About this trial
The aim of the proposed study is to create and test a modified version of the SHS intervention for Latinx families in Southwest Michigan. We will partner with three nearby Latinx resource centers in addition to a Head Start program that provides preschool to a large number of Latinx families. The project will use an iterative approach to modifying the intervention and will occur in five steps. In step 1, we will conduct focus groups with caregivers and staff from the 3 Latinx resource centers to identify changes to make to the intervention materials. In step 2, we will make modifications to the program materials. In step 3, we will conduct additional focus groups to seek feedback about the revised program materials. In step 4, we will pilot test the revised program materials, and in step 5 we will conduct the RCT of the modified program materials with caregivers of children ages 2-5. We will examine the effect of the modified intervention on caregivers' supervision of their children (using self-reports and observations) and on children's minor injury frequency.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Spanish speaking caregiver of child ages 15 months to 5 years old.
Disqualifiers
child of caregiver has pervasive develomental disorder, is blink, or deaf.
Trial design
Parallel
Treatments tested in this trial
SHS
BehavioralGroup-based and video-based intervention to teach caregivers of young children how to supervise their children more closely to prevent unintentional injuries.
Parenting group
BehavioralThis intervention was designed to teach caregivers about evidence-based behavioral methods to manage common child behavior problems.
Treatment groups
Trial outcomes
Primary outcomes
Supervision Behavior
Caregivers will complete the Computerized Supervision Observation Measure (CSOM), which is a 20-minute observational measure of supervision that was created by Dr. Morrongiello (Morrongiello et al., 2010). The measure assesses the frequency with which caregivers verbally intervene to address risky child behavior (e.g., climbing on a dresser) as well as the type of verbal comment that they make (e.g., prohibitions, directives, or teaching comments). Each parent will view a videotape of a young child (same sex as their own) in a naturalistic home setting. The video will show a child moving throughout the home playing in different areas (living room, kitchen). Parent responses will be coded to rate the degree to which they respond effectively to children' engagement in risky behavior. Coding categories include: prohibitions or threats (e.g., don't do that"), directions or control statements (e.g., "you can put that over there") and teaching/explanations (e.g., "that's hot).
Parent Supervision Attributes Profile Questionnaire (PSAPQ)
The PSAPQ will be administered at baseline, immediately post-intervention, and at 1 month post-intervention. The PSAPQ is a measure of parents' supervision practices and beliefs (Morrongiello \& Corbett, 2006; Morrongiello \& House, 2004). It is comprised of 29 items organized into 4 subscales (protectiveness, supervision, tolerance for risk taking, and belief that fate determines a child's injury risk). Caregivers use a 5-point Likert scale (1= strongly disagree, 5 = strongly agree) to rate the extent to which they agree with items assessing their supervision attitudes and behaviors (e.g., I let my child take some chances in what he/she does; I have my child within reach at all times). The minimum score on the scale is 29, and the maximum score is 145. Higher scores indicate engagement in higher levels of supervision and greater beliefs about the importance of protecting children from injuries.
Secondary outcomes
Injury Frequency Interview
The Injury Frequency Interview is a a structured interview that will be used to assess children' frequency of unintentional injuries throughout the study. An injury will be defined as any unintentional event that caused a physical injury that could be seen (e.g., bruise) or felt (e.g., sprain) by the child or caregiver for a minimum of 1 hour (cf. Morrongiello et al., 2004a). The interviews will be conducted during 5-minute weekly telephone calls that will be completed with caregivers who are enrolled in the study. Weekly reporting is appropriate because minor injuries are difficult to recall over a longer time period (Cummings et al., 2005). Caregivers will be provided with an injury recording sheet to assist with recall during the phone interviews. This study will assess minor injuries because medically attended injuries are a low base rate phenomena and research supports the validity of minor injury assessments as a proxy of more severe or medically attended injuries (Karazsia et a
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