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The effectiveness of the Stepping Stones Triple P program to support parents of children with mild ID.


- candidate number8710
- NTR NumberNTR2624
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR26-nov-2010
- Secondary IDs2010/203 METC UMCG
- Public TitleThe effectiveness of the Stepping Stones Triple P program to support parents of children with mild ID.
- Scientific TitleThe effectiveness of the Stepping Stones Triple P program to support parents of children with mild ID.
- ACRONYM
- hypothesisN/A
- Healt Condition(s) or Problem(s) studiedParenting problems, Behavioral problems, Psychosiocial problems
- Inclusion criteriaInclusion criteria for questionnaire study (part 1 of the study) are:
1. Age 5 to 12 years;
2. Mild intellectual disability (IQ 50-85).

Inclusion criteria for the intervention study (part 2 of the study) are:
1. Strengths and Difficulties Questionnaire (SDQ) clinical total problem score (>14).
- Exclusion criteriaExclusion criteria for the questionnaire study are:
1. No parenting situation (i.e. children live in residential care);
2. Parents are unable to speak Dutch;
3. IQ of the child is unknown;
4. Parents do not live within the research area.

Exclusion criteria for the intervention study are:
1. Brother or sister with higher SDQ score participating in the study;
2. Parent receive treatment for parenting skills or other treatment which potentially conflict with SSTP.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingSingle
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-okt-2010
- planned closingdate1-dec-2013
- Target number of participants210
- InterventionsStepping Stones Triple P (SSTP) involves 8-10 individual sessions, which typically last 60 -120 minutes each. SSTP forms part of the Triple P system and is adapted for families with children who have a disability. In-session behavioral rehearsal and dedicated practice sessions provide opportunities for parents to practice and review their use of positive parenting skills. The effects of the intervention will be studied in a randomized controlled trial. Parents are randomized to the intervention or a control group. The control group receives care as usual.
- Primary outcomeThe primary outcome is the change in child problem behavior after intervention.
The following instruments will be applied:
1. Strengths and Difficulties Questionnaire (SDQ);
2. Eyberg Child Behaviour Inventory (ECBI).
- Secondary outcomeThe secondary outcome measures comprise parenting skills (perceived stress due to parenting and parenting practices).
The following instruments will be applied:
1. Dutch Parental Stress Index (PSI);
2. Alabama Parenting Questionnaire (APQ).
- TimepointsOutcome measures will be assessed (by means of questionnaires) at inclusion, and immediately after the intervention (after 3 months). For the evaluation of long-term effects, the study protocol provides an additional follow-up 6 months after the intervention.
- Trial web siteN/A
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIES M. Kleefman
- CONTACT for SCIENTIFIC QUERIESProf. MD, PhD, S.A. Reijneveld
- Sponsor/Initiator University Medical Center Groningen (UMCG), Department of Health Sciences
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- PublicationsN/A
- Brief summaryA recent Dutch study showed that 61% of children with mild intellectual disability (ID) had problems with behavior, emotions and relationships, compared to 9.8% of children without ID. Parents raising a child with a diagnosis of both ID and psychosocial problems experience more stress, especially in domains related to child rearing. Stepping Stones Triple P (SSTP) appears promising for families that encounters psychosocial problems in their child with ID but its effectiveness in a Dutch setting has to be shown yet. The effects of SSTP will be studied in a randomised controlled trial (RCT). SSTP is a variation of Triple P for families with children who have a disability. Parents of children 5-12 year and IQ 50-85 will be selected at schools, the questionnaire study. Parents of children with increased levels of psychosocial problems (SDQ>14) are assigned at random to the experimental group (SSTP) or to a control group (CAU) by the UMCG, the intervention study. The intervention study will include 2*105=210 children (5-12 years). Outcome measures behavior of the child and parenting skills will be assessed at 3 moments: before, at the end of the intervention and 6 months later.
- Main changes (audit trail)
- RECORD26-nov-2010 - 11-dec-2010


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