RecruitingACTRN12609000710224

Reducing Externalising Behaviour Problems in Children with Type 1 Diabetes: A Controlled Evaluation of the Triple P-Positive Parenting Program.

Children with Type 1 Diabetes: evaluating the Triple P Positive Parenting Program compared to Standard Diabetes Care for reducing externalising behaviour problems.

Sponsor

Murdoch Children’s Research Institute

Enrollment

80 participants

Start Date

Aug 1, 2008

Study Type

Interventional

Conditions

Type 1 Diabetes and externalising behaviour problems

Summary

The purpose of this project is to test the usefulness of a parenting program in reducing and/or preventing behaviour problems and improving metabolic control in children who have developed diabetes in the past couple of years. If the program is helpful, we hope that this will improve the emotional and physical wellbeing of these children in the future. Previous research has shown that children who have behaviour problems before, or soon after they develop diabetes, are at an increased risk for ongoing emotional difficulties, as well as being more likely to have poorly controlled diabetes. We plan to invite the families of children who have diabetes and behaviour problems to take part in this project. Half of these families will be offered a parenting program and the other half will receive the standard care from the Diabetes Clinic. We are also interested in finding out whether this parenting program may prevent behaviour problems developing in the future. We also plan to invite families of children who have diabetes and do not have behaviour problems to take part. Half the families will take part in the parenting program and half will receive the standard care. This will allow us to see whether the parenting program can prevent the development of behaviour problems in children who do not have problems at the moment. We are hoping 80 families will take part in this project.

Eligibility

Sex: Both males and femalesMin Age: 4 YearssMax Age: 12 Yearss

Plain Language Summary

Simplified for easier understanding

This study is testing whether a well-known parenting program called Triple P (Positive Parenting Program) can reduce behaviour problems and improve blood sugar control in children aged 4 to 12 who have Type 1 diabetes. Children with diabetes and behaviour problems are at higher risk of having difficulty managing their condition as they grow up. The study will include families of children both with and without behaviour problems, to see whether Triple P can both treat existing problems and prevent new ones from developing. Half of the families will receive the Triple P program, and the other half will receive standard diabetes clinic care. You may be eligible if your child: - Is between 4 and 12 years old - Has been diagnosed with Type 1 diabetes for at least 6 months and attends the Royal Children's Hospital Melbourne Diabetes Clinic - Has or does not have significant emotional or behaviour problems (both groups are being recruited) Your child may NOT be eligible if: - The child's mother has significant depression (as measured by a standardised questionnaire) - The child has a developmental disorder such as autism spectrum disorder - The child attends a special education school or requires integration aide assistance - Your family does not speak English - The child has complex medical conditions in addition to diabetes (such as cystic fibrosis or cancer) Talk to your doctor about whether this trial might be right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

Triple P Positive Parenting Intervention: Following Sanders (1999), parents randomly assigned to this condition will be taught 17 core child management strategies. Ten of the strategies are designed to promote children’s competence and development (i.e., quality time; talking with children; physical affection; praise; attention; engaging activities; setting a good example; ‘Ask’, ‘Say Do’; incidental teaching; and behaviour charts), and 7 strategies are designed to help parents manage misbehaviour (i.e., setting rules; directed discussion; planned ignoring; clear, direct instructions; logical consequences; quiet time; and time out). Parents will further be taught a six-step planned activities routine to enhance the generalization and maintenance of parenting skills (i.e., plan ahead, decide on rules, select engaging activities, decide on rewards and consequences, and hold a follow-up discussion with child). Each family will receive *Every Parent (Sanders, 1992) and a workbook, *Every Parent’s Family Workbook (Markie-Dadds, Sanders, & Turner, 2001). Parents will also receive active skills training and support from a trained practitioner (Liz Westrupp) as described by Sanders and Dadds (1993). Active skills training methods will include modelling, role-plays, feedback, and the use of specific homework tasks. On average, parents will attend approximately 10 individual appointments with the practitioner and complete approximately 10 hours of intervention in this condition.

Locations(1)

Australia

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ACTRN12609000710224