The purpose of the study is to determine whether parent training with the Incredible
Years Parent Program delivered in pediatric primary care decreases usage of healthcare
services for the next year when compared to annual healthcare service use during the two
years prior to the parents participating in program.

The Impact of Parent Training on the Child's Health Services

Parenting

Child Rearing

Child Behavior Problem

Pediatric health services utilization (pHSU) by children with mental health conditions
demonstrated dramatic increases between 2006 and 2011. These national trends reflecting
large increases in pHSU for mental health conditions were seen across multiple
developmental levels. Health services costs for children with mental health conditions
are estimated to be twice those for the average child. The Incredible Years® Parent
Program (IY) has a strong evidence-base supporting its effectiveness in reducing early
onset conduct problems. The overall objective of this stage 3 (T3) translational research
proposal is to conduct a pilot study of 45 pediatrician-referred parents who participate
in IY and examine the impact of IY on pHSU of their children. Pediatric HSU outcome
measures include: all-cause ED visits; in-patient hospitalizations and length of stay;
authorizations for specialist referrals; primary and acute care visits; and ED visits for
mental health conditions. The investigator's central hypothesis is that children ages 3
to 6 years with behavior concerns whose parents are referred by their pediatricians for
participation in IY will have decreased mean annual all-cause pHSU and decreased ED
visits for mental health conditions in the 12 months following IY, compared to the 24
months prior to IY participation. This is important to demonstrate because significant
financial barriers exist to integrating effective family focused prevention services like
IY into pediatric primary care settings. Demonstration of reduced pHSU is one way to
address these translational barriers. Results of this pilot study are expected to provide
preliminary data on pre- and post-intervention effect sizes; these data will be used to
demonstrate the feasibility of collecting data using existing sources of pHSU to design a
more fully powered multi-site trial with a robust comparator group.

Video-Based Parent Training Program

The Impact of Evidence-Based Parent Training on Pediatric Health Services Utilization

(1) all-cause Emergency Department (ED) visits (yes/no) and number; (2) ED visits for
mental health conditions (yes/no) and number; (3) in-patient hospitalizations (yes/no)
and number, and length of stay in days; (4) authorizations for specialist referrals from
AltaMed (yes/no) and number; (5) number of AltaMed primary care visits; (6) AltaMed acute
care visits (yes/no) and number; (7) AltaMed mental health visits (yes/no) and number;
(8) Children's Hospital Los Angeles (CHLA) specialty mental health visits (yes/no) and
number.

Principal Investigator

Raw and T-scores for Intensity [measures frequency of problem behaviors; range 36 to 252;
higher worse] and Problem [measures number of behaviors that are a problem for the
parent; range 0 to 36; higher worse] Subscales

Total raw score [measures change in frequency of child symptoms and prosocial behaviors;
range -16 to 240; higher worse].

Total raw score [measures frequency of pediatric psychosocial problems; range 0 to 70;
higher worse].

Children ages 3 to 6 years at start of group with behavior concerns whose parents are
referred by their pediatricians for participation in a video-based parent training
program from 2014 through 2018.

The Impact of Parent Training on the Child's Health Services

About this trial

Study ID

Status

Type

Placebo

Accepting

Not accepting

Trial Timing

What is this trial about?

What are the participation requirements?

Locations

Location

Status