Behavioral Parent Training to Address Early Childhood Disruptive Behavior Using the DOCS Parenting Programs

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• Problem Behavior 178
• Developmental Disabilities 230

Problem Behavior

178 studies on the registry are indexed under Problem Behavior; 47 are open to participants now.

This study's planned enrollment of 800 is above the median of 90 across 165 interventional studies indexed under Problem Behavior.

Lead sponsor

University of South Florida is the lead sponsor of 340 studies on the registry; 65 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 4 (24%) have results posted.

Study arms

• Experimental
  DOCS Parenting Intervention

  Early Years administered for caregivers of children 0-5 years; School Years administered for caregivers of children in Kindergarten thru 5th grade; Professionals working with children birth-5th grade can enroll in either program

  Behavioral: DOCS Parenting: Early Years · Behavioral: DOCS Parenting: School Years

Interventions

• BehavioralDOCS Parenting: Early Years

  Early Years is a group delivered behavioral parenting intervention for caregivers and professionals of children 0-5 years

• BehavioralDOCS Parenting: School Years

  School Years is a group delivered behavioral parent training intervention for caregivers and professionals of children in Kindergarten thru 5th Grade

Primary outcomes

1. Eyberg Child Behavior Inventory

   Child behavior problems are analyzed at pre- and post-intervention using the Intensity scale of the Eyberg Child Behavior Inventory (ECBI). Caregivers used a 7-point Likert scale (1 = never to 7 = always) to rate intensity of child problem behaviors (e.g., aggression, whining, noncompliance). Intensity scores range from 36 to 252, and a score of 131 or higher indicates a clinically significant behavior problem and higher scores = worse outcome. The ECBI has high test-retest reliability, internal consistency reliability, and inter-rater reliability (αs = .75, .93, and .79, respectively) and strong content and construct validity.

   Time frame: From enrollment to the end of treatment at 6 weeks.

2. DOCS Parenting Stress Measure

   Parenting stress is analyzed using the DOCS Parenting Stress Measure at pre- and post-intervention (DOCS PSM, adapted from the Autism Parenting Stress Index. The APSI was designed to measure caregivers' ability to cope with the demands of raising a child with autism and includes 13 items related to daily living, development, and adaptation. The adaptation involved slightly re-wording some items (e.g., changing your child's diet to your child's feeding difficulties) and adding four items on the impact parenting has on other aspects of the caregiver's life, like the time and financial resources parenting takes. Like the ASPI, the 17-item DOCS PSM uses Likert-scale responses ranging from 0 = not stressful to 4 = so stressful sometimes you feel you can't cope with total scores ranging from 0-68, higher scores = more stress and worse outcome. The ASPI has demonstrated good internal consistency and test-retest reliability (αs = .83, .88, respectively).

   Time frame: From enrollment to the end of treatment at 6 weeks.

Secondary outcomes

1. Therapy Attitude Inventory

   The Therapy Attitude Inventory (TAI) is administered at post-test to assess participant satisfaction. The TAI has 10 items covering discipline techniques taught in the course and caregiver confidence with using them, and strategies for teaching modeled through the course etc. The TAI uses a 5-point Likert scale with responses ranging from no satisfaction or improvement (e.g., 1 = nothing, much worse than before, etc.) to high levels of satisfaction or improvement (e.g., 5 = greatly improved, very satisfied, etc.) and overall scores range from 10-50 with higher scores = better outcome. The TAI has demonstrated excellent reliability, good test-retest reliability and acceptable internal consistency (αs = .91, .85, and .78, respectively.

   Time frame: From enrollment to end of treatment at 6 weeks.

2. Developmentally Appropriate Discipline Inventory

   The Developmentally Appropriate Discipline Inventory is administered at post-test to assess participant knowledge of developmentally appropriate discipline strategies as a result of participating in the DOCS intervention. The DADI has 10 items covering discipline techniques taught in the intervention. The DADI uses a 5-point Likert scale with responses ranging from strongly disagree (e.g., 1 = strongly disagree, etc.) to strongly agree (e.g., 5 = strongly agree.) and overall scores range from 10-50 with higher scores = better outcome.

   Time frame: From enrollment to end of treatment at 6 weeks.

Publications

• Rich, B. A., & M., E. S. (2001). Accuracy of assessment: The discriminative and predictive power of the Eyberg Child Behavior Inventory. Ambulatory Child Health, 7, 249-257.
• Silva LM, Schalock M. Autism Parenting Stress Index: initial psychometric evidence. J Autism Dev Disord. 2012 Apr;42(4):566-74. doi: 10.1007/s10803-011-1274-1. PubMed 21556967 ↗
• Boggs, S. R., Eyberg, S., & Reynolds, L. A. (1990). Concurrent validity of the Eyberg Child Behavior Inventory. Journal of Clinical Child Psychology, 19(1), 75-78. https://doi.org/10.1207/s15374424jccp1901_9
• Funderburk, B. W., Eyberg, S. M., Rich, B. A., & Behar, L. (2003). Further psychometric evaluation of the Eyberg and Behar rating scales for parents and teachers of preschoolers. Early Education and Development, 14(1), 67-82.
• Calzada EJ, Eyberg SM, Rich B, Querido JG. Parenting disruptive preschoolers: experiences of mothers and fathers. J Abnorm Child Psychol. 2004 Apr;32(2):203-13. doi: 10.1023/b:jacp.0000019771.43161.1c. PubMed 15164861 ↗

Individual participant data

Plan to share: No — I do not have IRB approval to share IPD.