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NCT06145919 | RECRUITING | Behavior, Health

Parent-Child Memory Study: Improving Future Thinking Among Mothers
Sponsor:

Henry Ford Health System

Information provided by (Responsible Party):

Julia Felton

Brief Summary:

Parents of children from impoverished communities are disproportionately more likely to engage in harsh physical discipline, which can lead to serious clinical outcomes, including suicidal ideation and attempts. One mechanism linking low resource environments and maladaptive parenting strategies is maternal delay discounting, or the tendency to value smaller, immediate rewards (such as stopping children's misbehavior via physical means) relative to larger, but delayed rewards (like improving the parent-child relationship). This study will examine the efficacy of implementing a low-cost, brief intervention targeting the reduction of maternal delay discounting to inform broader public health efforts aimed at improving adolescent mental health outcomes in traditionally underserved communities.

Condition or disease

Behavior, Health

Intervention/treatment

Episodic Future Thinking (EFT)

Episodic Recent Thinking (ERT)

Phase

NA

Detailed Description:

Harsh parenting is associated with serious and costly mental health problems among youth, including substance use, mood disorders, and suicidal ideation and behaviors. Of concern, these parenting practices are most common among families from impoverished communities; however, many behaviorally-based parenting interventions do not take into account the unique mechanisms linking environmental disadvantage to parenting approaches. While the causes of harsh parenting are complex and varied, one such mechanism may be parents' tendencies to prioritize immediate rewards (such as stopping a child's misbehavior via physical punishment like spanking and hitting) relative to larger, but delayed rewards (including improved parent-child relationship quality), known as delay discounting. The aims of the current study are to conduct a Stage 1 parent-child dyad randomized control trial (RCT) (n = 72) examining the effectiveness of a brief, episodic future thinking (EFT) intervention in a community setting serving low-income mothers and additional implementation data. Participants will be randomized to receive either Episodic Future Thinking (EFT) or Episodic Recent Thinking (ERT) intervention arms. This case series will examine the efficacy of episodic future thinking (EFT) compared to episodic recent thinking (ERT) to target reduction of parenting-related delay discounting. Outcomes will evaluate the effect of EFT on reducing maternal delay discounting and harsh parenting and improving child clinical outcomes.

Study Type : INTERVENTIONAL
Estimated Enrollment : 144 participants
Masking : NONE
Primary Purpose : PREVENTION
Official Title : Parent-Child Memory Study: Improving Future Thinking Among Mothers From a Traditionally Underserved Community to Reduce Harsh Parenting and Improve Child Outcomes - A Randomized Controlled Trial
Actual Study Start Date : 2024-02-06
Estimated Primary Completion Date : 2025-08-31
Estimated Study Completion Date : 2025-08-31

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 5 Years
Sexes Eligible for Study: FEMALE
Accepts Healthy Volunteers: 1
Criteria
Parent Inclusion Criteria
  • 1. A mother and or grandmother from the Flint area with a child/grandchild between the ages of 5-10 who can provide legal consent for that child
  • 2. Self-report that they have consistent contact with the child/grandchild
  • 3. Willing to participate in the study
  • 4. Able to participate in written assessments and an intervention conducted in English
  • 5. Have a working cell phone that can receive and send text messages and be willing to receive/send text messages as part of the study
  • 6. Have a phone or device that's able to use video conferencing software if interested in virtual participation
  • Parent Exclusion Criteria
    • 1. Self-disclosed active suicidality/homicidality
    • 2. Self-disclosed current bipolar disorder, schizophrenia, or psychosis
    • 3. Self-reported current and ongoing involvement with child protective services
    • Child Inclusion Criteria
      • 1. Children must be between the ages of 5-10 and have a mother/grandmother willing to provide consent for their participation
      • 2. Willing to participate in parent-child observation sessions
      • 3. Elementary proficiency in English
      • 4. Willing to participate in study surveys
      • Child Exclusion criteria
        • 1. Self-disclosed active suicidality/homicidality
        • 2. Self-disclosed current bipolar disorder, schizophrenia, or psychosis
Parent-Child Memory Study: Improving Future Thinking Among Mothers

Location Details

NCT06145919

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How to Participate

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Locations

RECRUITING

United States, Road cancer

Mothers of Joy Institute for Parenting and Family Wellness, Inc

Flint, Road cancer, United States, 48503