Clinical Trial: Multisite Prevention of Conduct Problems (Fast Track)

Study Status: Active, not recruiting
Recruit Status: Active, not recruiting
Study Type: Interventional

Official Title: Multisite Prevention of Conduct Problems

Brief Summary: The primary aim of this project is to evaluate the effects of a comprehensive intervention to prevent severe and chronic conduct problems in a sample of children selected as high-risk when they first entered school. It is hypothesized that the intervention will have positive effects on proximal child behavior in middle school, and high school affecting long-term adolescent outcomes such as conduct disorder, juvenile delinquency, school dropout, substance use, teen pregnancy, relational competence with peers, romantic partners and parents, education and employment and social and community integration.

Detailed Summary:

This study is a comprehensive intervention project designed to look at how children develop across their lives by providing academic tutoring and lessons in developing social skills and regulating their behaviors. There can be multiple stressors and influences on children and families that increase their risk levels. In such contexts, some families that experience marital conflict and instability can cause inconsistent and ineffective parenting. These children can sometimes enter school poorly prepared for the social, emotional, and cognitive demands of this setting. Often the child will then attend a school with a high number of other children who are similarly unprepared and are negatively influenced by disruptive classroom situations and punitive teacher practices. Over time, children in these circumstances tend to demonstrate particular behaviors, are rejected by families and peers, and tend to receive less support from teachers, further increasing aggressive exchanges and academic difficulties. Thus, this project is based on the hypothesis that improving child competencies, parenting effectiveness, school context and school-home communications will, over time, contribute to preventing certain behaviors across the period from early childhood through adolescence.

Four geographic sites were selected for the study: Durham, NC, a small city with a large low-income population that is primarily African American; Nashville, TN, a moderated-sized city with a mix of low-to-middle income and African American and European-American population; Seattle, WA, a moderate-sized city with a low-to-middle ethnically diverse population; and central PA, a mostly rural area with low-to-middle income European American population. These sites varied widely in ethnicity (most minorities were African American, with some Latino) and poverty (as measured by free/reduced lunch rates) as follows:
Sponsor: Duke University

Current Primary Outcome: Anti-Social Behaviors [ Time Frame: up to 10 Years ]

Original Primary Outcome: Same as current

Current Secondary Outcome:

• Substance Usage [ Time Frame: 6 Years, 7 Years, 8 Years, 9 Years, 10 Years ]
  Assessment of participant drug, alcohol, and tobacco use (e.g., any use, frequency of use) in Grades 6, 7, 8, 9, and 10.
• Sexual Activity [ Time Frame: 6 Years, 7 Years, 8 Years, 9 Years, 10 Years ]
  Assessment of participant engagement in various sexual activities (e.g., sexual intercourse) in Grades 6, 7, 8, 9, and 10.
• Psychiatric Disorders [ Time Frame: 6 Years, 7 Years, 8 Years, 9 Years, 10 Years ]
  Assessment of participant rates of psychiatric disorders (e.g., clinical depression) in Grades 6, 7, 8, 9, and 10.
• Academic Achievement [ Time Frame: 6 Years, 7 Years, 8 Years, 9 Years, 10 Years ]
  Assessment of participant academic achievement (e.g., grades, standardized test scores) in Grades 6, 7, 8, 9, and 10.

Original Secondary Outcome: Same as current

Information By: Duke University

Dates:
Date Received: July 16, 2012
Date Started: March 1991
Date Completion: December 2020
Last Updated: August 30, 2016
Last Verified: August 2016