Parenting in 2 Worlds Multisite Trial for American Indian Families
This research study, called "Parenting in 2 Worlds," is testing a program designed for American Indian parents or guardians of teenagers (ages 12-17) who live in cities. The program, called Parenting in 2 Worlds (P2W), is a 10-week course with videos, led by American Indian facilitators. It aims to improve parenting and family life. The study will compare P2W to another 10-week program called Healthy Families in 2 Worlds (HF2W), which focuses on general family health topics like oral health and dating safety. Researchers want to see if P2W helps families function better, increases parental involvement, and improves parental supervision. The study is currently recruiting in four urban areas: Buffalo/Niagara, St. Paul/Minneapolis, Denver, and Phoenix.
- Study design
- This study is an interventional trial comparing two behavioral programs, P2W and HF2W. It plans to enroll 1440 participants and will randomly assign adults to one of the two programs.
- What's involved
- Participants will take part in a 10-week program. Researchers will measure changes in family functioning, parental involvement, and parental supervision at the end of the program and again 12 months later.
- Compensation
- Not stated in the trial record.
- Follow-up
- Participants will be followed for 12 months after the program ends to assess long-term changes.
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Parenting in 2 Worlds Multisite Trial
At a glance
Conditions
Where it's being run
4 sites across 4 statesWho to contact
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What this trial measures
- Change from baseline in family functioning and cohesion10 week and 12 month follow up
Caregiver and adolescent self-report about supportiveness, closeness, togetherness and cooperation among family members. Scale: Minimum = 1 and Maximum = 5 \[1 = Almost never, 2 = Once in a while, 3 = Sometimes, 4 = Frequently, 5 = Almost always\]. Higher is better outcome.
- Change from baseline in parental involvement10 week and 12 month follow up
Caregiver and adolescent self-report about caregiver's involvement in adolescent's daily activities. Scale: Minimum = 1 and Maximum = 4 \[1 = More than 1 month ago, 2 = Within the last month, 3 = Within the last week, 4 = Yesterday or today\]. Higher is better outcome.
- Change from baseline in parental supervision10 week and 12 month follow up
Caregiver and adolescent self-report about caregiver's direct supervision such as established curfews. Scale: Minimum = 1 and Maximum = 5 \[1 = Almost never, 2 = Once in a while, 3 = Sometimes, 4 = Frequently, 5 = Almost always\]. Higher is better outcome.
- Change from baseline in parental monitoring10 week and 12 month follow up
Caregiver and adolescent self-report about caregiver's knowledge of adolescent's activities, friends and whereabouts. Scale: Minimum = 1 and Maximum = 5 \[1 = Almost never, 2 = Once in a while, 3 = Sometimes, 4 = Frequently, 5 = Almost always\]. Higher is better outcome.
- Change from baseline in positive parenting practices10 week and 12 month follow up
Caregiver and adolescent self-report about caregiver's encouragement for good adolescent behavior. Scale: Minimum = 1 and Maximum = 5 \[1 = Almost never, 2 = Once in a while, 3 = Sometimes, 4 = Frequently, 5 = Almost always\]. Higher is better outcome.
- Change from baseline in relational warmth10 week and 12 month follow up
Caregiver self-report aspects of the parent-adolescent relationship like caring and responsiveness. Scale: Minimum = 1 and Maximum = 5 \[1 = Almost never, 2 = Once in a while, 3 = Sometimes, 4 = Frequently, 5 = Almost always\]. Higher is better outcome.
- Change from baseline in relational hostility10 week and 12 month follow up
Caregiver self-report aspects of the parent-adolescent relationship like anger, and demandingness. Scale: Minimum = 1 and Maximum = 5 \[1 = Almost never, 2 = Once in a while, 3 = Sometimes, 4 = Frequently, 5 = Almost always\]. Higher is worse outcome
- Change from baseline in family conflict10 week and 12 month follow up
Caregiver and adolescent self-report about positive and negative interactions in the parent-adolescent relationship. Scale: Minimum = 1 and Maximum = 5 \[1 = Not at all, 2 = Only a little, 3 = Sometimes, 4 = Almost always, 5 = Almost\]. Higher is worse outcome.
- Change from baseline in parental self-agency10 week and 12 month follow up
Caregiver self-reports on confidence in their ability to parent successfully and solve child rearing challenges. Scale: Minimum = 1 and Maximum = 5 \[1 = Never, 2 = Rarely, 3 = Sometimes, 4 = Very often, 5 = Always\]. Higher is better outcome.
- Change from baseline in effective discipline10 week and 12 month follow up
Caregiver self-reports about difficulty in deciding and establishing effective rules and discipline for their adolescent. Scale: Minimum = 1 and Maximum = 6 \[1 = Strongly disagree, 2 = Disagree, 3 = Disagree slightly, 4 = Agree slightly, 5 = Agree, 6 = Strongly agree\]. Higher is better outcome.
- Change from baseline in parental communication about sex10 week and 12 month follow up
Caregiver self-reports about how open, responsive, and positive the communication is between parents and adolescents regarding safe sexual behaviors. Scale: Minimum = 1 and Maximum = 4 \[1 =Never, 2 = A few times, 3 = Occasionally, 4 = Frequently\]. Higher is better outcome.
- Change from baseline in child problem behaviors.10 week and 12 month follow up
Caregiver self-reports about their child's problem behaviors like being withdrawn/depressed, rule-breaking behavior, and aggressive behavior. Scale: Minimum = 0 and Maximum = 2 \[0 = Not true, 1 = Somewhat or sometimes true, 2 =Very true or often true\]. Higher is worse outcome.
- Change from baseline in decision making about risk behaviors10 week and 12 month follow up
Caregiver and adolescent self-report about both positive (e.g., leave the situation) and negative (e.g., react with anger) strategies they use to resist engaging in risk behaviors. Scale: Minimum = 0 and Maximum = 2 \[0 = Never, 1 = Sometimes, 2 =Always. Higher is better outcome.
- Change from baseline in substance use10 week and 12 month follow up
Adolescent self-reports about their use of alcohol, tobacco, marijuana and other drugs in the past 30 days. Single items: Minimum = 0 and Maximum = 6 \[0 = None, 1 = Once, 2 = 2-3 times, 3 = 4-9 times, 4 = 10-19 times, 5 = 20-39 times, 6 = 40 or more times\]. Higher is better outcome.
- Change from baseline in risky sexual behaviors10 week and 12 month follow up
Adolescent self-reports about risky sexual behaviors like not using a condom or consuming alcohol before sexual intercourse. Single items: Minimum = 0 and Maximum = 1 \[0 = No, 1 = Yes\]. Higher is worse outcome.