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Externalizing BehaviorNCT07445867

Effectiveness Evaluation of a Comprehensive School Readiness Summer Program for Young Children At-Risk

A study testing Summer Academy in people with Externalizing Behavior, run by Florida International University 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

This study is a program evaluation or open-trial study of the effectiveness of Summer Academy, a comprehensive summer early intervention program for young children with early learning and disruptive behavior problems (based on the nationally recognized, evidence-based Children's Summer Treatment Program) living in… Read more about this study

Who is it for?
Ages 4 to 6 years
Conditions the study is for
Externalizing Behavior
What is being tested?
Summer Academy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
124 participants
Where
1 siteUnited States
Study dates
16 Mar 2016to 1 Sep 2021
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 4 to 6 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Children were:
  • transitioning to kindergarten the following school year;
  • had behavioral, learning, attention, or other social emotional difficulties, as evidenced by meeting diagnostic criteria for a behavioral or emotional disorder (e.g., Attention-Deficit/Hyperactivity Disorder, Oppositional Defiant Disorder) or qualify for special education services via an Individualized Education Program (IEP);
  • had the cognitive and language skills needed to appropriately benefit from the program; and
  • be able to attend the 7-week intervention program with weekly parent training.

Who cannot join

  • Child did not meet any of the inclusion criteria above,
  • Child was not residing with their legal guardian.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Florida International University, Center for Children and Families

    Miami, Florida, 33199

Other trials in United States

About this study

This study is a program evaluation or open-trial study of the effectiveness of Summer Academy, a comprehensive summer early intervention program for young children with early learning and disruptive behavior problems (based on the nationally recognized, evidence-based Children's Summer Treatment Program) living in at-risk community settings. The summer program, which is funded by The Children's Trust, will be held annually from June to August from Summer 2016 - Summer 2019 at an early childhood center located in the Liberty City community of Miami, FL. Our aims are to evaluate how well the program helps to prepare young children for the transition to kindergarten and measure to how well progress is maintained at six-month follow-up.

Read the detailed description

Research design

This study is a program evaluation or open-trial study of the effectiveness of FIU Summer Academy, a comprehensive summer early intervention program for young children with early learning and disruptive behavior problems (based on the nationally recognized, evidence-based Children's Summer Treatment Program) living in at-risk community settings. The summer program, which is funded by The Children's Trust, will be held annually from June to August from Summer 2016 - Summer 2019 at an early childhood center located in the Liberty City community of Miami, FL. Our aims are to evaluate how well the program helps to prepare young children for the transition to kindergarten and measure to how well progress is maintained at six-month follow-up.

There will be two phases to this study. The first phase (Phase I) will include a series of focus groups to be held annually with parents, teachers, and community stakeholders to obtain feedback on the program to determine what, if any changes, need to be made to current programming to maximize effectiveness. The second phase (Phase II), will consist of direct program evaluation.

Procedures to be used

In Phase I, we will recruit parents, teachers, and community stakeholders to participate in a 1 hour focus group to obtain feedback on the program to determine what, if any changes, need to be made to current programming to maximize effectiveness.

In Phase II, children and their families will be recruited to participate in the summer program through direct school and community referrals. Several process measures (e.g., attendance, satisfaction ratings) will be used to determine the feasibility of the intervention. Other outcome measures, obtained via multiple reports (i.e., parent, teacher, \& observations), examining children's behavioral functioning, self-regulation skills, parental involvement, and academic achievement will be used to both examine aspects of treatment integrity and the effects of the various components of the intervention.

Being tested
Summer Academy
Keywords
early intervention, Summer Treatment Program Adaptations, ADHD, externalizing behavior problems, underserved populations
Medical subject headings
Attention Deficit Disorder with Hyperactivity

What participants receive

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

  • Summer AcademyBehavioural

    Also called STP-PreK

    All children received a seven-week comprehensive school readiness program adapted from the STP-PreK program (Graziano \& Hart, 2016; Hart, Maharaj, \& Graziano, 2019) that ran from June to early August over the course of three summers. Summer Academy followed the behavioral, social-emotional, academic, and recreational intervention procedures consistent with STP-PreK, including procedures and structure of staff training and supervision, but differed in programmatic aspects in several key ways that were made to be responsive to community needs. Caregivers were required to attend weekly caregiver groups following a modified School Readiness Parent Program (SRPP; Graziano et al., 2018).

