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Trial registered on ANZCTR
Registration number
ACTRN12613000025730
Ethics application status
Approved
Date submitted
3/01/2013
Date registered
9/01/2013
Date last updated
4/08/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Efficacy of a low intensity online parenting program for child behaviour problems: Brief Triple P Online
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Scientific title
For parents of 2-9 year old children with behaviour problems, does participation in a brief online parenting intervention, compared to internet-use-as-usual, decrease use of ineffective parenting strategies, increase parenting confidence, and reduce child behavioural and emotional problems?
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Secondary ID [1]
281725
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Nil known
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Universal Trial Number (UTN)
U1111-1138-1942
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
child emotional and behaviour problems
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Condition category
Condition code
Mental Health
288383
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0
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Studies of normal psychology, cognitive function and behaviour
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Brief Triple P Online is a low intensity, self-administered online parenting program. It is designed to promote positive parenting practices and uses the flexibility of the internet to enhance parents‘ learning experiences. It incorporates elements designed to engage participants and improve knowledge acquisition, positive self-efficacy, and behaviour activation. These elements include: i) user friendly navigation; ii) video-based modelling of parenting skills; iii) personalised content; iv) interactive exercises to prompt parental problem solving, decision making and self-regulation. Cultural sensitivity is achieved through the use of multicultural video models and a self-regulatory framework that enables parents to select goals informed by their own values, beliefs, and traditions.
Users receive personal log-in details and complete the online program on their home computers/tablets in their own time. The 5 program modules take between 20-30 minutes each to complete and parents have access to the program for 8 weeks. The module topics cover some of the most common issues presented by parents. The first module introduces positive parenting strategies and makes parents aware of parent traps. The remaining modules focus on behaviour specific (disobedience, fighting) and setting specific (out of home) application of this knowledge.
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Intervention code [1]
286248
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Behaviour
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Comparator / control treatment
A computer-use-as-usual waitlist control design will be applied whereby half of the parents will be randomly allocated to wait 11 months before accessing the intervention. Participants of the control group are free to search the internet for useful parenting information during the waiting time.
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Control group
Active
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Outcomes
Primary outcome [1]
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Observed and parent-reported child behavioural and emotional problems, as assessed using direct observation of child behaviour by researchers, the Eyberg Child Behaviour Inventory, and the Child Adjustment and Parent Efficacy Scale (CAPES; Morawska & Sanders, 2010). The CAPES consists of 30 items rated on a 4-point scale (0 = not true of my child at all to 3 = true of my child very much, or most of the time). Twenty six items assess behaviour concerns (e.g., My child rudely answers back to me) and behavioural competencies (Behaviour Scale; e.g., My child accepts rules and limits), and four items assess emotional adjustment (Emotional Adjustment Scale; e.g., My child worries).
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Assessment method [1]
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Timepoint [1]
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Measures will be administered upon entry to the study (Time 1) and then 8 weeks later (Time 2). For families in the start now group, this will be immediately after completion of the online program. Families will be assessed a final time after 9 months (time 3). Upon completion of the final assessment families in the control group receive access to the intervention.
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Secondary outcome [1]
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Use of observed and parent-reported effective and ineffective parenting practices, as assessed using the Parenting Scale and direct observation of parent behaviour by researchers.
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Assessment method [1]
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Timepoint [1]
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Baseline, and at 8 weeks and 9 months after completion of the intervention.
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Secondary outcome [2]
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Parental efficacy as measured by the CAPES (Morawska & Sanders, 2010). The Efficacy Scale measures parents' level of confidence in managing child emotional and behavioural problems and consists of 20 items rated on a 10-point scale (from 1 = certain I can't do it to 10 = certain I can do it).
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Assessment method [2]
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Timepoint [2]
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Baseline, and at 8 weeks and 9 months after completion of the intervention.
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Secondary outcome [3]
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Parental adjustment as assessed using the Depression Anxiety Stress Scales-21, and Parental Anger, using the Parental Anger Inventory which assesses anger experienced in response to to child-related situations.
