Child WelfareKEEPNCT04456738
Cascading Dissemination of a Foster Parent Intervention
A study testing Parent Training in people with Child Welfare and Foster Home Care, run by Oregon Social Learning Center at 2 sites in United States.
Trial summary
The primary goal of this study is to test the effectiveness of KEEP (Keeping Foster Parents Supported and Trained), an intervention intended to increase supports and consultation to foster parents, and to evaluate the transferability of the proposed intervention from Oregon to the foster care system in San Diego. Read more about this study
- Who is it for?
- Ages 5 to 12 yearsHealthy volunteers can take part
- Conditions the study is for
- Child Welfare, Foster Home Care
- What is being tested?
- Parent Training
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 704 participants
- Where
- 2 sitesUnited States
- Study dates
- Jul 2000to Jun 2005
- 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 5 to 12 years
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- Any child between ages 5 and 12 years in relative or non-relative foster care
Who cannot join
- Only medically fragile children
Trial locations and contacts
2 sites in 1 country.
United States2 sites
Oregon Social Learning Center
Eugene, Oregon, 97401
Child and Adolescent Services Research Center
San Diego, California, 92123
About this study
The primary goal of this study is to test the effectiveness of KEEP (Keeping Foster Parents Supported and Trained), an intervention intended to increase supports and consultation to foster parents, and to evaluate the transferability of the proposed intervention from Oregon to the foster care system in San Diego.
Read the detailed description
Children in the foster care system are growing in number, are at high risk for psychological problems, and are increasingly challenging to their foster parents. Foster parents who are trying to provide care and nurturing to these children are often doing so without benefit or meaningful or relevant consultation on developmental and mental health issues. The study tests the effectiveness of an intervention intended to increase supports and consultation to foster parents. A major aim of this study was to test the transferability of the proposed intervention from Oregon to the foster care system in San Diego in 3 regions of Health and Human Services. A cascading dissemination model will be employed, where the original developers train and supervise staff in San Diego to implement the intervention, and in the second iteration of the of the intervention, the involvement of the original developers lessened. The intervention is designed to provide foster parents with general support and specific parent management training (PMT), a well-documented and effective intervention approach. In a previous efficacy trial, PMT had positive effects with foster parents in three areas: 1) reduction of child symptoms, 2) lower rates of disruption in foster care (changes in placements for negative reasons), and 3) fewer foster parents in the PMT condition dropped out of providing foster care. Outcomes will be evaluated at multiple levels, including child symptoms, functional behavior, environments, consumer perspectives, and system using a multi-method/multi-agent strategy. Implementation fidelity will be assessed, as will contextual factors, including the organizational climate and social isolation/insularity of the foster parents. It is hypothesized that, compared to controls, foster parents in the intervention group will improve on parenting skills, feel more supported, and have less stress, which in turn will result in more positive child outcomes, including fewer reported child symptoms and higher levels of child functional behavior in three domains (i.e., home, school, with peers). Improvements in foster parent outcomes and child outcomes are both hypothesized to predict system-level outcomes, including child use of mental health services, foster parent retention, and placement disruptions. Contextual factors are expected to impact foster parent outcomes directly and child and system outcomes indirectly, through implementation fidelity.
- Conditions
- Child Welfare, Foster Home Care
- Being tested
- Parent Training
- Keywords
- child behavior, parent training
- Medical subject headings
- Child Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Parent TrainingBehavioural
Also called Parent Management Training
16 weeks of of parent training led by a trained group facilitator
| Study group | Role | What they receive |
|---|---|---|
| Parent Training | Experimental | 16 weeks of parent training in a group context with 5 to 10 relative and non-relative foster caregivers Receives: Behavioral: Parent Training |
| Services as Usual | No intervention | Foster care services as usual |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in placement disruptions rates for foster placements
Using child welfare system placement records, rates of disruptions for pre and post time frames are calculated.
Measured: 18 months post baseline
Secondary outcomes (2)
Change in child behavior problems as assessed by the Parent Daily Report (PDR)
The PDR is a brief telephone interview that collects data the number problem behaviors that occurred in the previous 24 hours. This measure is repeated three times at each wave.
Measured: Baseline, 6 months-, 12 months-, and 18 months post baseline
Change in rates of reunification with Biological Family as assessed by child welfare system placement records
Using child welfare system placement records, rates of reunification between baseline and 18 months are calculated.
