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StressNCT05032742

Parenting Stress mHealth

A study testing mHealth parenting stress app in people with Stress, run by University of California, San Francisco at 1 site in United States.

Completed

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

Official record
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Trial summary

Parenting stress is a well-documented barrier to youth engagement in community-based substance use treatment. The current project aims to develop and evaluate a mobile health parenting stress intervention for caregivers of justice-involved youth, a population with high rates of substance use and low rates of treatment… Read more about this study

Who is it for?
Ages 12 years and olderHealthy volunteers can take part
Conditions the study is for
Stress
What is being tested?
mHealth parenting stress app
Could I receive a placebo?
No, everyone receives an active treatment
How many people
140 participants
Where
1 siteUnited States
Study dates
15 Sep 2021to 20 Aug 2026
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 12 years and older
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • The following is a description for the inclusion criteria for aims 1 and 2 for caregivers participating in this research study.
  • Eligible caregivers must be the parent or legal guardian of a youth who is:
  • currently detained in a juvenile detention center or correctional facility, mandated by the juvenile justice system to a congregate out-of-home placement (e.g., group home);
  • 12-17 years old;
  • has an identified substance use or substance use and co-occurring mental health need;
  • and is scheduled to be released into the community to the care of the enrolled caregiver.
Show all 14Show fewer
  • The following is a description for the inclusion criteria for aim 3 for system stakeholders participating in this research study.
  • Eligible behavioral health providers (e.g., substance use counselor) must:
  • Provide substance use or dual diagnosis treatment justice-involved youth and their caregivers,
  • be over 18 years old,
  • and speak English fluently.
  • Eligible juvenile probation officers must be:
  • 18 years or older
  • and speak fluent English.

Who cannot join

  • lack of proficiency in English
  • and cognitive impairment or active psychosis which precludes provision of informed consent.
  • Caregivers who do not have access to a device with internet access will also not be eligible as this would preclude them from being able to participate in the mHealth intervention.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • UCSF Zuckerberg San Francisco General Hospital

    San Francisco, California, 94131

Other trials in United States

About this study

Official title: Reducing Parenting Stress to Facilitate Justice-Involved Youth's Treatment

Parenting stress is a well-documented barrier to youth engagement in community-based substance use treatment. The current project aims to develop and evaluate a mobile health parenting stress intervention for caregivers of justice-involved youth, a population with high rates of substance use and low rates of treatment engagement.

Read the detailed description

Justice-involved youth exhibit high rates of substance use and mental health symptoms, yet few receive treatment during detention or community re-entry. Once released into the community, caregivers must facilitate youth's treatment engagement, mobilizing significant resources and facing many barriers (e.g., transportation, mistrust) to do so. Parenting stress, which is heightened during youth detention and community reentry, is associated with greater perceived barriers to treatment, less youth therapeutic change throughout treatment, and premature treatment dropout. Addressing parenting stress improves youth treatment engagement and outcomes among youth exhibiting antisocial behavior, yet given the many barriers to treatment, novel approaches to intervention are needed; mobile health (mHealth) technology is one promising approach. Caregivers of justice-involved youth and system stakeholders are interested in mHealth treatment and mHealth addresses instrumental barriers (e.g., transportation) to treatment. Advances in technology and community engaged research allow for active stakeholder collaboration in mHealth application development, with no technological expertise required, through participatory informatics; caregiver involvement increases the likelihood the intervention will be relevant and efficacious. The purpose of this mixed-methods K23 study is to 1) develop a mHealth parenting stress intervention using participatory informatics; 2) assess the feasibility and acceptability of the participatory informatics approach and the intervention; 3) evaluate the intervention's preliminary efficacy in reducing parenting stress and increasing youth engagement in substance use or dual diagnosis treatment post-detention through a pilot randomized controlled trial; and 4) understand systems-level factors that could influence eventual system adoption and sustainability.

Conditions
Stress
Being tested
mHealth parenting stress app
Keywords
parenting stress, juvenile justice, digital health

What participants receive

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

  • mHealth parenting stress appBehavioural

    mHealth parenting stress app intervention to reduce parenting stress and improving youth community-based treatment engagement.

