2024 Early Hearing Detection & Intervention Conference

March 17-19, 2024 • Denver, CO

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  |  Participant engagement in a randomized-controlled trial of a behavioral parent training intervention for families with deaf or hard of hearing children

Participant engagement in a randomized-controlled trial of a behavioral parent training intervention for families with deaf or hard of hearing children

With over 40 years of scientific evidence, behavioral parent training (BPT) interventions have demonstrated improvements in children’s behaviors and family relationships. However, BPT programs can be hard to access and only reach a small proportion of the families who could benefit from it. BPT programs are not typically in the array of services offered to parents of deaf or hard of hearing (DHH) children. Additionally, DHH children were often not included in the studies that built the evidence base for BPT interventions. Our team systematically adapted an existing BPT intervention, The Family Check-Up (FCU), with input from parents of DHH children; providers such as audiologists, speech-language pathologists, and teachers of the D/deaf; and a Community Advisory Board. An ongoing randomized controlled trial is testing whether this adapted intervention (the “FCU-DHH”) improves parent and child outcomes. We also aim to assess whether it is desirable and feasible for families and the parent coaches who deliver the intervention. Up to 125 families will participate. Study enrollment began in June 2021, with anticipated completion in March 2024. Enrolled families complete research measures every 6 months for up to 3 years, including standardized measures of parenting and child behaviors, parent depression, parent-child interactions, and child receptive and expressive language skills. After baseline data collection, families are randomized to either the control or intervention (FCU-DHH) arm. Up to 6 FCU-DHH sessions are offered per year to families in the intervention arm. FCU-DHH sessions focus on reinforcing parenting strengths and learning/practicing effective positive parenting strategies. The aims of this presentation are to: 1) present updated recruitment and retention data for this longitudinal trial, including strategies used, challenges faced, and rates of enrollment and withdrawal; and 2) provide updated demographic and process data for study participants, including families’ completion of research tasks and engagement with intervention activities.

  • Describe challenges in recruitment for this research trial
  • Describe retention strategies used in this research trial
  • Describe participant attendance for intervention sessions.

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Presenters/Authors

Madilyn Fields (Primary Presenter,Co-Author), madi.fields@uky.edu;
Madilyn Fields is an undergraduate student at the University of Kentucky, expected to graduate in May 2025 with a Bachelor of Public Health degree. Ms. Fields has worked with Dr. Christina Studts’ research team since 2022, assisting with a research trial of parenting interventions for families with children who are deaf or hard of hearing.


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exists.

Nonfinancial -
No relevant nonfinancial relationship exists.

AAA DISCLOSURE:

Financial -
No relevant financial relationship exists.

Nonfinancial -
No relevant nonfinancial relationship exists.

Julie Jacobs (Co-Presenter,Co-Author), University of Kentucky , julie.jacobs@uky.edu;
Julie Jacobs, MPH, is a research director at the University of Kentucky, where she has worked for the past 9 years with Dr. Christina Studts on grant-funded projects that focus on increasing access to evidence-based interventions to address the needs of underserved populations, particularly for children who are deaf or hard of hearing and their families. Ms. Jacobs earned her Master of Public Health degree at Saint Louis University in 2010, and she started her public health research career over 12 years ago at Washington University in St. Louis.


ASHA DISCLOSURE:

Financial -
• Receives Salary for Employment from University of Kentucky.

Nonfinancial -
No relevant nonfinancial relationship exists.

AAA DISCLOSURE:

Financial -
Financial relationship with University of Kentucky.
Nature: Salary is supported by grant funds.

Nonfinancial -
No relevant nonfinancial relationship exists.

Christina Studts (Co-Presenter,Co-Author), University of Colorado Anschutz Medical Campus , CHRISTINA.STUDTS@CUANSCHUTZ.EDU;
Dr. Studts is an associate professor of pediatrics and implementation scientist in the Adult & Child Consortium for Health Outcomes Research & Delivery Science (ACCORDS) at the University of Colorado School of Medicine. Her research focuses on increasing access to evidence-based parenting interventions among understudied and underserved populations, including parents of young children who are deaf or hard of hearing and who use hearing aids or cochlear implants. In addition to leading her own program of community-engaged research, Dr. Studts serves as an implementation scientist on teams studying the adoption and sustained use of evidence-based practices in a variety of topical areas, and she directs and teaches in the Dissemination and Implementation Graduate Certificate Program at the University of Colorado.


ASHA DISCLOSURE:

Financial -
• Receives Honoraria excluding diversified mutual funds for Other activities from ASHA.
• Receives Grants for Other activities from NIH.
• Receives Salary for Employment from University of Colorado Anschutz Medical Campus.

Nonfinancial -
• Has a Professional (reviewer) relationship for Other volunteer activities.

AAA DISCLOSURE:

Financial -
Financial relationship with University of Colorado Anschutz Medical Campus, ASHA, NIH, various academic journals.
Nature: Employment salary, honorarium for mentoring, grant funding, reviewing manuscripts.

Nonfinancial -
No relevant nonfinancial relationship exists.