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Emotion RegulationNCT06588985

Exploring the Role of Parental Emotion Regulation and Outcomes of Parental Emotional Coaching on Child and Adolescent Psychosocial Outcomes

A study testing Emotion Coaching Parent Training Workshop in people with Emotion Regulation, run by National University of Singapore at 1 site in Singapore.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Emotional regulation has been found to play a crucial role in an individual's mental well-being and emotional dysregulation is implicated in most of psychiatric disorders listed in the Diagnostic and Statistical Manual, Fifth Edition (DSM-5) (APA, 2013; Gross \& Levenson, 1997; Thoits, 1985). Read more about this study

Who is it for?
Ages 7 to 17 yearsHealthy volunteers can take part
Conditions the study is for
Emotion Regulation
What is being tested?
Emotion Coaching Parent Training Workshop
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
1 siteSingapore
Study dates
24 May 2024to 24 May 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 7 to 17 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Participants include children and adolescents aged 7 to 17 years old, and one of their parents.
  • All parent-child dyads will be invited to participate.
  • Parents and children have to be fluent in English.
  • Persons who are not parents will not be recruited.

Who cannot join

  • Children or parents with physical impairments (apart from corrected vision) will be excluded.
  • Children or parents reporting psychotic symptoms, neurodevelopmental disorders, or severe mood disorders will be excluded.

Trial locations and contacts

1 site in 1 country.

Singapore1 site, 1 recruiting
  • National University of Singapore

    Singapore, 117570

    Jamie Ong, 65161143, psyoj@nus.edu.sg

    Min Geng, mingeng@u.nus.edu

    Recruiting

Other trials in Singapore

About this study

Emotional regulation has been found to play a crucial role in an individual's mental well-being and emotional dysregulation is implicated in most of psychiatric disorders listed in the Diagnostic and Statistical Manual, Fifth Edition (DSM-5) (APA, 2013; Gross \& Levenson, 1997; Thoits, 1985). Specifically in children, poor emotional regulation skills and parental emotional dysregulation contribute significantly to childhood psychopathology (Han \& Shaffer, 2014). This study has two parts - Part 1 aims to explore and identify the parental emotion socialization factors that contributes to a child's emotion regulation abilities and examine how parental emotion dysregulation contribute to the profile of a child's emotional and behavioral difficulties; Part 2 attempts to determine the effectiveness of parental emotional coaching in developing a child's emotion regulation abilities and reducing a child's symptoms of psychopathology. Participants will include both nonclinical and clinical samples, consisting of children and adolescents, aged 7 to 17 years old (middle childhood to adolescence) and their parents. Participants will be invited to complete a set of questionnaires (Part 1) and to participate in a randomized controlled trial that provides parents with a workshop on emotion coaching skills (Part 2). Data will be analysed using correlation,regression analyses and mixed Analysis of Variance (ANOVA). Clinical implications from this study includes, informing of improvements to the clinical services provided in the healthcare setting, as well as contribute to the transdiagnostic formulation of children and adolescent mental health conditions.

Read the detailed description

Proposed Methodology This research proposes 2 studies to investigate the above stated questions. Study 1 will utilize a cross-sectional design with children and adolescents, as well as their parents (from general population), completing questionnaires provided, while Study 2 will involve inviting participants from Study 1 to participate in a randomized controlled trial. Participants may choose to only participate in Study 1 and not Study 2. If participants are keen and provide consent to participate in Study 2, they will have to complete both interventions and all questionnaires required at all timepoints.

Participants \& Procedure Participants include children and adolescents aged 7 to 17 years old, and one of their parents. Participants will be recruited from the community and the Student Health Centre at Health Promotion Board (HPB). HPB is only used as a referral site and recruitment site. Research procedures are not conducted on their premise. Both parents and children will be required to be fluent in the English language, and all parent-child dyads will be invited to participate.

In terms of procedure, interested participants (parent-child dyads) will be invited to participate. Consent will be collected from the child and their parents. For Study 1, after consent is taken, participants will be asked to complete a set of questionnaires and indicate their interest to participate in Study 2. Survey questionnaires will be administered either face-to-face or online - for face-to-face administration, the researcher will provide parent-child dyad with a tablet to complete the questionnaires; for online administration, parent-child dyads will be emailed a link to the questionnaires to complete (most likely on Qualtrics). All participants are advised to complete all questions and do not skip. A copy of the questionnaire will be shown in its entirety to participants before providing consent. For children, if they have difficulty understanding the questions, they are allowed to skip it or seek help from their parents/researcher. The parents' questionnaire should take at most 30 minutes to complete, while the child's questionnaire will take at most 15 minutes to complete.

If participants only participate in Study 1, they will only be required to complete the set of questionnaires at Timepoint 1. Participants in Study 1 will not be debriefed, but they can request to be debriefed by contacting the research team and we can arrange a debrief via Zoom.

