ezPreemie study protocol: a randomised controlled factorial trial testing web-based parent training and coaching with parents of children born very preterm

Introduction Children born very preterm (VPT; gestational age <32 weeks) are twice as likely to demonstrate behaviour problems such as aggression, non-compliance, temper tantrums and irritability compared with their term-born peers. While behavioural parent training (BPT), also referred to as...

Full description

Saved in:
Bibliographic Details
Main Authors: M E Schoeny, Sarah A Keim, Michelle M Greene, Julia Berteletti, Mary Lauren Neel, Kousiki Patra, Shea Smoske, Susan Breitenstein
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e063706.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832574398016520192
author M E Schoeny
Sarah A Keim
Michelle M Greene
Julia Berteletti
Mary Lauren Neel
Kousiki Patra
Shea Smoske
Susan Breitenstein
author_facet M E Schoeny
Sarah A Keim
Michelle M Greene
Julia Berteletti
Mary Lauren Neel
Kousiki Patra
Shea Smoske
Susan Breitenstein
author_sort M E Schoeny
collection DOAJ
description Introduction Children born very preterm (VPT; gestational age <32 weeks) are twice as likely to demonstrate behaviour problems such as aggression, non-compliance, temper tantrums and irritability compared with their term-born peers. While behavioural parent training (BPT), also referred to as behaviour therapy is a gold standard for prevention and treatment of childhood problem behaviours, there are limited accessible and effective BPT interventions for families with children born VPT. The purpose of this paper is to describe a multicentre, randomised controlled protocol for a factorial design trial evaluating the independent and combined effects of the ezParent BPT intervention plus brief, weekly coaching calls on parent and child outcomes for families with toddlers born VPT.Methods and analysis The study employs a 2×2 factorial randomised design. Parents (n=220) of children aged 20–30 months corrected age who were born VPT (<32 weeks) will be recruited from two large metropolitan Neonatal Intensive Care Units follow-up clinics and randomised to one of four conditions: (1) ezParent (2) ezParent +coach, (3) Active control or (4) Active Control +coach. Data on parenting and child behaviour outcomes will be obtained from all participants at baseline and 3, 6 and 12 months postbaseline. All analyses will use an intention-to-treat approach, independent of their actual dose of each intervention.Ethics and dissemination The study protocol has been approved by The Ohio State University Institutional Review Board (IRB) using a single IRB. Study results will be disseminated through presentations at regional and national conferences, publications in peer-reviewed journals, and sharing research reports with participating families and recruiting sites.Trial registration number NCT05217615.
format Article
id doaj-art-bd775840899a4faaa18dd00396b0b893
institution Kabale University
issn 2044-6055
language English
publishDate 2022-06-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj-art-bd775840899a4faaa18dd00396b0b8932025-02-01T14:05:14ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2022-063706ezPreemie study protocol: a randomised controlled factorial trial testing web-based parent training and coaching with parents of children born very pretermM E Schoeny0Sarah A Keim1Michelle M Greene2Julia Berteletti3Mary Lauren Neel4Kousiki Patra5Shea Smoske6Susan Breitenstein7College of Nursing, Rush University, Chicago, Illinois, USADepartment of Surgery, University of Kansas Medical Center, Kansas City, Missouri, USADepartment of Pediatrics, Rush University Medical Center, Chicago, Illinois, USAKlein Buendel Inc, Golden, Colorado, USADivision of Neonatology & Center for Perinatal Research, Nationwide Children`s Hospital, Columbus, Ohio, USADepartment of Pediatrics, Rush University Medical Center, Chicago, Illinois, USACollege of Nursing, The Ohio State University, Columbus, Ohio, USACollege of Nursing, The Ohio State University, Columbus, Ohio, USAIntroduction Children born very preterm (VPT; gestational age <32 weeks) are twice as likely to demonstrate behaviour problems such as aggression, non-compliance, temper tantrums and