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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
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?
Secondary ID [1] 281725 0
Nil known
Universal Trial Number (UTN)
U1111-1138-1942
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
child emotional and behaviour problems
288009 0
Condition category
Condition code
Mental Health 288383 288383 0 0
Studies of normal psychology, cognitive function and behaviour

Intervention/exposure
Study type
Interventional
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.
Intervention code [1] 286248 0
Behaviour
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.
Control group
Active

Outcomes
Primary outcome [1] 288572 0
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).
Timepoint [1] 288572 0
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.
Secondary outcome [1] 300461 0
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.
Timepoint [1] 300461 0
Baseline, and at 8 weeks and 9 months after completion of the intervention.
Secondary outcome [2] 300462 0
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).
Timepoint [2] 300462 0
Baseline, and at 8 weeks and 9 months after completion of the intervention.
Secondary outcome [3] 300484 0
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.
Timepoint [3] 300484 0
Baseline, and at 8 weeks and 9 months after completion of the intervention.
Secondary outcome [4] 300485 0
For two-parent households, conflict over parenting is assessed using the Parent Problem Checklist.
Timepoint [4] 300485 0
Baseline, and at 8 weeks and 9 months after completion of the intervention.
Secondary outcome [5] 300486 0
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.
Timepoint [5] 300486 0
Baseline, and at 8 weeks and 9 months after completion of the intervention.

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.
Minimum age
2 Years
Maximum age
9 Years
Sex
Both males and females
Can healthy volunteers participate?
Yes
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.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Who is / are masked / blinded?



Intervention assignment
Other design features
Phase
Not Applicable
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
QLD

Funding & Sponsors
Funding source category [1] 286513 0
Government body
Name [1] 286513 0
Australian Research Council
Country [1] 286513 0
Australia
Primary sponsor type
Individual
Name
Prof. Matthew R. Sanders
Address
Parenting and Family Support Centre, School of Psychology,
The University of Queensland, Brisbane QLD 4072
Country
Australia
Secondary sponsor category [1] 285290 0
Individual
Name [1] 285290 0
Dr. Karen M.T. Turner
Address [1] 285290 0
Parenting and Family Support Centre, School of Psychology,
The University of Queensland, Brisbane QLD 4072
Country [1] 285290 0
Australia
Secondary sponsor category [2] 285291 0
Individual
Name [2] 285291 0
Sabine Baker
Address [2] 285291 0
Parenting and Family Support Centre, School of Psychology,
The University of Queensland, Brisbane QLD 4072
Country [2] 285291 0
Australia

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 288578 0
Behavioural and Social Sciences Ethical Review Committee
Ethics committee address [1] 288578 0
Ethics Officer Research & Innovation Division Cumbrae-Steward Building (72) The University of Queensland ST LUCIA QLD 4072
Ethics committee country [1] 288578 0
Australia
Date submitted for ethics approval [1] 288578 0
Approval date [1] 288578 0
14/03/2012
Ethics approval number [1] 288578 0
2012000161

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.
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 36762 0
Prof Matthew R. Sanders
Address 36762 0
Parenting and Family Support Centre, School of Psychology,
The University of Queensland, Brisbane QLD 4074
Country 36762 0
Australia
Phone 36762 0
+61 7 3365 7290
Fax 36762 0
Email 36762 0
Contact person for public queries
Name 36763 0
Mrs Sabine Baker
Address 36763 0
Parenting and Family Support Centre, School of Psychology,
The University of Queensland, Brisbane QLD 4074
Country 36763 0
Australia
Phone 36763 0
+61 7 3365 8870
Fax 36763 0
Email 36763 0
Contact person for scientific queries
Name 36764 0
Mrs Sabine Baker
Address 36764 0
Parenting and Family Support Centre, School of Psychology,
The University of Queensland, Brisbane QLD 4074
Country 36764 0
Australia
Phone 36764 0
+61 7 3365 8870
Fax 36764 0
Email 36764 0

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
SourceTitleYear of PublicationDOI
EmbaseA randomized controlled trial evaluating a low-intensity interactive online parenting intervention, Triple P Online Brief, with parents of children with early onset conduct problems.2017https://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.