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Trial registered on ANZCTR

Registration number

ACTRN12612000741886

Ethics application status

Approved

Date submitted

10/07/2012

Date registered

11/07/2012

Date last updated

11/07/2012

Type of registration

Retrospectively registered

Titles & IDs

Public title

Evaluating a parenting program for grandparents

Scientific title

Effects of the Triple P-Positive Parenting Program for Grandparents on grandchild behaviour and grandparent depression, anxiety, stress, and confidence with parenting.

Secondary ID [1]

Nil

Universal Trial Number (UTN)

U1111-1132-5622

Trial acronym

Linked study record

Health condition

Health condition(s) or problem(s) studied:

Grandparent parenting style

Grandparent depression

Grandparent anxiety

Grandparent stress

Grandparent confidence with parenting

Grandparent reported grandchild behaviour problems

Grandparent relationship quality with parents

Grandparent marital relationship quality

Grandparent problems over parenting

Parent reported relationship quality with grandparent

Parent reported child behaviour problems

Condition category

Condition code

Mental Health

Other mental health disorders

Mental Health

Depression

Mental Health

Anxiety

Intervention/exposure

Study type

Interventional

Description of intervention(s) / exposure

Grandparent Triple P is a nine session program, with one session provided per week. The first 6 sessions are conducted in a group setting with between 4-10 other grandparents in attendance and they are of a two hour duration. The final three sessions are individual telephone consultations with the participants. They are also provided weekly and each phone consultation has between a 20-30 minute duration.

Grandparent Triple P Program Session Details:

Session 1: Positive Grandparenting
We introduce the 6 principles of positive grandparenting and discuss causes of grandchild behaviour. We also develop goals for change.

Session 2: Helping Grandchildren Develop
We discuss the 10 positive strategies to improve grandparent-grandchild relationships.
We also discuss how to apply the strategies of descriptive praise, talk, affection, and setting a good example to the parents.

Session 3: Managing Misbehaviour
Discuss 7 strategies to manage misbehaviour.
We also discuss the stop and start routines.

Session 4: Building a Positive Parenting Team
We discuss expectations of being a grandparent, communication skills, problem solving, and using strategies to manage the emotional distress of parents. We also discuss how to use casual conversations to help share parenting strategies between grandparents and parents.

Session 5: Grandparent Survival Skills
We discuss the unhelpful emotions of stress, anxiety, depression, and anger, and how these emotions can affect the relationship with the parents, your partner, and grandchildren.
We discuss 10 different coping strategies to manage these emotions.

Session 6: Planning Ahead
We discuss how to prepare for high risk situations (e.g., situations with the parents, going shopping, etc)

Session 7 -9: Telephone Calls and Program Close
At this point the practitioner provides ongoing support to the grandparents through telephone calls. This is when the program gets tailored to the individual needs of the grandparent.
The final session can also occur as a group session. In the final session we also discuss how to maintain positive change and looking ahead for further high-risk times.

Intervention code [1]

Behaviour

Comparator / control treatment

The control group is a care as usual group. They are permitted to access any other help they would like to during the course of the intervention and follow-up period.

Control group

Active

Outcomes

Primary outcome [1]

Grandchild behaviour measued by the Eyberg Child Behavior Inventory

Timepoint [1]

Pre intervention, post-intervention, six-month follow-up.

Primary outcome [2]

Grandparent depresison, anxiety and stress, measured by the Depresion Anxiety Stress Scale (DASS-21)

Timepoint [2]

Pre-intervention, post-intervention, six-month follow-up

Primary outcome [3]

Grandparent confidence with parenting measured by the Parenting Tasks Checklist.

Timepoint [3]

Pre-intervention, post-intervention, six-month follow-up

Secondary outcome [1]

Grandparent relationship quality as measured by the Relationship Quality Index

Timepoint [1]

Pre-intervention, post-intervention, six-month follow-up

Secondary outcome [2]

Grandparent problems over parenting, measured by the Parenting Problem Checklist

Timepoint [2]

Pre-intervention, post-intervention, six-month follow-up

Eligibility

Key inclusion criteria

Grandparent reports concerns over grandchild social, emotional, or behavioural functioning. Or grandparent in the clinical range on either the depression, stress, or anxiety subscale of the DASS at screening phase. Grandparent provides at least 12 hours of care per week to grandchild. The parent consents to the involvement in the study.

Minimum age

No limit

Maximum age

No limit

Sex

Both males and females

Can healthy volunteers participate?

Yes

Key exclusion criteria

Grandparents were excluded if their grandchild had a disability and/or chronic illness, including language and speech impairment; if the grandparents or parents were currently seeing a professional for the child’s behaviour difficulties; if the grandparents were currently receiving psychological help or counselling; or if the grandparents were intellectually disabled and/or hearing impaired.

Study design

Purpose of the study

Prevention

Allocation to intervention

Randomised controlled trial

Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)

Grandparents and parents provided informed consent to participate in the study and were randomly assigned after completing assessment to either the intervention or care-as-usual condition. The primary researcher was blind to the assignment of participants to condition, with an independent researcher allocating participants.

Methods used to generate the sequence in which subjects will be randomised (sequence generation)

Randomization was implemented using a list of computer-generated random numbers and participants were assigned sequentially to condition.

Masking / blinding

Open (masking not used)

Who is / are masked / blinded?

Intervention assignment

Parallel

Other design features

Participants were stratified based on socio economic background (high vs. low) and relationship to parent (biological vs. in-law).

