Participant Satisfaction in a Study of Stimulant, Parent Training, and Risperidone in Children with Severe Physical Aggression

Rundberg-Rivera, E. Victoria; Townsend, Lisa; Schneider, Jayne; Farmer, Cristan; Molina, Brooke B.S.G.; Findling, Robert L.; Gadow, Kenneth D.; Bukstein, Oscar G.; Arnold, L. Eugene; Kolko, David J.; Buchan-Page, Kristin A.; McNamara, Nora; Michel, Chenel; Austin, Adrienne B.; Kipp, Heidi; Rice, Robert R.; Aman, Michael G.

doi:10.1089/cap.2014.0097

Cited by 9 publications

(6 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar to prior studies of parent study satisfaction [ 2 , 5 – 7 , 21 ], most TEDDY parents were very satisfied with their study participation; over 45% of mothers and over 38% of fathers had the highest possible satisfaction score after 1 year and 4 years in the study. DPT-1 [ 12 , 13 ] used the same questions to measure satisfaction as in this study and their results were similar to ours with high parental satisfaction among both mothers and fathers.…”

Section: Discussionsupporting

confidence: 77%

“…This dearth of literature is particularly noteworthy in pediatric populations. Published studies of parent satisfaction focus mostly on the child’s care or specific aspects of a study [ 2 – 6 ], but studies of parents’ overall satisfaction with a study in which their child is enrolled are limited. The studies that do exist suggest that most participating parents will recommend the study to others and are willing to participate in a new study [ 2 , 5 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Is staff consistency important to parents’ satisfaction in a longitudinal study of children at risk for type 1 diabetes: the TEDDY study

et al. 2022

View full text Add to dashboard Cite

Background Participants’ study satisfaction is important for both compliance with study protocols and retention, but research on parent study satisfaction is rare. This study sought to identify factors associated with parent study satisfaction in The Environmental Determinants of Diabetes in the Young (TEDDY) study, a longitudinal, multinational (US, Finland, Germany, Sweden) study of children at risk for type 1 diabetes. The role of staff consistency to parent study satisfaction was a particular focus. Methods Parent study satisfaction was measured by questionnaire at child-age 15 months (5579 mothers, 4942 fathers) and child-age four years (4010 mothers, 3411 fathers). Multiple linear regression analyses were used to identify sociodemographic factors, parental characteristics, and study variables associated with parent study satisfaction at both time points. Results Parent study satisfaction was highest in Sweden and the US, compared to Finland. Parents who had an accurate perception of their child’s type 1 diabetes risk and those who believed they can do something to prevent type 1 diabetes were more satisfied. More educated parents and those with higher depression scores had lower study satisfaction scores. After adjusting for these factors, greater study staff change frequency was associated with lower study satisfaction in European parents (mothers at child-age 15 months: − 0.30,95% Cl − 0.36, − 0.24, p < 0.001; mothers at child-age four years: -0.41, 95% Cl − 0.53, − 0.29, p < 0.001; fathers at child-age 15 months: -0.28, 95% Cl − 0.34, − 0.21, p < 0.001; fathers at child-age four years: -0.35, 95% Cl − 0.48, − 0.21, p < 0.001). Staff consistency was not associated with parent study satisfaction in the US. However, the number of staff changes was markedly higher in the US compared to Europe. Conclusions Sociodemographic factors, parental characteristics, and study-related variables were all related to parent study satisfaction. Those that are potentially modifiable are of particular interest as possible targets of future efforts to improve parent study satisfaction. Three such factors were identified: parent accuracy about the child’s type 1 diabetes risk, parent beliefs that something can be done to reduce the child’s risk, and study staff consistency. However, staff consistency was important only for European parents. Trial registration NCT00279318.

show abstract

Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Is staff consistency important to parents’ satisfaction in a longitudinal study of children at risk for type 1 diabetes: the TEDDY study

et al. 2022

View full text Add to dashboard Cite

show abstract

“…A meta-analysis identified brief interventions including motivational interviewing and discussions of barriers to seeking care (e.g., transportation, resistance to treatment) as being effective in enhancing early engagement in treatment (Ingoldsby 2010). Importantly, parent participants of the TOSCA study reported high levels of satisfaction with the PT component of the trial with 71% rating PT as very helpful (Rundberg-Rivera et al 2015).…”

