About this trial
The goal of this clinical trial is to see if 12 sessions of a Parent Management Training program can treat irritability in children aged 10-14 years old. The main question it aims to answer are:
* Can a Parent Management Training for parents reduce anger outbursts and cranky moods in their children? * Can Parent Management Training be done in an outpatient clinic and do parents like it?
Up to 24 families can join this study.
Parent participants will complete 12 sessions of Parent Management Training for Irritability. Each session will be 45-55 minutes weekly. They will also participate in the assessments of their child before, during and after treatment.
Child participants will do assessments before, during and after the Parent Management Training treatment.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
clinically significant irritability (Clinician Affective Reactivity Index 30 or greater)
parent or guardian with whom the child resides for at least 50% of the time is willing to participate in treatment with the child
Disqualifiers
psychiatric instability (danger to self/others, risky substance abuse)
current active Post-Traumatic Stress Disorder (PTSD) or a severe active stressor (e.g. child abuse)
history of severe psychopathology with an established alternate treatment (e.g. autism spectrum disorder, bipolar disorder, schizophrenia, intellectual disability)
general medical condition that may be driving irritability or prevent generalizable physiologic measures.
Trial design
Single group
Treatments tested in this trial
Parent Management Training
Behavioraldeveloping parenting skills and competencies dealing with oppositional and irritable behaviors in the child.
Treatment groups
Trial outcomes
Primary outcomes
Demonstrate the feasibility of Parent Management Training (PMT) procedures
The study team will implement a PMT protocol with fidelity and acceptability assessments. The Working Alliance Inventory (WAI) (revised short form) will be used by the clinician and the parent to rate engagement in treatment after each PMT session. There are no established benchmarks for this measure, but it will provide information about the acceptability of the treatment by rating the alliance between the therapist and the parent.
Secondary outcomes
Change in irritability
Participants will report a decrease in irritability as measured by the Revised Affective Reactivity Index-Clinician (ARI-CL). The ARI-CL rates temper outbursts, irritable moods and impairment. Total scores range from 0-50, with a score over 30 indicating severe clinical irritability and lower scores indicating lower irritability.
Sponsors and contacts
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University of Colorado, Denver
Lead sponsor
Children's Hospital Colorado
Collaborator