Assessing and Addressing Behaviors in Children With Hearing Loss
| Status: | Completed |
|---|---|
| Conditions: | Cognitive Studies, Other Indications, Other Indications, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology, Other |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 2/14/2019 |
| Start Date: | April 2015 |
| End Date: | September 2016 |
Purpose:
This study is a feasibility trial of an existing evidence-based behavioral parent training
program with parents of preschool-aged children who were born deaf or hard of hearing (DHH).
The hypotheses of this study are (a) that a randomized control trial of the Family Check Up
with this population will be feasible, (b) parents will rate the intervention as acceptable,
and (c) a signal of effect will be observable among intervention group parents compared to
controls for the following outcome variables: child behaviors, parenting behaviors, and
parenting sense of competence.
This study is a feasibility trial of an existing evidence-based behavioral parent training
program with parents of preschool-aged children who were born deaf or hard of hearing (DHH).
The hypotheses of this study are (a) that a randomized control trial of the Family Check Up
with this population will be feasible, (b) parents will rate the intervention as acceptable,
and (c) a signal of effect will be observable among intervention group parents compared to
controls for the following outcome variables: child behaviors, parenting behaviors, and
parenting sense of competence.
24 participants, comprising 6 parents and their preschool-aged child with a cochlear implant
(CI; n=12) and 6 parents and their preschool-aged child with a hearing aid (HA; n=12) will be
identified and recruited at routine clinic visits through university-affiliated hearing
clinics. A dyad will consist of the child and his or her primary caregiver. Eligible
participants will include children with clinically elevated behavior problems, as determined
by having scored between the 70th and 90th percentiles on the Child Behavioral
Checklist/1.5-5 (CBCL/1.5-5).
3 HA and 3 CI dyads will be randomized to the intervention group, and 3 HA and 3 CI dyads
will be randomized to the control group. The intervention will consist of 3 Family Check-Up
sessions within one month of baseline assessment. The control condition will consist of 3
behavioral placebo session within the same time frame, in which general information about
healthy lifestyles will be presented. All intervention and control sessions will be delivered
in the patients' usual hearing clinics. Each session will last between 60 and 90 minutes. One
month post-intervention, all parent participants will complete post-test measures repeating
baseline measures, plus acceptability ratings of the intervention.
Feasibility data will be collected via process measures of recruitment, retention, and
session attendance. Acceptability will be measured with a parent-completed satisfaction
survey. Measures of parenting behaviors, parent self-efficacy, parent-satisfaction, parent
competence, child disruptive behaviors, parenting stress, and parental depression will also
be piloted in preparation for a future study.
(CI; n=12) and 6 parents and their preschool-aged child with a hearing aid (HA; n=12) will be
identified and recruited at routine clinic visits through university-affiliated hearing
clinics. A dyad will consist of the child and his or her primary caregiver. Eligible
participants will include children with clinically elevated behavior problems, as determined
by having scored between the 70th and 90th percentiles on the Child Behavioral
Checklist/1.5-5 (CBCL/1.5-5).
3 HA and 3 CI dyads will be randomized to the intervention group, and 3 HA and 3 CI dyads
will be randomized to the control group. The intervention will consist of 3 Family Check-Up
sessions within one month of baseline assessment. The control condition will consist of 3
behavioral placebo session within the same time frame, in which general information about
healthy lifestyles will be presented. All intervention and control sessions will be delivered
in the patients' usual hearing clinics. Each session will last between 60 and 90 minutes. One
month post-intervention, all parent participants will complete post-test measures repeating
baseline measures, plus acceptability ratings of the intervention.
Feasibility data will be collected via process measures of recruitment, retention, and
session attendance. Acceptability will be measured with a parent-completed satisfaction
survey. Measures of parenting behaviors, parent self-efficacy, parent-satisfaction, parent
competence, child disruptive behaviors, parenting stress, and parental depression will also
be piloted in preparation for a future study.
Inclusion Criteria:
- Parent is age 18 years or older and the custodial guardian
- The child is aged 3-5 years and lives full-time in the caregiver's home
- The child has had a hearing aid or cochlear implant for at least 6 months and is
currently being treated for hearing loss
- The child scores above the 70th but below the 90th percentile on the externalizing
subscale of the CBCL/1.5-575 (i.e., elevated level of disruptive behavior problems
without clear need for specialized behavioral services)
- Parent can speak, understand, and read English
Exclusion Criteria:
- The child has been diagnosed with a severe developmental condition (e.g., extreme
developmental delay, severe autism, or debilitating neurological conditions, for which
this intervention may not be adequate or appropriate)
- The parent already has accessed behavioral health services for the child
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