In Study 2, a randomized controlled trial is designed to test the effects of parent emotion coaching on parental factors (such as ER skills, sense of competency, and mood and stress levels), child factors (such as ER skills, internalizing and externalizing problems, and treatment outcomes), as well as parent-child relationship. Participants will be a subset of Study 1's participants.

If participants indicate interest to participate in Study 2, the parents will be randomly assigned to the following experimental groups: 1. Emotion Coaching Training, or 2. Waitlist Control condition. Parents in the emotion coaching workshop will be invited to attend an online training on emotion coaching strategies, while parents in the control condition will not be receiving any training workshops during the study. They will be invited to join the online workshops when the study is completed. Participants will not be informed of the group that they are assigned to, and a debrief session will be provided once they complete the study. \

The training module consists of a three-hour workshop, followed by 2 bi-weekly 30-minute phone/online consultations (participants can choose from preferred timeslot on weekdays during regular work hours).

Parents and children will be required to complete the set of outcome measures at pre-, post-treatment and at a 1-month follow-up. All procedures are conducted in English only.

Estimated timeline for the different groups:

Treatment Group - Week 0: Questionnaire (parent and child), Weeks 1 - 5: Parent Workshop, 2 phone consults, Week 6: post-questionnaire (parent and child), Week 9 - 10: follow-up questionnaire (parent and child). Intervention phase itself will last at most 5 weeks. The 3-hour online workshop will be conducted in real-time over Zoom, by a clinical psychologist or a Masters in Clinical Psychologist student (supervised by a clinical psychologist).

Waitlist Group - Week 0: Questionnaire (parent and child), Week 6: Questionnaire T2 (parent and child), Week 9-10: Questionnaire T3 (parent and child). After they have completed all 3 sets of questionnaires, they will be invited to sign up for the workshop on dates that are convenient for them. The 3-hour online workshop will be conducted in real-time over Zoom, by a clinical psychologist or a Masters in Clinical Psychologist student (supervised by a clinical psychologist).

At the end of Study 2, all participants will be provided with the debrief sheet (either hard or soft copy can be provided) and offered a debrief session over Zoom. The debrief session will be conducted by the research team.

In cases whereby participants may wish to have longer consultation sessions, or to extend the intervention outside of the research, they may be referred to the relevant professionals/services.

Participants have until 1 week after they completed the study to decide if they wish to withdraw their research data.

Being tested
Emotion Coaching Parent Training Workshop, Waitlist Control
Keywords
Emotion Coaching
Medical subject headings
Emotional Regulation

What participants receive

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

  • Emotion Coaching Parent Training WorkshopBehavioural

    Parents will attend a 3-hour online workshop that introduces the fundamentals of emotion coaching and the phone consultations will be used to help parents troubleshoot and brainstorm application of the workshop content.

  • Waitlist ControlBehavioural

    Parents will only receive the parent workshop and phone consultations after they have completed all the required questionnaires.

Study groups in NCT06588985
Study groupRoleWhat they receive
Emotion Coaching Treatment GroupExperimentalParents of the parent-child dyad in this group, will attend 1 3-hour parent workshop on emotion coaching. Followed by 2 biweekly phone consultations with a clinical psychologist.
Receives: Behavioral: Emotion Coaching Parent Training Workshop
Waitlist Control GroupActive comparatorIn this group, questionnaires/data will be collected, but no treatment will be given. Only after they have submitted all data, then they will be invited to participate in the above Emotion Coaching parent workshop and phone consultations.
Receives: Behavioral: Waitlist Control

What is being measured

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

  1. Emotion Regulation Questionnaire (ERQ; Gross & John, 2003)

    ERQ is a self-report questionnaire designed to measure an individual's tendency to regulate their emotions in 2 ways: cognitive reappraisal and expressive suppression. There are 10 items, and each item is rated on a 7-point Likert scale of 1 (Strongly Disagree) to 7 (Strongly Agree). The scores of each scale will be calculated separately and the higher a score on a scale indicates higher tendency for the individual to use the specific method to regulate their emotions.

    Measured: Baseline, 1-month after baseline and at least 2-months after baseline

  2. Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA; Gullone & Taffe, 2011)

    ERQ-CA is adapted from the ERQ for adults to be used to measure a child's tendency to regulate their emotions on the 2 scales: cognitive reappraisal and expressive suppression. Similar to the ERQ, it has 10 items rated on a 7-point Likert Scale (from 1 (Strongly Disagree) to 7 (Strongly Agree)). Higher scores on each scale indicates higher tendency to use the corresponding method to regulate their emotions. The ERQ-CA demonstrated sound internal consistency, as well as sound construct and convergent validity (Gullone \& Taffe, 2011).