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Assessment method [3]
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Timepoint [3]
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Baseline, and at 8 weeks and 9 months after completion of the intervention.
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Secondary outcome [4]
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For two-parent households, conflict over parenting is assessed using the Parent Problem Checklist.
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Assessment method [4]
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Timepoint [4]
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Baseline, and at 8 weeks and 9 months after completion of the intervention.
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Secondary outcome [5]
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Parents are asked to indicate their current level of concern regarding a number of child behaviours (11 behaviours e.g., disobedience, mealtimes problems, homework) on a scale from 1 = not at all concerned to 4= very much concerned. They also indicate their confidence in successfully dealing with these behaviours on a scale from 1 = certain I can't do it to 10 = certain I can do it.
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Assessment method [5]
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Timepoint [5]
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Baseline, and at 8 weeks and 9 months after completion of the intervention.
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Eligibility
Key inclusion criteria
The eligibility criteria are: 1) the presence in the family of a 2-9 year old child for whom parents report clinically elevated levels of child behaviour problems; 2) access to a computer or tablet and a broadband internet connection; and 3) the parent‘s ability to read English at grade 5 level.
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Minimum age
2
Years
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Maximum age
9
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
The exclusion criteria include: i) the child has a disability including language and speech impairment; ii) the parents are currently seeing a professional for the child‘s behaviour difficulties; iii) the parents are currently receiving psychological help or counselling; or iv) the parents are intellectually disabled.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/03/2013
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Actual
5/04/2013
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Date of last participant enrolment
Anticipated
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Actual
20/10/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
200
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Australian Research Council
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Address [1]
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Australian Research Council
Level 2, 11 Lancaster Place
Majura Park ACT 2609
AUSTRALIA
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Prof. Matthew R. Sanders
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Address
Parenting and Family Support Centre, School of Psychology,
The University of Queensland, Brisbane QLD 4072
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr. Karen M.T. Turner
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Address [1]
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Parenting and Family Support Centre, School of Psychology,
The University of Queensland, Brisbane QLD 4072
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Country [1]
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Australia
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Secondary sponsor category [2]
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Individual
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Name [2]
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Sabine Baker
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Address [2]
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Parenting and Family Support Centre, School of Psychology,
The University of Queensland, Brisbane QLD 4072
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Country [2]
285291
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Behavioural and Social Sciences Ethical Review Committee
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Ethics committee address [1]
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Ethics Officer Research & Innovation Division Cumbrae-Steward Building (72) The University of Queensland ST LUCIA QLD 4072
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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14/03/2012
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Ethics approval number [1]
288578
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2012000161
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Summary
Brief summary
While evidence-based parenting programs have been shown to be effective for the treatment of child conduct problems, their effective dissemination is a major challenge for the field. Online interventions can increase the reach and accessibility of parenting support, and reduce the prevalence of child behaviour problems. This study aims to evaluate a brief online parenting program for parents of children with conduct problems. It is expected that program completion of the intervention has the potential to reduce ineffective and coercive parenting practices, and lead to improved child behavioural and emotional adjustment and better family wellbeing.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Matthew R. Sanders
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Address
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Parenting and Family Support Centre, School of Psychology,
The University of Queensland, Brisbane QLD 4074
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Country
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Australia
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Phone
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+61 7 3365 7290
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Sabine Baker
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Address
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Parenting and Family Support Centre, School of Psychology,
The University of Queensland, Brisbane QLD 4074
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Country
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Australia
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Phone
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+61 7 3365 8870
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Sabine Baker
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Address
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Parenting and Family Support Centre, School of Psychology,
The University of Queensland, Brisbane QLD 4074
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Country
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Australia
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Phone
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+61 7 3365 8870
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Fax
36764
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
A randomized controlled trial evaluating a low-intensity interactive online parenting intervention, Triple P Online Brief, with parents of children with early onset conduct problems.
2017
https://dx.doi.org/10.1016/j.brat.2017.01.016
N.B. These documents automatically identified may not have been verified by the study sponsor.
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