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Trial registered on ANZCTR
Registration number
ACTRN12624000921583
Ethics application status
Approved
Date submitted
16/07/2024
Date registered
30/07/2024
Date last updated
30/07/2024
Date data sharing statement initially provided
30/07/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of Steps to Confident Parenting, a program to support parents with an intellectual disability
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Scientific title
Evaluation of Steps to Confident Parenting, a program to support parents with an intellectual disability, on parenting skills and capacity
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Secondary ID [1]
312543
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Nil Known
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Universal Trial Number (UTN)
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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:
Intellectual Disability
334426
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Condition category
Condition code
Mental Health
331055
331055
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0
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Learning disabilities
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Public Health
331135
331135
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0
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Health service research
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
An intensive (8-12 week), personalised, in person, home-based program for parents, administered by family service workers specialising in parents with an intellectual disability. The program focuses on skill development based on the parents’ specific needs and identified goals. Parenting skills could include routinely administering appropriate child discipline, encouraging healthy eating, and building parent confidence. The practitioner uses different techniques, such as role modelling, employing visual aids, and providing specific feedback to tailor the program to meet the needs of the parent and their family. Approximately four hours per week of the intervention will be administered. This time may be allocated throughout the week as needed, but is usually delivered in one hour blocks.
Family service worker documentation will be used to monitor treatment adherence.
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Intervention code [1]
329056
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Behaviour
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Comparator / control treatment
Usual care involves service provision by family services workers within a larger family services organisation. This support is tailored to the needs of the family, and can include both in home and out of home support, and telephone calls. This support may be provided up to 10 hours per week in the form of mentorship and service navigation, and is usually delivered in 1 hour blocks.
Adherence will be assessed via family services worker documentation
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Control group
Active
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Outcomes
Primary outcome [1]
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Parenting capacity level determined by protective service child removal
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Assessment method [1]
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Data collected from the Department of Family Fairness and Housing (DFFH) held Client relationship Information System
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Timepoint [1]
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12 months after study enrolment
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Secondary outcome [1]
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Parenting Skills
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Assessment method [1]
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Observed parent-child interactions (Dyadic Parent-Child Interaction Coding System (DPICS) ,
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Timepoint [1]
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6 and 12 months following enrolment
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Secondary outcome [2]
437798
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Parenting self regulation
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Assessment method [2]
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Me as a Parent (MaaPs) questionnaire
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Timepoint [2]
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6 and 12 months following enrolment
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Secondary outcome [3]
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Family Functioning
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Assessment method [3]
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North Carolina Family Assessment Survey
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Timepoint [3]
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6 and 12 months after enrolment
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Secondary outcome [4]
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Parenting skills
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Assessment method [4]
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Observed parent-child interactions: Parenting Interactions with Children: Checklist of Observations Linked to Outcomes (PICCOLO)
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Timepoint [4]
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6 and 12 months after enrolment
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Eligibility
Key inclusion criteria
Eligibility Criteria 1 – client has a child/children at risk of requiring care services.
Eligibility Criteria 2 – client has a cognitive or intellectual disability/impairment (diagnosed or undiagnosed).
Eligibility Criteria 3 – client is able to participate in 8/12 week home-based program.
Eligibility Criteria 4 – client lives in the Barwon or Western Metropolitan region of Victoria.
Eligibility Criteria 5 – client is 18 years and over.
Eligibility Criteria 6 – client has at least minimal English language skills.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion Criteria 1 – client poses an immediate risk to their child, therefore requiring a Parenting Assessment and Skills Development Service (PASDS) or child protection response.
Exclusion Criteria 2 – client has a transient/unstable housing situation (exceptions can be considered if appropriate housing supports are enacted to facilitate secure housing and support family stability).
Exclusion Criteria 3 – client poses a risk to others.
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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)
Central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a computer generated random function
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
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Intervention assignment
Other
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Other design features
Pragmatic randomisation (participants enter a computer generated lottery and are randomly selected for the intervention - participants not selected after a period of time fall to the control group)
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/08/2024
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Actual
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Date of last participant enrolment
Anticipated
31/12/2025
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Actual
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Date of last data collection
Anticipated
31/12/2026
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Actual
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Sample size
Target
140
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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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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Department of Families Fairness and Housing
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Barwon Child and Family Services Alliance
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Address
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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Deakin University
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Address [1]
319214
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Country [1]
319214
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
315720
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Deakin University Human Research Ethics Committee (DUHREC)
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Ethics committee address [1]
315720
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https://www.deakin.edu.au/research/support-for-researchers/research-integrity?a=438168
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Ethics committee country [1]
315720
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Australia
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Date submitted for ethics approval [1]
315720
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01/09/2023
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Approval date [1]
315720
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18/09/2023
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Ethics approval number [1]
315720
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Summary
Brief summary
Parents with an intellectual disability may experience challenges in relation to parenting skills. These challenges, in addition to potential bias from child protection staff, result in these parents being vulnerable to statutory child removal. Existing evidence demonstrates it is feasible to implement supportive programs that increase parenting skills for parents with an ID, however, there is a need for longer term evaluation of such programs to understand the impact on reducing statutory child removal over time. The proposed research intends to fill this gap and support improved practice by evaluating a 12 week parenting support program for parents with an ID where there is a risk of child protection involvement and child removal. Through a multi-agency service delivery, a randomised trial will evaluate statutory child removal outcomes after 12 months. It is intended that this evaluation will contribute to the field of research on what interventions can support a reduction in statutory child removal in families with parental ID. The research aim is to identify the long-term impact of a tailored parenting support program for parents with an intellectual disability or cognitive impairment (diagnosis is not required for participation in the program) on the rates of statutory child removal amongst these families, in comparison to the impact of a standard family services intervention. It is hypothesised that the Steps to Confident Parenting intervention will reduce the rate of child removals experienced by parents.
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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 John Toumbourou
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Address
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Deakin Geelong Waurn Ponds Campus, 75 Pigdons Road, Waurn Ponds, Victoria 3216
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Country
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Australia
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Phone
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+61 3 522 78278
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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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Dr Jesse Shapiro
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Address
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Deakin Melbourne Burwood Campus, 221 Burwood Hwy, Burwood VIC 3125
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Country
135603
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Australia
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Phone
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+61 3 9244 6070
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Fax
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Email
135603
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[email protected]
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Contact person for scientific queries
Name
135604
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Dr Jesse Shapiro
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Address
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Deakin Melbourne Burwood Campus, 221 Burwood Hwy, Burwood VIC 3125
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Country
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Australia
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Phone
135604
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+61 3 9244 6070
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Fax
135604
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Email
135604
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
High risk of participant identification
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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
No additional documents have been identified.
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