Measured: Baseline through 18 months post baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Jul 2020
- Study startJul 2000
- Primary completionJun 2005
- Study completionJun 2005
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Child WelfareStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Masking
- Double blind
- Who is masked
- Investigator, Outcomes assessor
- Enrolment
- 704 participants (actual)
Sponsor and investigators
- Lead sponsor
- Oregon Social Learning Center
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute of Mental Health (NIMH)
- Responsible party
- Sponsor
- Investigators
- Patricia Chamberlain, PhD, Principal investigator, Oregon Social Learning Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04456738
- Sponsor's protocol ID
- KEEP60195
- Other IDs
- R01MH060195
- Acronym
- KEEP
- Status last verified
- Jun 2020
- First submitted
- 29 Feb 2012
- Last updated
- 2 Jul 2020
- Results posted
- No
- Data monitoring committee
- No
Publications
Price JM, Chamberlain P, Landsverk J, Reid JB, Leve LD, Laurent H. Effects of a foster parent training intervention on placement changes of children in foster care. Child Maltreat. 2008 Feb;13(1):64-75. doi: 10.1177/1077559507310612.
PubMed 18174349Chamberlain P, Price JM, Reid JB, Landsverk J, Fisher PA, Stoolmiller M. Who disrupts from placement in foster and kinship care? Child Abuse Negl. 2006 Apr;30(4):409-24. doi: 10.1016/j.chiabu.2005.11.004. Epub 2006 Apr 5.
PubMed 16600372Chamberlain P, Price J, Reid J, Landsverk J. Cascading implementation of a foster and kinship parent intervention. Child Welfare. 2008;87(5):27-48.
PubMed 19402358Chamberlain P, Price J, Leve LD, Laurent H, Landsverk JA, Reid JB. Prevention of behavior problems for children in foster care: outcomes and mediation effects. Prev Sci. 2008 Mar;9(1):17-27. doi: 10.1007/s11121-007-0080-7. Epub 2008 Jan 10.
PubMed 18185995Degarmo DS, Chamberlain P, Leve LD, Price J. Foster Parent Intervention Engagement Moderating Child Behavior Problems and Placement Disruption. Res Soc Work Pract. 2009 Jul 1;19(4):423-433. doi: 10.1177/1049731508329407.
PubMed 20072708Price, J., Chamberlain, P., Landsverk, J., & Reid, J. B. (2010). KEEP foster parent training intervention: Model description and effectiveness. Child and Family Social Work, 14, 233-242.
Study at a glance
From the registry record, last updated by the sponsor on 2 Jul 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Cascading Dissemination of a Foster Parent Intervention
- ClinicalTrials.gov ID
- NCT04456738
- Acronym / sponsor ID
- KEEP / KEEP60195
- Conditions
- Child Welfare, Foster Home Care
- Keywords
- child behavior, parent training
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 704 participants (actual)
- Lead sponsor
- Oregon Social Learning CenterUniversity, hospital or other
- Collaborators
- National Institute of Mental Health (NIMH)
- Study start
- Jul 2000
- Primary completion
- Jun 2005 (actual)
- Study completion
- Jun 2005 (actual)
- First posted
- 2 Jul 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary goal of this study is to test the effectiveness of KEEP (Keeping Foster Parents Supported and Trained), an intervention intended to increase supports and consultation to foster parents, and to evaluate the transferability of the proposed intervention from Oregon to the foster care system in San Diego.
