RecruitingACTRN12623000581662

An evaluation of playful discipline taught in an attachment-based parenting program

A randomised controlled dismantling study on playful discipline in an attachment-based parenting program with parents or primary caregivers in Australia


Sponsor

Southern Cross University

Enrollment

50 participants

Start Date

May 11, 2023

Study Type

Interventional

Conditions

Summary

Attachment-based parent education programs tend to be resource-intensive and have been criticised for giving vague discipline advice to address challenging child behaviour (Solter, 2013; Van Zeijl et al., 2006). Aware Parenting (Solter, 2013) is an attachment-based program that teaches responsive parenting skills including a playful discipline approach to improve child behaviour. Our previous pilot study on Aware Parenting found the approach can be delivered effectively in a single online session (Baltrotsky et al., 2022) and preliminary evidence suggested the program was associated with some improvements in parents' reports of child behaviour and parental efficacy (Baltrotsky et al., 2021). Therefore, the aim of the current study is to build upon these preliminary findings to determine the role of the playful discipline component of the Aware Parenting program. Baltrotsky, K., Grace, S., Bradbury, J., & Doran, F. (2021). Evaluation of a Brief Attachment-Based Parenting Program: Aware Parenting. [Submitted for publication]. Baltrotsky, K., Grace, S., Bradbury, J., & Doran, F. (2022). Parents' Experiences of a Brief Online Parenting Program with Playful Discipline. Child & Family Behavior Therapy, 44(3), 165-184. https://doi.org/10.1080/07317107.2022.2084596 Solter, A. (2013). Attachment Play. Shining Star Press. Van Zeijl, J., Mesman, J., Van Ijzendoorn, M. H., Bakermans-Kranenburg, M. J., Juffer, F., Stolk, M. N., & Koot, H. M. (2006). Attachment-based intervention for enhancing sensitive discipline in mothers of 1- to 3-year-old children at risk for externalizing behavior problems: A randomized controlled trial. Journal of Consulting and Clinical Psychology. https://doi.org/10.1037/0022-006X.74.6.994


Eligibility

Sex: Both males and femalesMin Age: 18 Yearss

Plain Language Summary

Simplified for easier understanding

Parenting young children aged 2–4 who show challenging behaviour can be stressful, and many parenting programs give vague guidance on discipline. This study examines a specific approach called 'Aware Parenting,' which uses playful strategies to address difficult behaviour rather than traditional discipline methods. The playful discipline approach focuses on building connection and using games, laughter, and play to redirect children's behaviour. Pilot work has already shown the program can be delivered in a single online session with some promising effects. This study will build on that by looking specifically at the playful discipline component to understand what difference it makes for parents and children. You may be eligible if you are a parent or primary caregiver living in Australia with a child aged 2 to 4 years, you are over 18, and you have not previously learned this particular parenting approach. Parents with a severe diagnosed neurodevelopmental or personality disorder that significantly affects daily life, or those currently experiencing severe depression or anxiety, would not be eligible.

This is a simplified summary. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

The study is designed as a 12-week RCT trial with an active control group. At baseline, participants in the treatment group will receive a single 3-hour introductory session (online) of the Aware Pare

The study is designed as a 12-week RCT trial with an active control group. At baseline, participants in the treatment group will receive a single 3-hour introductory session (online) of the Aware Parenting program. The program teaches parents responsive parenting skills and playful discipline. The session will be delivered by a trained Aware Parenting facilitator who is also trained in psychosynthesis. The workshop will meet in small groups of 3-10 participants. It will be a combination of lecture style (teaching to slides) and demonstrations as well as giving the participants chances to ask questions and share experiences. Some of the responsive skills parents will learn are: reasons why their child may be behaving in certain ways, such as not cooperating or crying. Reasons for misbehaviour will include that the child is lacking information or that the child has an unmet emotional or physical need. Participants in the treatment group will be taught playful discipline as both a prevention and present time remedy for challenging behaviour. Some games parent will be taught are called 'power reversal games', an example could be 'the exaggeration game' exaggerate about something that is going on. For example, if a child won’t come out of the house, the parent could pretend that you need a whole team of people to help you, and gather a team of superheroes who all try to do magic things to help him leave. Another strategy will be the use of 'present time', which is another name for 'Non-directive Child Centred Play'. At week 4, parents will be invited to a 1 hour Zoom follow-up call. At week 8 they will receive a follow-up phone call. The phone call is estimated to last 10-15 minutes. Parenting support via email, text or phone call will be provided if needed throughout the 12 weeks. Support as needed will be provided by answering parenting questions about their child's behaviour and also where they may find resources, such as websites and videos from aware parenting instructors. If the parent is struggling in any other domain (emotional, physical) they will be directed to the relevant resources available (i.e., government websites, hotlines, emergency). A psychologist will be on the team to consult with if needed. Participant adherence to the intervention will be noted in the engagement level of the follow up call and the follow up phone call. If participants do not attend one of the 3 hour sessions in the first week or 10 days of the start of the study, they will not be eligible to continue with the study. Survey data will be collected at baseline and week 12.


Locations(1)

ACT,NSW,NT,QLD,SA,TAS,WA,VIC, Australia

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ACTRN12623000581662