Phase

Not Applicable

Type of endpoint/s

Efficacy

Statistical methods / analysis

Recruitment

Recruitment status

Active, not recruiting

Date of first participant enrolment

Anticipated

1/10/2010

Actual

Date of last participant enrolment

Anticipated

Actual

Date of last data collection

Anticipated

Actual

Sample size

Target

Accrual to date

Final

Recruitment in Australia

Recruitment state(s)

Recruitment postcode(s) [1]

4067

Recruitment postcode(s) [2]

4152

Recruitment postcode(s) [3]

4272

Recruitment postcode(s) [4]

4521

Recruitment postcode(s) [5]

4170

Recruitment postcode(s) [6]

4069

Recruitment postcode(s) [7]

4035

Recruitment postcode(s) [8]

4157

Recruitment postcode(s) [9]

4210

Recruitment postcode(s) [10]

4075

Recruitment postcode(s) [11]

4006

Recruitment postcode(s) [12]

4061

Recruitment postcode(s) [13]

4053

Recruitment postcode(s) [14]

4070

Recruitment postcode(s) [15]

2485

Recruitment postcode(s) [16]

4213

Recruitment postcode(s) [17]

4507

Recruitment postcode(s) [18]

4511

Recruitment postcode(s) [19]

4066

Recruitment postcode(s) [20]

4032

Recruitment postcode(s) [21]

4019

Recruitment postcode(s) [22]

4121

Recruitment postcode(s) [23]

4171

Recruitment postcode(s) [24]

4034

Recruitment postcode(s) [25]

4064

Recruitment postcode(s) [26]

4306

Recruitment postcode(s) [27]

4011

Funding & Sponsors

Funding source category [1]

University

Name [1]

The Parenting and Family Support Centre, The University of Queensland

Address [1]

The Parenting and Family Support Centre
The School of Psychology
The University of Queensland
St Lucia 4072
Australia

Country [1]

Australia

Primary sponsor type

University

Name

The Parenting and Family Sypport Centre, The University of Queensland

Address

The Parenting and Family Support Centre
The School of Psychology
The University of Queensland
St Lucia 4072
Australia

Country

Australia

Secondary sponsor category [1]

None

Name [1]

Address [1]

Country [1]

Ethics approval

Ethics application status

Approved

Ethics committee name [1]

This research was conducted under ethical approval from the University of Queensland Behavioural and Social Sciences Ethical Review Committee in accordance with the standards required by the National Health and Medical Research Council of Australia

Ethics committee address [1]

The School of Psychology
The University of Queensland
St Lucia 4072
Australia

Ethics committee country [1]

Australia

Date submitted for ethics approval [1]

Approval date [1]

10/03/2010

Ethics approval number [1]

Summary

Brief summary

The purpose of the study is to evaluate whether Grandparent Triple P is effective in assiting grandparents supporting their grandchildren. Specifically it is hypothesised that compared to a control group, grandparents participating in Grandparent Triple P would have increased parenting self-efficacy; increased relationship satisfaction with biological son or daughter (the parent); decreased reliance on dysfunctional parenting strategies; and decreased levels of depression, stress, and anxiety. Additionally, it was hypothesised that grandparent participation in the intervention would result in positive childhood outcomes, specifically a reduction in childhood behavioural problems. The secondary hypotheses were that grandparents would experience higher marital relationship satisfaction and decreased partner conflict over parenting strategies. It was predicted that these positive treatment outcomes would be maintained at six-month follow-up. Finally, a secondary outcome hypothesized was that parents would report an increase in relationship satisfaction with the grandparents, and that parents would also report a reduction in childhood behavioural problems.

Trial website

www.pfsc.uq.edu.au/grandparents

Trial related presentations / publications

Kirby, J.N. & Sanders, M.R. (2011). Using consumer input to tailor evidence-based parenting interventions to the needs of grandparents. Journal of Child and Family Studies. Advace online publication. doi:10.1007/s10826-011-9514-8

Kirby, J.N. (2012). Bake a cake and sit down with grandma: Working with grandparents in Grandparent Triple P. Paper presented at the 14th Helping Families Change Conference. Glasgow, Scotland.

Kirby, J.N. (2011). Parenting across the lifespan: Consumer involvement in the development of a grandparenting program. Paper presented at the 13th Helping Families Change Conference. Antwerp, Belgium.

Kirby, J.N., & Sanders, M.R. (2009). Grandparents: Supporting parents and grandchildren. Poster presented at the First Joint Conference of the APS Psychology & Ageing Interest Group (PAIG) and the Royal Australia/New Zealand College of Psychiatrists (RANZCP) Faculty of Psychiatry of Old Aage (FPOA). Gold Coast, Australia.

Public notes

Contacts

Principal investigator

Name

Address

Country

Phone

Fax

Contact person for public queries

Name

James Kirby

Address

Parenting and Family Support Centre
The School of Psychology
The University of Queensland
St Luica 4072
Australia

Country

Australia

Phone

+61 7 3346 7689

Fax

j.kirby@psy.uq.edu.au

Contact person for scientific queries

Name

James Kirby

Address

Parenting and Family Support Centre
The School of Psychology
The University of Queensland
St Luica 4072
Australia

Country

Australia

Phone

+61 7 3346 7689

Fax

j.kirby@psy.uq.edu.au

No information has been provided regarding IPD availability

What supporting documents are/will be available?

No Supporting Document Provided

Results publications and other study-related documents

Documents added manually

No documents have been uploaded by study researchers.

Documents added automatically

No additional documents have been identified.

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