Comparative Effectiveness Trail to Reduce Child Maltreatment, Improve Client Outcomes and Examine Client Burden
Completed · Not applicable
Conditions studied: Child Maltreatment
In brief
In child welfare services, structured behavioral parenting programs have been documented to reduce important child-welfare outcomes, including child maltreatment recidivism.1-3 In this study, we attempt to learn which factors impacted implementation of an evidence-based practice (EBP) in a diversity of child-welfare serving sites and systems. The primary aim of this study was to identify and assess barriers and facilitators of implementation of a structured behavioral parenting program (SC). We utilized a qualitative research strategy that included semi-structured interviews and focus groups with several levels of staff responsible for implementing the model: program administrators, supervisors, and frontline staff (providers). Our second aim was to understand parent and provider reactions to SafeCare (SC) services and Supportive Case Management (SCM), especially parents' perceptions related to trajectory of burden, engagement, satisfaction, and perceived impact across intervention receipt. We employed mixed methods (both quantitative and qualitative data collection) to inform this question. Specifically, we (1) conducted qualitative interviews with families at two time points during the course of service, (2) collected session-by-session ratings from families on service reaction (perceived burden satisfaction, perceived effectiveness) and providers on family engagement, and (3) collected organizational environment surveys from providers at two time points. The final aim of this study wass to examine the short-term impact of SC versus SCM on client-centered outcomes. Quantitative surveys collected in the family's home at the beginning and end of services measured parenting variables, parent mental health and well-being, and child behavioral, social, and emotional well-being.
Key facts
- Study ID
- NCT02549287
- Run by
- Daniel Whitaker
- People needed
- 289
- Starts
- 2015-09-01
- Expected to finish
- 2018-05-01
- Last updated by the study team
- 2020-01-13
Who can join
Age: 18 and older, up to 65. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- Home Visitors: Home Visitors who are providing Supportive Case Management or being trained in SafeCare.
- Parents: English or Spanish speaking parents with a child between the ages of 0-5 years who are receiving services from a participating site.
You may not qualify if…
- Parents under the age of 18, who have no children under the age of 6 years, or do not speak English or Spanish will be excluded from this study.
Where it is running
- Southwest Iowa Family Access Center — Council Bluffs, Iowa, United States
- Children & Families of Iowa — Des Moines, Iowa, United States
- Mid Iowa Family Therapy Center — Des Moines, Iowa, United States
- Four Oaks — Iowa City, Iowa, United States
- Families First — Waterloo, Iowa, United States
Full record on ClinicalTrials.gov
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