AzTrials
AzTrials

Stress, PsychologicalNCT05264415

Intergenerational Transmission of Traumatic Stress

A study testing Families OverComing Under Stress (FOCUS) for Early Childhood (FOCUS-EC) and Parenting Education Website in people with Stress, Psychological and Stress Disorders, Traumatic, run by University of California, Los Angeles 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
Search all trials

Trial summary

Millions of U.S. parents have experienced trauma, putting them at risk for maladaptive parenting practices, which then confer vulnerabilities to their children. This study aims to enhance understanding of how parental emotional dysregulation associated with traumatic stress impedes effective parenting. Read more about this study

Who is it for?
Ages 3 years and older
What is being tested?
Families OverComing Under Stress (FOCUS) for Early Childhood (FOCUS-EC) and Parenting Education Website
Could I receive a placebo?
No, everyone receives an active treatment
How many people
65 participants
Where
1 siteUnited States
Study dates
6 Oct 2021to 4 Nov 2024
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 3 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Parent/caregiver (must be legal guardian) of a 3- to 6-year-old child
  • Child must cohabitate with the parent/caregiver
  • Parent/caregiver participant must have experienced some form of interpersonal trauma during their own childhood (e.g., abuse, neglect, witnessing domestic violence)
  • Parent/caregiver must be English-speaking
  • Parent/caregiver must have access to internet and Webcam

Who cannot join

  • Does not meet inclusion criteria
  • Parent/legal guardian does not want the child to participate in the study
  • Significant neurological disorder (included in pre-screening protocol)
  • Active psychosis/mania (as assessed by staff)
  • Significant child developmental delays (as assessed by staff)
  • Families excluded from the study will be provided with a list of online and/or community resources.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of California, Los Angeles (UCLA)

    Los Angeles, California, 90095

Other trials in United States

About this study

Official title: Interrupting the Intergenerational Transmission of Traumatic Stress: Identifying Parental Targets for Intervention by Looking Under the Skin

Millions of U.S. parents have experienced trauma, putting them at risk for maladaptive parenting practices, which then confer vulnerabilities to their children. This study aims to enhance understanding of how parental emotional dysregulation associated with traumatic stress impedes effective parenting. The study employs neurophysiological methods (electroencephalogram; EEG) to address some of the challenges inherent in the study of emotion (particularly in trauma-exposed individuals) and to identify potential biomarkers of traumatic stress and response to intervention.

Read the detailed description

This research study consists of a randomized controlled trial of 60 families of preschool-aged children in which a parent/caregiver has their own history of childhood interpersonal trauma or loss.

Parent/caregiver participants and their preschool-aged child will participate in two phases of assessment (baseline/Time 1 and follow-up/Time 2). Each phase of assessment will include parent/caregiver participant completion of self-report questionnaire measures, a parent-child interaction task (which will be video-recorded for later behavioral coding) and a parent EEG assessment. After the Time 1 (T1) assessments, participants will be randomized to either the FOCUS-Early Childhood Program group (n = 30; experimental group) or the parent education curriculum website group (n = 30; active comparator group).

The T2 assessment phase will begin at 3-months post-baseline. The FOCUS-EC Program is an 8-week program, so families should have completed the program by 3 months post-baseline. In the event that a family that was randomized to the FOCUS-EC Program group has not completed the program by the 3-month mark, the T2 assessment will be initiated once the program has been completed (up to 6 months post-baseline).

Being tested
Families OverComing Under Stress (FOCUS) for Early Childhood (FOCUS-EC), Parenting Education Website
Keywords
Resilience, Families, Parents, Children, Preschooler, Intervention
Medical subject headings
Stress, Psychological, Stress Disorders, Traumatic, Emotional Regulation, Child Behavior, Psychological Trauma, Anxiety Disorders, Depression

What participants receive

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

  • Families OverComing Under Stress (FOCUS) for Early Childhood (FOCUS-EC)Behavioural

    Trauma-informed, family-centered, skill-building preventive intervention for families with preschool-aged children.

  • Parenting Education WebsiteOther

    A website providing parenting education resources in four primary domains relevant for families with preschool-aged children (parenting, child development, transitions, and self-care).