Study groups in NCT05032742
Study groupRoleWhat they receive
mHealth parenting stress appExperimentalmHealth parenting stress app intervention to reduce parenting stress and improving youth community-based treatment engagement.
Receives: Behavioral: mHealth parenting stress app
Standard of careNo interventionCaregiver participants will receive an informational brochure describing ways to support one's adolescent during detention and community reentry and any other usual care.

What is being measured

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

  1. Interpersonal Mindfulness in Parenting Scale (Mindful Parenting)

    The Interpersonal Mindfulness in Parenting Scale is an 8-item self-report of mindful parenting, including four sub-scales reflecting present-centered emotional awareness in parenting, present-centered attention in parenting, non-reactivity/low reactivity in parenting, and non-judgmental acceptance in parenting that will be used to measure mindful parenting as a construct. Each item is rated on a 1 to 5 scale and items are summed to create sub-scale scores (possible range=8 to 40); higher scores indicate greater mindful parenting.

    Measured: 3 months post baseline

  2. Interpersonal Mindfulness in Parenting Scale (Mindful Parenting)

    The Interpersonal Mindfulness in Parenting Scale is an 8-item self-report of mindful parenting, including four sub-scales reflecting present-centered emotional awareness in parenting, present-centered attention in parenting, non-reactivity/low reactivity in parenting, and non-judgmental acceptance in parenting that will be used to measure mindful parenting as a construct. Each item is rated on a 1 to 5 scale and items are summed to create sub-scale scores (possible range=8 to 40); higher scores indicate greater mindful parenting.

    Measured: 6 months post baseline

  3. Stress Index for Parents of Adolescents (Parenting Stress)

    The Stress Index for Parents of Adolescents (SIPA) is a 90-item self-report measure of parenting stress. Items are rated on a 1 to 5 scale and summed to create sub-scale scores; higher scores reflect greater parenting stress.

    Measured: 3 months post baseline

  4. Stress Index for Parents of Adolescents (Parenting Stress)

    The Stress Index for Parents of Adolescents (SIPA) is a 90-item self-report measure of parenting stress. Items are rated on a 1 to 5 scale and summed to create sub-scale scores (possible range=90 to 450); higher scores reflect greater parenting stress.

    Measured: 6 months post baseline

  5. Parenting Self-Efficacy

    Parenting Self-Efficacy Scale (PSES) is a 20-item assessment of caregivers' perceived parenting ability across 3 dimensions: parental connection, behavioral influence, and psychological autonomy and used to measure parenting self-efficacy. Items are rated on a scale from 0 to 10 (possible range=0 to 200) with higher scores reflecting greater parenting self-efficacy.

    Measured: 3 months post baseline

  6. Parenting Self-Efficacy

    Parenting Self-Efficacy Scale (PSES) is a 20-item assessment of caregivers' perceived parenting ability across 3 dimensions: parental connection, behavioral influence, and psychological autonomy and used to measure parenting self-efficacy. Items are rated on a scale from 0 to 10 (possible range=0 to 200) with higher scores reflecting greater parenting self-efficacy.

    Measured: 6 months post baseline

  7. Child and Adolescent Services Assessment (Barriers to Youth Treatment)

    The Child and Adolescent Services Assessment (CASA) is a parent-report instrument designed to assess the use of behavioral health services by children ages 8 years to 17 years. The CASA includes 31 settings covering inpatient, outpatient, and informal services provided by a variety of child-serving providers and sectors. This instrument collects information on whether a service was ever used, as well as more detailed information (length of stay/number of visits, focus of treatment) on services used in the recent past. Select items from the CASA will assess 16 barriers to youths' services use (e.g., language, transportation, cost, stigma). Caregivers will report whether each barrier was a concern during the 3 months prior to the youths' detention or for follow-ups, in the 3 months since the last assessment (6 months post baseline).

