AzTrials
AzTrials

ParentingADAPTNCT03522610

Effectiveness of a Web-enhanced Parenting Program for Military Families

A study testing ADAPT in people with Parenting, run by University of Minnesota.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The proposed project will produce and test the first combined group-online prevention program for reintegrating parents - "ADAPT: After Deployment Adaptive Parenting Tools". We will conduct a randomized effectiveness trial of the program, compared with a 'services as usual' (tip sheet) comparison group among 400… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Parenting
What is being tested?
ADAPT
Could I receive a placebo?
No, everyone receives an active treatment
How many people
360 participants
Where
No sites listed yet
Study dates
15 Jul 2010to 15 Jul 2016
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • one parent has returned from deployment to OIF or OEF,
  • at least one child in grades preK-6 in their custody and living with parent(s) in the home, and
  • high speed internet access at home (a recent MN study indicates that 97% deployed families have internet, with 70% using internet daily; Sayer et al., 2009). We will include both single-and two-parent families, as well as families where care is shared between non-partnered adults (e.g. grandparent and mother), and will control for relationship status in analyses. Participants must live within an hour's travel time of the Twin Cities Metro area, St Cloud, Mankato, Duluth, agree to randomization, and indicate willingness to interact with study materials and complete assessment batteries.

Who cannot join

  • active psychosis,
  • an open child protection case for abuse or neglect in the family,
  • a serious child mental health diagnosis,
  • families who participated in the pilot ADAPT intervention (usability or feasibility) study described in Aim 1. MN NG data indicate that fewer than 10% families would be excluded based on a-c, above (personal correspondence, Polusny).

About this study

The proposed project will produce and test the first combined group-online prevention program for reintegrating parents - "ADAPT: After Deployment Adaptive Parenting Tools". We will conduct a randomized effectiveness trial of the program, compared with a 'services as usual' (tip sheet) comparison group among 400 military families identified in the RFA as a special population: reintegrating Army National Guard parents.

Read the detailed description

Combat deployment and related challenges are family stressors, associated with more negative parent-child interactions, ineffective and coercive parenting practices and lower levels of parenting satisfaction. Disrupted parenting practices are well-known predictors of risk for child adjustment difficulties that are precursors to youth substance use, including behavior problems, school failure, deviant peer association, and depression . These child adjustment problems can contribute to continuing parental stress, increasing parental distress, and further disrupting parenting. Despite this, no parenting interventions have been empirically tested for reintegrating military families deployed to OEF/OIF.

PMTO is a well-established empirically supported intervention targeting highly stressed parents that applies Social Interaction Learning theory. Similar to family stress and stress amplification models, SIL posits that parenting mediates the effects of family stressors on child adjustment. That is, deployment and related stressors would be expected to impair social interactional patterns, leading to increases in coercion, decrements in positive parenting, and increased risk for child maladjustment. PMTO interventions have demonstrated efficacy and effectiveness, showing benefits for children including reductions in behavior problems that are precursors to substance use, actual substance use, and internalizing problems, as well as increases in social competence and school adjustment. Moreover, recent findings indicate that strengthening parenting practices contributes to improved outcomes for parents themselves. While PMTO interventions have been implemented in multiple diverse contexts, no study to date has adapted and examined PMTO among military populations. Data from studies of the current wars demonstrate a strong need for accessible prevention interventions that reduce parent stress, enhance parenting, and promote family resilience.