Study groups in NCT05264415
Study groupRoleWhat they receive
Families Over-Coming Under Stress-Early Childhood Program (FOCUS-EC)ExperimentalFOCUS-EC is a trauma-informed, family-level, skill building program that provides developmental guidance, parent education, and key resilience skills that promote positive individual and family coping (including emotional regulation, problem solving, goal setting, communication, and management of trauma \& loss reminders), which foster parent-child and family cohesion. It is delivered in approximately 8 weekly sessions (including approximately six 60-minute sessions with parent/caregivers only, and two 30-60 minute sessions with children and parent/caregivers together). Each session is structured with a check-in, review of the previous week's "home activity," new skills-based activity and discussion, selection of a new "home activity," and a closing check-out. FOCUS-EC promotes parenting skills and more cohesive family relationships in two key phases: 1) creating a family timeline and 2) enhancing parent-child interactions.
Receives: Behavioral: Families OverComing Under Stress (FOCUS) for Early Childhood (FOCUS-EC)
Parenting Education WebsiteActive comparatorThe Parenting Education Website includes information and high-quality parenting resources covering topics such as typical child development, common child reactions to family stress and transitions, play, positive parenting strategies, and the importance of self-care.
Receives: Other: Parenting Education Website

What is being measured

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

  1. Change in observed parenting behaviors during standardized parent-child interaction tasks

    Coded based on previously established parent-child behavioral coding systems (Deater-Deckard, 2000; Deater-Deckard, Pylas, \& Petrill, 1997; Dix et al., 2004; Murphy, Boyd-Soissan, et al., 2017), including codes for positive parenting behaviors (e.g., praise, sensitivity, positive affect expressions), negative parenting behaviors (e.g., criticism, intrusiveness, harshness, negative affect expressions), and responses to children's negative emotion expressions (e.g., emotion coaching, validation, suppression, minimization).

    Measured: Time 1 (baseline assessment) and Time 2 (3-months post-baseline)

  2. Change in self-reported parenting behaviors as measured by the Multidimensional Assessment of Parenting Scale (MAPS)

    The Multidimensional Assessment of Parenting Scale (MAPS) is a self-report questionnaire of parenting behaviors. This study will administer the 30 items corresponding to subscales that represent the following aspects of parenting behavior:

    • proactive parenting
    • positive reinforcement
    • warmth
    • supportiveness
    • hostility
    • lax control

    The scale is scored such that higher scores indicate a higher degree of that type of parenting (e.g., higher scores on the positive reinforcement subscale indicate greater use of positive reinforcement).

    Each subscale:

    Minimum possible score: 1 Maximum possible score: 5

    Measured: Time 1 (baseline assessment) and Time 2 (3-months post-baseline)

  3. Change in posttraumatic stress disorder symptoms as measured by the Posttraumatic Stress Disorder Checklist for DSM-V (PCL-5)

    The Posttraumatic Stress Disorder Checklist for DSM-V (PCL-5) is a well-established, 20-item questionnaire of posttraumatic stress symptoms. Higher scores indicate higher levels of posttraumatic stress symptoms.

    Minimum possible score: 0 Maximum possible score: 80

    Measured: Time 1 (baseline assessment) and Time 2 (3-months post-baseline)

Secondary outcomes (10)
  1. Change in Emotion Regulation Questionnaire (ERQ)

    The Emotion Regulation Questionnaire (ERQ) is a 10-item self-report questionnaire that assesses emotion regulation strategies of cognitive reappraisal and expressive suppression, with higher scores indicating greater use of those strategies.

    Minimum possible score: 1 Maximum possible score: 7

    Measured: Time 1 (baseline assessment) and Time 2 (3-months post-baseline)

  2. Change in Parental Feelings Inventory (PFI)

    The Parental Feelings Inventory (PFI) is a 31-item self-report questionnaire that assesses parents' experience of specific emotions in the parenting context (Bradley et al., 2013). Higher scores represent greater experience of each type of emotion in the parenting role within the past month.

    Minimum possible score: 1 Maximum possible score: 7

    Measured: Time 1 (baseline assessment) and Time 2 (3-months post-baseline)

  3. Change in Parental Emotion Regulation Inventory-2 (PERI-2)

    The Parental Emotion Regulation Inventory-2 (PERI-2) is a self-report questionnaire that assesses coping and emotion regulation strategies used within the parenting context (Lorber et al., 2017). The scale includes 23 items corresponding to subscales that represent the following aspects of emotion regulation:

    • reappraisal
    • suppression
    • capitulation
    • escape

    The scale is scored such that higher scores indicate a higher degree of that type of strategy (e.g., higher scores on the reappraisal subscale indicate greater use of reappraisal).