    Measured: Baseline, 1-month after baseline and at least 2-months after baseline

  3. Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer, 2004)

    DERS is a 36-item self-report questionnaire that measure the types of emotion regulation and dysregulation an individual might experience. Items are rated on a 5-point Likert scale, ranging from 1 (Almost Never) to 5 (Almost Always). The items measure how often the individual might engage in each of the behaviours or have specific thoughts. The items can be grouped into 6 subscales: nonacceptance of emotional responses, difficulty engaging in goal-directed behaviour, impulse control difficulties, lack of emotional awareness, limited access to emotional regulation strategies, and lack of emotional clarity. The scores are added up and higher scores indicate greater problems with emotion regulation. The DERS was found to have good internal consistency, test-retest reliability and adequate construct and predictive validity (Gratz \& Roemer, 2004).

    Measured: Baseline, 1-month after baseline and at least 2-months after baseline

Secondary outcomes (5)
  1. Depression Anxiety Stress Scales short version (DASS-21; Lovibond & Lovibond, 1995)

    DASS 21 is a 21-item self-report scale that measures an individual's negative emotional states of depression, anxiety and stress. Each item has 4 options ranging from 0 (did not apply to me at all) to 3 (applied to me much, or most of the time). Higher scores on each scale indicates elevated symptoms of depression, anxiety and stress respectively. The DASS-21 have shown good reliability and validity (Lovibond \& Lovibond, 1995).

    Measured: Baseline, 1-month after baseline and at least 2-months after baseline

  2. Parent Sense of Competency (PSOC; Gilmore & Cuskelly, 2008)

    PSOC is a 17-item self-report questionnaire that measure parents' satisfaction with parenting and their self-efficacy in the parenting role. The items are rated on a 6-point Likert Scale (from 1 (Strong Disagree) to 6 (Strongly Agree)). The scores are added up, and a higher score indicates a higher parental sense of competency. Good internal consistency and validity were demonstrated (Gilmore \& Cuskelly, 2008).

    Measured: Baseline, 1-month after baseline and at least 2-months after baseline

  3. Parent Relationship Questionnaire (PRQ; Kamphaus & Reynolds, 2006)

    PRQ is a 71-item questionnaire that assesses parents' perceptions of attachment, communication, discipline, involvement, confidence, satisfaction with child's school, and relational frustration. Each item is rated on a 4-point Likert scale (N = Never, S = Sometimes, O = Often, and A = Always). Parents will be asked to circle the best answer that represents their beliefs about or experiences with their child. Scores are presented in the form of T-scores. Lower scores on the Attachment, Communication, Discipline Practices, Involvement, Parenting Confidence, and Satisfaction with School scale, indicates more relationship problems. In contrast, higher scores on the Relational Frustration scale indicates more problems. PRQ was found to have good internal consistency and adequate validity (Rubinic \& Schwickrath, 2010).

    Measured: Baseline, 1-month after baseline and at least 2-months after baseline

  4. Security Scale questionnaire (SSQ; Kerns et al., 1996)

    The SSQ consists of 15-items evaluating children's view of attachment security with a particular attachment figure (e.g. mother). It employs the "Some kids. . . Other kids. . ." structure pioneered by Susan Harter (1982). For example, "Some kids are more confident trying new things after talking to their mom about it, BUT other kids do not feel more confident trying new things after talking to their mom about it". The scoring takes the summation of all items to obtain a single score on a security dimension, with higher scores indicating greater security. The scale demonstrated sound reliability and validity with alphas of .84 and .88, respectively (Kerns et al., 1996).

    Measured: BBaseline, 1-month after baseline and at least 2-months after baseline

  5. Big-Five Questionnaire for Children (BFQ-C; Barbaranelli et al., 2003)

    The BFQ-C consists of 65-items measuring the five personality factors in children: 1) openness/intellect, 2) conscientiousness, 3) extraversion/energy, 4) agreeableness, and 5) neuroticism/emotional instability. Items are rated on a 5-point Likert scale varying from 1 (almost never) to 5 (almost always). The scoring takes the summation of all items in each of the five factors, with a higher score on each factor indicating a higher score for that particular personality trait. The subscales demonstrated good internal consistency (Cronbach's alpha = .80 - .99) (Barbaranelli et al., 2003).

    Measured: Baseline only

Timeline

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

  1. First posted19 Sep 2024
  2. Study start24 May 2024
  3. Primary completion24 May 2025 (estimated)
  4. Study completion24 May 2026 (estimated)

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomly assigned to either the treatment group or waitlist control group.
Masking
Single blind
Who is masked
Participant
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06588985
Sponsor's protocol ID
NUS-IRB-2023-859
Status last verified
Sep 2024
First submitted
4 Sep 2024
Last updated
19 Sep 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Emotion Coaching Parent Training Workshop in people with Emotion Regulation, run by National University of Singapore at 1 site in Singapore.

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 4 inclusion and 2 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: status not confirmed, as of the sponsor's last update on 19 Sep 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 Singapore. 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?

Results are not available in the source record.

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

Contact Jamie Ong (65161143, psyoj@nus.edu.sg), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Emotion Regulation Questionnaire (ERQ; Gross & John, 2003) (time frame: Baseline, 1-month after baseline and at least 2-months after 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 19 Sep 2024.

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