Detailed description
Children in the foster care system are growing in number, are at high risk for psychological problems, and are increasingly challenging to their foster parents. Foster parents who are trying to provide care and nurturing to these children are often doing so without benefit or meaningful or relevant consultation on developmental and mental health issues. The study tests the effectiveness of an intervention intended to increase supports and consultation to foster parents. A major aim of this study was to test the transferability of the proposed intervention from Oregon to the foster care system in San Diego in 3 regions of Health and Human Services. A cascading dissemination model will be employed, where the original developers train and supervise staff in San Diego to implement the intervention, and in the second iteration of the of the intervention, the involvement of the original developers lessened. The intervention is designed to provide foster parents with general support and specific parent management training (PMT), a well-documented and effective intervention approach. In a previous efficacy trial, PMT had positive effects with foster parents in three areas: 1) reduction of child symptoms, 2) lower rates of disruption in foster care (changes in placements for negative reasons), and 3) fewer foster parents in the PMT condition dropped out of providing foster care. Outcomes will be evaluated at multiple levels, including child symptoms, functional behavior, environments, consumer perspectives, and system using a multi-method/multi-agent strategy. Implementation fidelity will be assessed, as will contextual factors, including the organizational climate and social isolation/insularity of the foster parents. It is hypothesized that, compared to controls, foster parents in the intervention group will improve on parenting skills, feel more supported, and have less stress, which in turn will result in more positive child outcomes, including fewer reported child symptoms and higher levels of child functional behavior in three domains (i.e., home, school, with peers). Improvements in foster parent outcomes and child outcomes are both hypothesized to predict system-level outcomes, including child use of mental health services, foster parent retention, and placement disruptions. Contextual factors are expected to impact foster parent outcomes directly and child and system outcomes indirectly, through implementation fidelity.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Parent Training | Experimental | Behavioral: Parent Training16 weeks of parent training in a group context with 5 to 10 relative and non-relative foster caregivers |
| Services as Usual | No intervention | –Foster care services as usual |
Who may qualify
- Ages
- 5 to 12 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (1 listed)
- Any child between ages 5 and 12 years in relative or non-relative foster care
Key exclusion criteria (1 listed)
- Only medically fragile children
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Parent TrainingAlso: Parent Management Training16 weeks of of parent training led by a trained group facilitator | Behavioural | Parent Training |
Primary outcome
Change in placement disruptions rates for foster placements
Time frame: 18 months post baseline
Using child welfare system placement records, rates of disruptions for pre and post time frames are calculated.
2 secondary outcomes
Change in child behavior problems as assessed by the Parent Daily Report (PDR)
Time frame: Baseline, 6 months-, 12 months-, and 18 months post baseline
Change in rates of reunification with Biological Family as assessed by child welfare system placement records
Time frame: Baseline through 18 months post baseline
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Jul 2020.
- Background: PubMed 18174349Price JM, Chamberlain P, Landsverk J, Reid JB, Leve LD, Laurent H. Effects of a foster parent training intervention on placement changes of children in foster care. Child Maltreat. 2008 Feb;13(1):64-75. doi: 10.1177/1077559507310612.
- Background: PubMed 16600372Chamberlain P, Price JM, Reid JB, Landsverk J, Fisher PA, Stoolmiller M. Who disrupts from placement in foster and kinship care? Child Abuse Negl. 2006 Apr;30(4):409-24. doi: 10.1016/j.chiabu.2005.11.004. Epub 2006 Apr 5.
- Background: PubMed 19402358Chamberlain P, Price J, Reid J, Landsverk J. Cascading implementation of a foster and kinship parent intervention. Child Welfare. 2008;87(5):27-48.
- Background: PubMed 18185995Chamberlain P, Price J, Leve LD, Laurent H, Landsverk JA, Reid JB. Prevention of behavior problems for children in foster care: outcomes and mediation effects. Prev Sci. 2008 Mar;9(1):17-27. doi: 10.1007/s11121-007-0080-7. Epub 2008 Jan 10.
- Background: PubMed 20072708Degarmo DS, Chamberlain P, Leve LD, Price J. Foster Parent Intervention Engagement Moderating Child Behavior Problems and Placement Disruption. Res Soc Work Pract. 2009 Jul 1;19(4):423-433. doi: 10.1177/1049731508329407.
- Results publicationPrice, J., Chamberlain, P., Landsverk, J., & Reid, J. B. (2010). KEEP foster parent training intervention: Model description and effectiveness. Child and Family Social Work, 14, 233-242.
Related trials for Child Welfare
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Disrupting SRFOH to Improve Substance Use and Mental Health Outcomes for Parents in Rural Regions
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Symptom Assessment in Adolescents Placed on Child Welfare
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Recruiting
Reducing Parental Substance Use and Enhancing Family Resilience Among Rural Families Through Ohio START
Substance Use Disorder (SUD), Rural Health
Enrolling by invitation
Testing the CrOss Systems Technical Assistance for Retaining Staff (COSTARS) Model for Improving Staff Retention Among Child Welfare Workers and Peer Supporters, and Implementation of Evidence Based Interventions.
Substance Use Disorder, Opioid Use Disorder
Active, not recruiting
Intervention to Enhance Coping and Help-seeking Among Youth in Foster Care
Adolescent Behavior, Psychosocial Functioning
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Patricia Chamberlain, PhD principal investigator
Oregon Social Learning Center
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Parent Training in people with Child Welfare and Foster Home Care, run by Oregon Social Learning Center at 2 sites in United States.
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 1 inclusion and 1 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 2 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
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?
Change in placement disruptions rates for foster placements (time frame: 18 months post baseline). 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 NCT04456738, which also lists 6 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 2 Jul 2020.