    Minimum possible score: 1 Maximum possible score: 7

    Measured: Time 1 (baseline assessment) and Time 2 (3-months post-baseline)

  4. Change in Coping with Children's Negative Emotions Scale (CCNES)

    The Coping with Children's Negative Emotions Scale (CCNES) is an 82-item self-report questionnaire that assesses parents' responses to children's displays of negative emotions (e.g., expressive encouragement, problem solving, punishment, minimization). Higher scores reflect higher use of that type of response (e.g., higher score on expressive encouragement subscale indicates higher use of expressive encouragement responses).

    Minimum possible score: 1 Maximum possible score: 7

    Measured: Time 1 (baseline assessment) and Time 2 (3-months post-baseline)

  5. Change in Patient Health Questionnaire-8 (PHQ-8)

    The Patient Health Questionnaire-8 (PHQ-8) is a well-established, 8-item scale of depression symptoms, with higher total scores indicating higher levels of depression symptoms.

    Minimum possible score: 0 Maximum possible score: 24

    Measured: Time 1 (baseline assessment) and Time 2 (3-months post-baseline)

  6. Change in Generalized Anxiety Disorder-7 Questionnaire (GAD-7)

    The Generalized Anxiety Disorder-7 Questionnaire (GAD-7) is a well-established, 7-item scale of anxiety symptoms, with higher total scores indicating higher levels of anxiety symptoms.

    Minimum possible score: 0 Maximum possible score: 21

    Measured: Time 1 (baseline assessment) and Time 2 (3-months post-baseline)

  7. Change in Parenting Stress Index-Short Form 4

    The Parenting Stress Index-Short Form 4 (PSI-SF) is a 36-item self-report questionnaire of three dimensions of parenting stress (parental distress, parent-child dysfunctional interaction, and difficult child). Higher scores indicate higher levels of parenting stress.

    Subscales:

    Minimum possible score: 12 Maximum possible score: 60

    Total Score:

    Minimum possible score: 36 Maximum possible score: 180

    Measured: Time 1 (baseline assessment) and Time 2 (3-months post-baseline)

  8. Change in Eyberg Child Behavior Inventory

    The Eyberg Child Behavior Inventory (ECBI) is a 36-item parent/caregiver-report questionnaire measure of children's behavior problems that obtains information about the frequency of problem behaviors (Intensity subscale; higher scores indicate greater intensity) and whether or not the behavior is problematic for the parent (Problem subscale; higher scores indicate greater problem).

    Behavior intensity:

    Minimum possible score: 36 Maximum possible score: 252

    Problem behavior:

    Minimum possible score: 0 Maximum possible score: 36

    Measured: Time 1 (baseline assessment) and Time 2 (3-months post-baseline)

  9. Change in Preschool Feelings Checklist

    The Preschool Feelings Checklist is a 16-item parent/caregiver-report questionnaire measure of children's depressive symptoms. Higher scores indicate higher depression symptoms.

    Minimum possible score: 0 Maximum possible score: 16

    Measured: Time 1 (baseline assessment) and Time 2 (3-months post-baseline)

  10. Change in Spence Child Anxiety Scale - Preschool Version

    The Spence Child Anxiety Scale - Preschool Version is a 34-item parent/caregiver-report questionnaire measure of children's anxiety symptoms. Higher scores indicate higher anxiety symptoms.

    Minimum possible score: 0 Maximum possible score: 112

    Measured: Time 1 (baseline assessment) and Time 2 (3-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 posted3 Mar 2022
  2. Study start6 Oct 2021
  3. Primary completion4 Nov 2024
  4. Study completion4 Nov 2024

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
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
65 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05264415
Sponsor's protocol ID
KHD097277A
Other IDs
1K08HD097277-01A1
Status last verified
Nov 2024
First submitted
26 Oct 2021
Last updated
29 Nov 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Families OverComing Under Stress (FOCUS) for Early Childhood (FOCUS-EC) and Parenting Education Website in people with Stress, Psychological and Stress Disorders, Traumatic, run by University of California, Los Angeles 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 5 inclusion and 6 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 29 Nov 2024. 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?

Change in observed parenting behaviors during standardized parent-child interaction tasks (time frame: Time 1 (baseline assessment) and Time 2 (3-months post-baseline)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 29 Nov 2024.

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