Study of prevention programs for parents of adolescents with antisocial behavior

ISRCTN ISRCTN76141538
DOI https://doi.org/10.1186/ISRCTN76141538
Secondary identifying numbers N/A
Submission date
14/12/2011
Registration date
02/02/2012
Last edited
24/02/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims:
Adolescent antisocial behavior is known to lead to psychosocial difficulties during adolescence and adulthood. A way to reach at-risk adolescents is through the parents. Parent training has shown to be effective in changing the child’s behavior and mental health during adolescence. In this study, two parent programs are compared, ParentSteps and Comet, which target parents of at-risk adolescents aged 12 - 18 years. The aims of the programs are to train parents to help their adolescents to change their problem behavior, and to teach parents to encourage pro-social behavior. The aim of the study was to find out if either of the programs is effective in decreasing the levels of antisocial behaviour, such as substance use and delinquency, and in increasing the levels of social functioning.

Who can participate?
Two-hundred and forty families and adolescents participated in the study. Only families where the parent reported a certain level of antisocial behaviour in the adolescent could participate.

What does the study involve?
Families where randomly allocated to one of the following groups for training sessions:
1. ParentSteps
2. Comet
3. Six months waiting list control group.
Only parents participated in the parent training sessions, but both parents and adolescents answered questionnaires about the adolescents’ problem behaviour.

What are the possible benefits and risks of participating?
Parents could participate in training for free, exchange parental experiences with others in the group, and improve parental skills and techniques to change the adolescents' problem behaviour.
Youths would benefit from improved family relations. There were no known risks associated with participating in this study.

Where is the study run from?
Stockholm Centre for Psychiatric Research and Education, Sweden

When is the study starting and how long is it expected to run for?
August 2008 to June 2010

Who is funding the study?
Swedish Ministry of Health and Social Affairs and the Swedish National Board of Health and Welfare.

Who is the main contact?
Camilla Jalling
camilla.jalling@sll.se

Contact information

Dr Anders Tengstrom
Scientific

Research Centre for Psychosocial Health at Stockholm Centre for Psychiatric Research and Education
Stockholm County Council Health Care Provision and Karolinska Institutet
Danderyds sjukhus
Hus 40, Plan 1
Danderyd
182 87
Sweden

Email anders.tengstrom@ki.se

Study information

Study designRandomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typePrevention
Participant information sheet Not available in web format, please contact Camilla Jalling at camilla.jalling@sll.se to request the patient information sheet
Scientific titleEffectiveness of two parent training programs for reducing adolescent's antisocial behavior: a randomized controlled trial
Study hypothesisBoth the intervention groups, who were assigned to receive either ParentSteps or Comet, will get decreased levels of antisocial behaviour, compared to control group, and increased levels in psychosocial functioning.
Ethics approval(s)Regional Ethical Board, Karolinska Institute, Stockholm, 25/06/2008, ref: 2008/744-31/5
ConditionAntisocial behavior and low psycho-social functioning
InterventionTwo intervention groups (Comet and ParentSteps) and a waiting list control group:

Two parent training programs, based on Swedish modified versions of Parent Management Training (Comet), and Strengthening Families Program for parents and youths 10-14 (SFP10-14) (ParentSteps).

The Comet program format is held by two certified group leaders in nine compulsory sessions and one optional within six months after last session.

ParentSteps program format comprises of six compulsory sessions lead by two trained leaders.

Data were collected at baseline, and at six and twelve months after baseline, by both parents and adolescents. The control group was measured at only baseline and the six-month follow-up.
Intervention typeBehavioural
Primary outcome measureAdolescent externalizing behavior, using:
1. Adolescent Self-Report Delinquency Scale (SRD) to measure the quantity of criminal activities during the last six months, on a 0 to 9 times or more numerical scale
2. Youth Self-Report (YSR/CBCL) to describe externalized and internalized anti-social behavior based on the preceding six months, on a 3-point Likert scale ( 0=not true, 1=somewhat or sometimes true, 2=very true or very often true). For parents, the parent version CBCL was used for assessing parents’ reports of their adolescents’ anti-social behavior
3. Alcohol Use Disorder Identification Test (AUDIT) for measuring alcohol risk consumption
4. Drug Use Disorder Identification Test (DUDIT) for measuring drug consumption
Secondary outcome measuresAdolescent psychosocial functioning, using:
Youth Outcome Questionnaire (Y-OQ®), adolescent and parent version, based on the preceding seven days, to assess treatment progress concerning psychosocial and mental functioning, rated on a 5-point Likert scale
Overall study start date20/08/2008
Overall study end date20/06/2010

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit12 Years
Upper age limit18 Years
SexBoth
Target number of participants240
Participant inclusion criteria1. Parents or other caregiver, and their adolescent aged 12-18
2. Living in Stockholm
3. Youth showing signs of antisocial behavior (ex criminal activities, mobbing others, repeated conflict about family rules, substance use (alcohol, tobacco and/or drugs)
4. Youth showing signs of low psychosocial functioning
Participant exclusion criteriaYouth should not:
1. Be in psychotherapy
2. Be in treatment at alcohol treatment care center
3. Be placed in institution or family home, at the time for signing up for participation in the trial
4. Parents could not be in any other parental program at the time for signing up for particiaption in the trial
Recruitment start date20/08/2008
Recruitment end date20/06/2010

Locations

Countries of recruitment

  • Sweden

Study participating centre

Research Centre for Psychosocial Health at Stockholm Centre for Psychiatric Research and Education
Danderyd
182 87
Sweden

Sponsor information

Stockholm Prevents Alcohol and Drug Problems (STAD) (Sweden)
Government

Centrum för Psykiatriforskning Stockholm
Stockholm Centre for Psychiatric Research and Education
Stockholms läns sjukvårdsområde/Karolinska Institutet
Box 6031
Stockholm
102 31
Sweden

Funders

Funder type

Government

The National Drug Policy Coordinator, Ministry of Health and Social Affairs (Sweden)

No information available

Socialstyrelsen (ref: 00-106/08-4)
Government organisation / National government
Alternative name(s)
National Board of Health and Welfare
Location
Sweden
Stockholm City Council, Stockholm FoU within Social Development Unit (Sweden)

No information available

Swedish Council for Information on Alcohol and Other Drugs/Systembolaget Research Board (Sweden) ref: 10-28:1

No information available

Swedish Council for Working life and Social Research (FAS) (Sweden) ref: 2009-1705
Private sector organisation / Other non-profit organizations
Alternative name(s)
Swedish Council for Working Life and Social Research, FAS
Location
Sweden

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/07/2016 Yes No

Editorial Notes

24/02/2016: Publication reference added.