Will receive usual care at well-child visit.
This is a clinic based psychoeducational intervention for adolescent patients and their parents to improve parent-teen communication about teen strengths. The intervention is designed, if possible, to coincide with the adolescent patients' well-child visits and consists of the following components: (1) In-person or over the phone orientation session with a trained health coach and parent, (2) Distribution of psychoeducational materials to the parent, (3) Endorsement and delivery of key messages from the health care provider, and (4) "Booster" phone call placed by the health coach.
Change in Beliefs about Adolescents
26 items (parents only); Likert scale (1= very unlikely; 7= very, very likely)
Time frame: Baseline (T1) and 2-months (T4)
Change in Parent-Adolescent Communication (PACS)
20 items (parent and teens); Likert scale (1= strongly disagree; 5= strongly agree)
Time frame: Baseline (T1) and 2-months (T4)
Change in Confidence in exploring and using adolescent's strengths
15 items (parents and teens); Likert scale (1=strongly disagree; 5= strongly agree)
Time frame: Baseline (T1) and 2-months (T4)
Feasibility of consent rates
Feasibility will be demonstrated by consent rates ≥60%
Time frame: 9 months
Feasibility of intervention implementation
Completion of core intervention components ≥ 70%.
Time frame: 1 month
Parent and adolescent acceptability of intervention materials
Adolescent and parent acceptability ratings ≥80%. Investigators will also elicit open-ended feedback.
Time frame: 2-weeks post intervention (T3)
Parent and adolescent acceptability of intervention materials (additional)
2 items (parents and teens); Yes/No/Not sure and Likert scale (1=very likely; 5 very unlikely)
Time frame: 2-months post intervention (T4)
Provider acceptability of intervention
Provider acceptability ratings ≥80%. Investigators will also elicit open-ended feedback.
Time frame: 9 months
Change in Psychological well-being using the Flourishing Scale
Measure of psychological well-being. 8 items (parents and teens). (Likert scale 1= Strongly disagree; 2= Disagree; 3= Slightly disagree; 4= Mixed or neither agree nor disagree; 5= Slightly agree; 6= Agree; 7= Strongly agree). Score will be summed for range of 8 (Strong Disagreement with all items) to 56 (Strong Agreement with items). High scores signify that respondents view themselves in positive terms in important areas of functioning.
Time frame: Baseline (T1) and 2-months (T4)
Change in Adherence to inhaled controller medication use
2-items about adherence to inhaled controller medication use (parent and teen) will be assessed using the Visual analog scale (0-10).
Time frame: Baseline (T1) and 2-months (T4)
Plan to share: No
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Children's Hospital of Philadelphia