Section: Discussionmentioning

confidence: 99%

Attendance and Engagement in Parent Training Predict Child Behavioral Outcomes in Children Pharmacologically Treated for Attention-Deficit/Hyperactivity Disorder and Severe Aggression

Joseph

Farmer

Kipp

et al. 2019

Journal of Child and Adolescent Psychopharmacology

Self Cite

View full text Add to dashboard Cite

Objectives: We examined the association of parent training (PT)-related factors with therapeutic success in the Treatment of Severe Childhood Aggression (TOSCA) study. Our aims were (1) to evaluate demographic and clinical characteristics as predictors of parent attendance and engagement in PT and (2) to examine the associations of parent attendance and engagement in PT with study-targeted child behavior outcomes (i.e., attention-deficit/hyperactivity disorder [ADHD] and disruptive behavior symptoms). TOSCA was a randomized clinical trial evaluating the effect of placebo versus risperidone when added to PT and psychostimulant for childhood ADHD with severe aggression. Methods: Data for 167 parents and children 6-12 years old with ADHD, oppositional defiant disorder (ODD) or conduct disorder, and severe physical aggression were examined. Analyses used generalized linear models. Results: Most parents (72%) attended seven or more of nine sessions. The average parental engagement, that is, the percentage of PT elements fully achieved across participants and sessions, was 85%. The average therapist rating of goal completion was 92%. Parents of non-white and/or Hispanic children (p = 0.01) and children with lower intelligence quotient (p = 0.02) had lower PT attendance; parents with lower family incomes (p = 0.01) were less engaged. Attendance and engagement predicted better scores on the primary child behavior outcomes of disruptive behavior (Nisonger Child Behavior Rating Form Disruptive Behavior Total) and ADHD and ODD symptoms, adjusting for baseline severity. Conclusions: When the clinical picture is sufficiently severe to warrant prescribing an atypical antipsychotic, PT is feasible for families of children with ADHD and co-occurring severe aggression. The promotion of attendance and engagement in PT is important to enhance clinical outcomes among this challenging population. Methods for overcoming barriers to participation in PT deserve vigorous investigation, particularly for those with low family income, non-white race, Hispanic ethnicity, or when children have lower cognitive level.

show abstract

“…Equally important was the failure of our proactive and reactive aggression measure to moderate outcomes. Finally, Rundberg-Rivera et al (2015) surveyed 150 of the participating families and reported remarkably high levels of satisfaction with the research experience (e.g., 98% said that they would recommend the study to other parents of children having similar difficulties). Parents enthusiastically endorsed the PT provided, and it seemed to be an important part of the TOSCA experience.…”

Section: Treatment Of Severe Childhood Aggression (Tosca) Studiesmentioning

confidence: 99%

Treatment of Severe Childhood Aggression (TOSCA) Studies

Aman

2015

Journal of Child and Adolescent Psychopharmacology

Self Cite

View full text Add to dashboard Cite

Participant Satisfaction in a Study of Stimulant, Parent Training, and Risperidone in Children with Severe Physical Aggression

Abstract: Treatment of Severe Childhood Aggression (The TOSCA Study), NCT00796302, clinicaltrials.gov .

Cited by 9 publications

References 28 publications

Is staff consistency important to parents’ satisfaction in a longitudinal study of children at risk for type 1 diabetes: the TEDDY study

Is staff consistency important to parents’ satisfaction in a longitudinal study of children at risk for type 1 diabetes: the TEDDY study

Attendance and Engagement in Parent Training Predict Child Behavioral Outcomes in Children Pharmacologically Treated for Attention-Deficit/Hyperactivity Disorder and Severe Aggression

Treatment of Severe Childhood Aggression (TOSCA) Studies

Contact Info

Product

Resources

About