About this trial
Deficits in executive functioning (EF) disproportionately impact children living in poverty and increase risk for psychopathology, particularly disruptive behavior disorders. This randomized clinical trial seeks to determine whether childhood EF, assessed across neural and behavioral units of analysis, is an experimental therapeutic target that can be directly modified through caregiver participation in the Chicago Parent Program (CPP), if increases in EF predict reduced disruptive behavior trajectories in low-income children over a short-term follow-up period, and identify which CPP-driven parenting skill improvements are the most influential in modifying EF. This work will contribute new knowledge as to whether a cost-efficient parenting intervention, developed for and with low-income families raising young children in poverty, can modify EF, a neural behavioral mechanism implicated in risk for childhood disruptive behavior problems.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Children must be between the ages of 4 years old and 5 years, 11 months old
Parent must be the legal guardian of the target child and must live with the child full-time
Parents will be 18 years and older (no maximum age limit)
Only one child and one parent per family can participate in the study
Disqualifiers
Child is not between the ages of 4-5 years old
The parent is not the legal guardian of the target child
The parent does not live with the child full-time
The parent is younger than 18 years old
Trial design
Parallel
Treatments tested in this trial
Chicago Parent Program
BehavioralChicago Parent Program is an evidence-based group parenting intervention designed to reduce disruptive behavior in young children (2-8 years old).
Treatment groups
Trial outcomes
Primary outcomes
Behavior Rating Inventory of Executive Function-Preschool Version (BRIEF-P)
Parents will complete the BRIEF-P to assess their child's executive functioning, and the Global Executive Composite score will be used in the analysis.
NIH Toolbox Early Childhood Cognitive Battery
Children will be administered the NIH Toolbox Early Childhood Cognitive Battery to assess their executive functioning.
EEG-Based indices of EF
Children will complete the Zoo Go/No-Go computerized task while EEG is simultaneously recorded. Event-related potential components that index EF and theta spectral power and error-related interchannel phase frequency between frontocentral and frontolateral regions, will be used in the analyses.
Secondary outcomes
Child Behavior Checklist (CBCL, 1.5-5)
Parents will complete the Child Behavior Checklist in order to assess children's disruptive behavior symptoms.
Eyberg Child Behavior Inventory (ECBI)
Parents will complete the Eyberg Child Behavior Inventory in order to assess children's disruptive behavior problems.
Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS)-COMPUTER (COMP)
Parents will be administered the clinician administered the K-SADS-COMP, which is a web-based semi-structured interview to assess children's disruptive behavior symptoms and to determine if children meet criteria for a disruptive behavior disorder.
Other outcomes
Home EF Environment (HEFE)
Parents will complete the Home EF Environment questionnaire to assess parental use of scaffolding practices with their child at home.
Parenting Dimensions Inventory (PDI)
Parents will complete the Parenting Dimensions Inventory to assess parental use of different disciplinary practices across various child-rearing situations and parental nurturance.
Parenting Questionnaire (PQ)
Parents will complete the Parenting Questionnaire to assess parental warmth, follow-through on discipline, and use of corporal punishment.
Iowa Family Interaction Rating Scales (IFIRS)
Parents will engage in three interaction tasks (Grocery Store Task, Free-Play, Clean-up) with their child during the laboratory visits, which will be video recorded for later coding of parenting behaviors (warmth, sensitivity, harsh discipline, scaffolding) using subscales adapted from the Iowa Family Interaction Rating Scales (IFIRS).
Sponsors and contacts
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University of Illinois at Chicago
Lead sponsor
National Institute of Mental Health (NIMH)
Collaborator
National Institutes of Health (NIH)
Collaborator