Study groups in NCT07445867
Study groupRoleWhat they receive
Summer AcademyExperimentalAll children received a seven-week comprehensive school readiness program adapted from the STP-PreK program (Graziano \& Hart, 2016; Hart, Maharaj, \& Graziano, 2019) that ran from June to early August over the course of three summers. Summer Academy followed the behavioral, social-emotional, academic, and recreational intervention procedures consistent with STP-PreK, including procedures and structure of staff training and supervision, but differed in programmatic aspects in several key ways that were made to meet the needs of the community. Caregivers were required to attend weekly caregiver groups following a modified School Readiness Parent Program (SRPP; Graziano et al., 2018).
Receives: Behavioral: Summer Academy

What is being measured

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

  1. Behavioral Functioning

    Caregivers completed the Behavior Assessment System for Children, 3rd Edition (BASC-3; Reynolds \& Kamphaus, 2018). The BASC-3 is a widely used behavior checklist that taps emotional and behavioral domains of children's functioning. The parent version used for preschool children contains 139 items.

    Measured: From enrollment until the end of intervention at 7 weeks and then again at six months follow up

  2. Behavioral Symptomatology

    Symptoms of ADHD, ODD, and Early Conduct Symptoms were measured at each time point using the parent Disruptive Behavior Disorder (DBD) Rating Scale (Pelham et al., 1992). The DBD consists of 45-items that correspond with DSM diagnostic symptomatology for ADHD-Inattention (9 items), ADHD-hyperactivity/impulsivity (9 items), ODD (8 items) and Conduct Disorder (15 items). Caregivers rate each item on a four-point scale (not at all, just a little, pretty much, very much). Items rated as pretty much or very much are considered as positive, or endorsed, symptoms.

    Measured: From enrollment until the end of intervention at 7 weeks and then again at six months follow up

  3. Behavioral Impairment

    Caregivers completed the Impairment Rating Scale (IRS; Fabiano, et al., 2006) at all three assessment time points. The IRS measures the severity of impairment caused by children's difficulty across several domains of functioning (e.g., academic functioning, family functioning, relationships parents, overall) on a 7-point scale, ranging from 0 (no impairment) to 6 (extreme impairment).

    Measured: From enrollment until the end of intervention at 7 weeks and then again at six months follow up

  4. Pre-academic skills

    Through direct child testing, pre-academic skills were measured at each time point using the Bracken School Readiness Assessment (BSRA; Bracken, 2002). The BRSA is a measure for children pre-k to 2nd grade and assesses several school readiness domains (i.e., receptive knowledge of colors, shapes, numbers, letters, and spatial/size relations).

    Measured: From enrollment until the end of intervention at 7 weeks and then again at six months follow up

  5. Executive functioning

    At each time point, the Head-Toes-Knees-Shoulders task (HTKS; Ponitz et al., 2009) was administered. The HTKS is a tool to objectively measure executive functioning executive functioning skills in preschool children. The HTKS has been widely used with good psychometrics (Ponitz et al., 2009; Wanless et al., 2011) and validated in a sample of preschool children with externalizing behavior problems (Graziano et al., 2015). The HTKS task prompts children to perform paired behavioral responses in the opposite way (e.g., when I say "touch your head" touch your toes). Scores range from 0 to 60, with 2 points for initial accurate opposite responses, 1 point for self-corrected responses, and 0 points for inaccurate responses. Higher scores indicate more developed executive functioning skills.