irritability compared with their term-born peers. While behavioural parent training (BPT), also referred to as behaviour therapy is a gold standard for prevention and treatment of childhood problem behaviours, there are limited accessible and effective BPT interventions for families with children born VPT. The purpose of this paper is to describe a multicentre, randomised controlled protocol for a factorial design trial evaluating the independent and combined effects of the ezParent BPT intervention plus brief, weekly coaching calls on parent and child outcomes for families with toddlers born VPT.Methods and analysis The study employs a 2×2 factorial randomised design. Parents (n=220) of children aged 20–30 months corrected age who were born VPT (<32 weeks) will be recruited from two large metropolitan Neonatal Intensive Care Units follow-up clinics and randomised to one of four conditions: (1) ezParent (2) ezParent +coach, (3) Active control or (4) Active Control +coach. Data on parenting and child behaviour outcomes will be obtained from all participants at baseline and 3, 6 and 12 months postbaseline. All analyses will use an intention-to-treat approach, independent of their actual dose of each intervention.Ethics and dissemination The study protocol has been approved by The Ohio State University Institutional Review Board (IRB) using a single IRB. Study results will be disseminated through presentations at regional and national conferences, publications in peer-reviewed journals, and sharing research reports with participating families and recruiting sites.Trial registration number NCT05217615.https://bmjopen.bmj.com/content/12/6/e063706.full
spellingShingle M E Schoeny
Sarah A Keim
Michelle M Greene
Julia Berteletti
Mary Lauren Neel
Kousiki Patra
Shea Smoske
Susan Breitenstein
ezPreemie study protocol: a randomised controlled factorial trial testing web-based parent training and coaching with parents of children born very preterm
BMJ Open
title ezPreemie study protocol: a randomised controlled factorial trial testing web-based parent training and coaching with parents of children born very preterm
title_full ezPreemie study protocol: a randomised controlled factorial trial testing web-based parent training and coaching with parents of children born very preterm
title_fullStr ezPreemie study protocol: a randomised controlled factorial trial testing web-based parent training and coaching with parents of children born very preterm
title_full_unstemmed ezPreemie study protocol: a randomised controlled factorial trial testing web-based parent training and coaching with parents of children born very preterm
title_short ezPreemie study protocol: a randomised controlled factorial trial testing web-based parent training and coaching with parents of children born very preterm
title_sort ezpreemie study protocol a randomised controlled factorial trial testing web based parent training and coaching with parents of children born very preterm
url https://bmjopen.bmj.com/content/12/6/e063706.full
work_keys_str_mv AT meschoeny ezpreemiestudyprotocolarandomisedcontrolledfactorialtrialtestingwebbasedparenttrainingandcoachingwithparentsofchildrenbornverypreterm
AT sarahakeim ezpreemiestudyprotocolarandomisedcontrolledfactorialtrialtestingwebbasedparenttrainingandcoachingwithparentsofchildrenbornverypreterm
AT michellemgreene ezpreemiestudyprotocolarandomisedcontrolledfactorialtrialtestingwebbasedparenttrainingandcoachingwithparentsofchildrenbornverypreterm
AT juliaberteletti ezpreemiestudyprotocolarandomisedcontrolledfactorialtrialtestingwebbasedparenttrainingandcoachingwithparentsofchildrenbornverypreterm
AT marylaurenneel ezpreemiestudyprotocolarandomisedcontrolledfactorialtrialtestingwebbasedparenttrainingandcoachingwithparentsofchildrenbornverypreterm
AT kousikipatra ezpreemiestudyprotocolarandomisedcontrolledfactorialtrialtestingwebbasedparenttrainingandcoachingwithparentsofchildrenbornverypreterm
AT sheasmoske ezpreemiestudyprotocolarandomisedcontrolledfactorialtrialtestingwebbasedparenttrainingandcoachingwithparentsofchildrenbornverypreterm
AT susanbreitenstein ezpreemiestudyprotocolarandomisedcontrolledfactorialtrialtestingwebbasedparenttrainingandcoachingwithparentsofchildrenbornverypreterm