    Measured: 3 months post baseline

  8. Child and Adolescent Services Assessment (Barriers to Youth Treatment)

    The Child and Adolescent Services Assessment (CASA) is a parent-report instrument designed to assess the use of behavioral health services by children ages 8 years to 17 years. The CASA includes 31 settings covering inpatient, outpatient, and informal services provided by a variety of child-serving providers and sectors. This instrument collects information on whether a service was ever used, as well as more detailed information (length of stay/number of visits, focus of treatment) on services used in the recent past. Select items from the CASA will assess 16 barriers to youths' services use (e.g., language, transportation, cost, stigma). Caregivers will report whether each barrier was a concern during the 3 months prior to the youths' detention or for follow-ups, in the 3 months since the last assessment (6 months post baseline).

    Measured: 6 months post baseline

  9. Motivation for Youth Treatment

    Motivation for Youth's Treatment Scale (MYTS) is an 8-item measure of intrinsic motivation for youth treatment and assesses a youth and caregiver's problem recognition and treatment readiness. Responses are rated on a 1 to 5 scale and are summed to yield two sub-scale scores (problem recognition: possible range=3 to 15; treatment readiness: possible range=5 to 25). Higher scores reflect higher motivation.

    Measured: 3 months post baseline

  10. Motivation for Youth Treatment

    Motivation for Youth's Treatment Scale (MYTS) is an 8-item measure of intrinsic motivation for youth treatment and assesses a youth and caregiver's problem recognition and treatment readiness. Responses are rated on a 1 to 5 scale and are summed to yield two sub-scale scores (problem recognition: possible range=3 to 15; treatment readiness: possible range=5 to 25). Higher scores reflect higher motivation.

    Measured: 6 months post baseline

Secondary outcomes (2)
  1. Youth Treatment Engagement

    Caregiver report on whether youth initiated substance use, mental health, dual diagnosis, or family based treatment in the community (i.e., scheduled appointment, attended first appointment), treatment retention (i.e., number of sessions attended) is collected to measure youth treatment engagement. Caregiver report will also provide information on whether the youth complied with treatment mandated by the juvenile court (e.g., probation requirement).

    Measured: 3 months post baseline

  2. Youth Treatment Engagement

    Caregiver report on whether youth initiated substance use, mental health, dual diagnosis, or family based treatment in the community (i.e., scheduled appointment, attended first appointment), treatment retention (i.e., number of sessions attended) is collected to measure youth treatment engagement. Caregiver report will also provide information on whether the youth complied with treatment mandated by the juvenile court (e.g., probation requirement).

    Measured: 6 months post baseline

Timeline

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

  1. First posted2 Sep 2021
  2. Study start15 Sep 2021
  3. Primary completion20 Aug 2026
  4. Study completion20 Aug 2026

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
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
140 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05032742
Sponsor's protocol ID
K23DA050798
Other IDs
K23DA050798
Status last verified
Oct 2026
First submitted
27 Aug 2021
Last updated
13 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Folk JB, McBride E, Nova S, Hurtado Y, Tolou-Shams M. Co-Design of the RAISE Mobile Health Intervention for and with Caregivers of Detained Youth. Res Child Adolesc Psychopathol. 2025 Dec;53(12):1813-1827. doi: 10.1007/s10802-025-01361-7. Epub 2025 Sep 22.

    PubMed 40976844
  • Folk JB, Aguilera A, Chaplin TM, Tolou-Shams M. Stress Management Among Caregivers of Detained Youth: Protocol for Randomized Controlled Trial of the RAISE Web-Based mHealth App. JMIR Res Protoc. 2025 Jul 10;14:e67511. doi: 10.2196/67511.

    PubMed 40638918

Questions about this trial

What is this clinical trial studying?

A study testing mHealth parenting stress app in people with Stress, run by University of California, San Francisco at 1 site 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 14 inclusion and 3 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 13 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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?

Interpersonal Mindfulness in Parenting Scale (Mindful Parenting) (time frame: 3 months post baseline). The study lists 10 primary outcomes in all. 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 NCT05032742, which also lists 2 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 13 Oct 2026.

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