    Measured: From enrollment until the end of intervention at 7 weeks and then again at six months follow up

  6. Parenting Practices

    The Alabama Parenting Questionnaire-Preschool Version (APQ-PR; Shelton, Frick, \& Wootton, 1996) will be completed at each time point and consists of 42 items that are designed to measure parenting practices across five domains: parental involvement, positive parenting, poor monitoring/supervision, inconsistent discipline, and corporal punishment. Ratings of the items are made on a 5-point scale (never, almost never, sometimes, often, always). The APQ has good psychometric properties, including criterion validity in differentiating clinical and nonclinical groups (Frick, Christian, \& Wootton, 1999; Shelton et al., 1996) and has been used with parents of children as young as three years of age (Clerkins, Marks, Policaro, \& Halperin, 2007).

    Measured: From enrollment until the end of intervention at 7 weeks and then again at six months follow up

  7. Parenting Stress

    The Parenting Stress Index-Short Form (PSI-SF; Abidin, 1983) will be completed at each time point and is a 36-item self-report instrument for parents of children ages 1 month to 12 years containing three subscales (Parent Distress, Parent-Child Dysfunctional Interaction, Difficult Child) with Cronbach's alphas of .87, .80, and .85, respectively, and 6-month test-retest reliabilities of 0.85, 0.68, and 0.78, respectively (Abidin, 1983). The PSI and the PSI-SF total scores are highly correlated with one another (.94). On the long form of the PSI, higher scores have been associated with increased severity of conduct-disordered behavior (Eyberg, Boggs, \& Rodriguez, 1992; Ross, Blanc, McNeil, Eyberg, \& Hembree-Kigin, 1998). The PSI-SF will be used to assess the effects of PCIT on parent stress.

    Measured: From enrollment until the end of intervention at 7 weeks and then again at six months follow up

  8. Parent-Child Interaction

    The Dyadic Parent-Child Interaction Coding System-Third Edition (DPICS-III; Eyberg, Nelson, Duke, \& Boggs, 2005) is a behavioral coding system that measures the quality of parent-child interactions during three 5-minutes standard situations that vary in the degree of parental control (i.e., child-led play, parent-led play, and clean-up), as well as during during a shared-reading task. The convergent and discriminative validity of the DPICS categories have been extensively documented and the psychometric data are summarized in the DPICS manual (Eyberg et al., 2004). A copy of the DPICS-III manual is not included with this proposal due to its extremely large size (260 pages). The manual is not given to participants; it is only used when coding the videotaped parent-child interactions. The manual is available on line at www.pcit.org for review. For the current study, parent and child behaviors will be measured to examine changes in the parent-child relationship and literacy engagement.

    Measured: From enrollment until the end of intervention at 7 weeks and then again at six months follow up

Secondary outcomes (1)
  1. Parent perceptions of education

    The Parent Perceptions of Education is a 38-item measure comprised of five previously developed scales (Hoover-Dempsey \& Sandler, 2005; Walker, Wilkins, Dallaire, Sandler, \& Hoover-Dempsey, 2005) will be completed by parents pre- and post-intervention to assess the following aspects of parental role in the facilitation of early learning: (a) parents' beliefs about their efficacy for helping their children succeed in school; (b) parents' beliefs about involvement in the child's education; (c) parents' beliefs about personal knowledge and skills for involvement in the child's education; (d) parents' perceptions about how much time and energy they perceive they have for engaging in school related activities; and (e) parent's attraction to or general disposition toward schools, based on his or her prior personal experience with schools.

    Measured: From enrollment until the end of intervention at 7 weeks and then again at six months follow up

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 2026
  2. Study start16 Mar 2016
  3. Primary completion1 Sep 2020
  4. Study completion1 Sep 2021

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
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
124 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07445867
Sponsor's protocol ID
IRB-16-0101
Status last verified
Feb 2026
First submitted
20 Feb 2026
Last updated
3 Mar 2026
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 Summer Academy in people with Externalizing Behavior, run by Florida International University 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 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: finished, as of the sponsor's last update on 3 Mar 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?

Behavioral Functioning (time frame: From enrollment until the end of intervention at 7 weeks and then again at six months follow up). The study lists 8 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 3 Mar 2026.

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