Specific aims of this study are as follows:

  1. Examine the usability and feasibility of an adapted PMTO prevention program: After Deployment: Adaptive Parenting Tools/ADAPT
  2. Conduct in-house testing and external usability evaluation of ADAPT online enhancement
  3. Evaluate feasibility of ADAPT group component
  4. Assess effectiveness of and satisfaction with ADAPT (group and web enhancement) program compared with a services-as-usual comparison group, among 400 reintegrating MN Army National Guard (MN ARNG) families with 6-12 year old children.
  5. Assess effectiveness of ADAPT in (i) reducing coercion, and improving positive parenting practices, (ii) reducing child risk for substance use and related behavior problems, and (iii) improving parental adjustment, in the face of deployment and reintegration stressors.
  6. Assess the capacity of ADAPT to yield higher parent satisfaction ratings than the services as-usual (tip sheet) comparison condition.
  7. Within the ADAPT intervention group, detail and describe responsiveness to intervention.
  8. Report dosage for group (face-to-face) and web components of ADAPT
  9. Examine dosage as a potential moderator of intervention outcome
  10. Examine fidelity of the implementation as a potential moderator of intervention outcome
Conditions
Parenting
Being tested
ADAPT
Keywords
Prevention, Military Families, Parenting

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ADAPTBehavioural

    Two hour, once a week in-person parenting program for 14 weeks plus use web-enhanced supplemental ADAPT materials

Study groups in NCT03522610
Study groupRoleWhat they receive
ADAPTExperimentalParents participate in a 14-week in person group based version of ADAPT with web-enhanced online ADAPT materials.
Receives: Behavioral: ADAPT
Comparison GroupNo interventionParents receive services as usual (pamphlets, brochures, etc) on parenting typically found at a VA or Dr.'s office.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Assess effectiveness of the After Deployment: Adaptive Parenting Tools/ADAPT program

    Compare child adjustment with parental adjustment

    Measured: Change from Baseline, at 6 months , at 12 months , at 24 months

Secondary outcomes (1)

  1. Examine dosage and participation in ADAPT.

    Report dosage for group (face-to-face) vs web components of ADAPT

    Measured: Change from Baseline, at 6 months, at 12 months, at 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 May 2018
  2. Study start15 Jul 2010
  3. Primary completion15 Jul 2015
  4. Study completion15 Jul 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
This study is a two-group randomized controlled effectiveness trial with baseline and three follow-up assessment points
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
360 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03522610
Sponsor's protocol ID
1005S82692
Acronym
ADAPT
Status last verified
Nov 2023
First submitted
16 Feb 2018
Last updated
30 Nov 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Chan ACY, Lee SK, Hanson AN, Gewirtz AH, Piehler TF. Online versus telehealth delivery of a parenting program for postdeployed military families: Child internalizing and externalizing symptoms as moderators of response. J Consult Clin Psychol. 2026 Jun;94(6):353-363. doi: 10.1037/ccp0001018.

    PubMed 42406485

  • Cheng CH, Lee SS, Gewirtz AH. Effects of the ADAPT Military Parenting Program on Parenting Behaviors in a Subsample of Deployed Mothers. Prev Sci. 2026 Apr;27(4):623-629. doi: 10.1007/s11121-026-01927-x. Epub 2026 May 4.

    PubMed 42081045

  • Gewirtz AH, DeGarmo DS, Lee S. What works better? 1-year outcomes of an effectiveness trial comparing online, telehealth, and group-based formats of a military parenting program. J Consult Clin Psychol. 2024 May;92(5):310-319. doi: 10.1037/ccp0000882. Epub 2024 Mar 28.

    PubMed 38546621

  • DeGarmo DS, Gewirtz AH, Li L, Tavalire HF, Cicchetti D. The ADAPT Parenting Intervention Benefits Combat Exposed Fathers Genetically Susceptible to Problem Drinking. Prev Sci. 2023 Jan;24(1):150-160. doi: 10.1007/s11121-022-01424-x. Epub 2022 Sep 3.

    PubMed 36057024

Questions about this trial

What is this clinical trial studying?

A study testing ADAPT in people with Parenting, run by University of Minnesota.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Assess effectiveness of the After Deployment: Adaptive Parenting Tools/ADAPT program (time frame: Change from Baseline, at 6 months , at 12 months , at 24 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03522610, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Nov 2023.

AzTrials uses cookies for analytics and advertising. You can accept or reject them; the site works either way. Privacy Policy.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in