Child-Adult Relationship Enhancement in Primary Care: Supporting Parents and Children
University of North Carolina, Chapel Hill
Summary
The purpose of this study is evaluate the effectiveness of PriCARE/CARIÑO to reduce child maltreatment, improve parent-child interactions, and reduce harsh/neglectful parenting, parent stress, and child behaviors.
Description
The primary objective of this study is to evaluate the effectiveness of PriCARE/CARIÑO to reduce investigations of suspected Child Maltreatment (CM) by Child Protective Services (CPS), and CM risk as measured by the Brief Child Abuse Potential Inventory (BCAP). The secondary objectives of this study are to measure the impact of PriCARE/CARIÑO on: 1. Parent-reported child behavior problems as assessed by the Eyberg Child Behavior Inventory (ECBI). 2. The quality of the parent-child relationship as measured by the Dyadic Parent-Child Interaction Coding System (DPICS). 3. Parenting stress as me…
Eligibility
- Age range
- 1–99 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Caregiver is age 18 years or older * Caregiver is English or Spanish Speaking * Caregiver is legal guardian of child subject * Caregiver provides informed consent * Caregiver is available to attend scheduled times of PriCARE/CARIÑO groups * Caregiver has cellular phone with text messaging capacity * Caregiver has appropriate technological tools and access to participate in virtual intervention * Child is between 18 months and 6 years old * Child receives care at participating primary care center * Child has Medicaid/Children's Health Insurance Program (CHIP)/no insurance…
Interventions
- BehavioralPriCARE/CARIÑO
PriCARE/CARIÑO is a group caregiver training program designed to improve child behaviors, caregiver-child relationships, parenting capacity, and reduce caregiver stress. Sessions occur in the primary care clinic or virtually. PriCARE/CARIÑO uses the 3 P skills (Praise, Paraphrase and Point-out-Behavior). The training starts with skills on giving attention to children's positive, pro-social behaviors, while ignoring minor misbehaviors. The second part of the training teaches skills for giving effective commands in order to set age-appropriate limits and increase compliance. PriCARE/CARIÑO includes a stress education section that contextualizes the use of these skills with the types of behaviors and problems exhibited by many children living with psychosocial adversity and familial stress. Caregivers are encouraged to practice the skills with their child in between sessions. CARIÑO is the culturally adapted version of PriCARE for Spanish speaking participants.
Locations (2)
- University of North Carolina Chapel HillChapel Hill, North Carolina
- Children's Hospital of PhiladelphiaPhiladelphia, Pennsylvania