Trial Outcomes & Findings for Optimizing Residential Treatment Gains for Adolescents (NCT NCT05764369)

NCT ID: NCT05764369

Last Updated: 2026-08-31

Results Overview

The mean number of groups attended by parent participants in the PWRT arm.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

69 participants

Primary outcome timeframe

Mean calculated at 6-weeks post-baseline

Results posted on

2026-08-31

Participant Flow

Participant milestones

Participant milestones
Measure
Parenting Wisely Residential Treatment (PWRT) - Parents
In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely. Each week, parents will also attend a 90-minute facilitated discussion group via Zoom. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. This arm includes only parent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention
Treatment as Usual (TAU) - Parents
The TAU condition is the standard of care offered to parents in RT settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. Parents will attend discharge planning meetings with caseworkers (if assigned) to discuss the adolescent's progress, continued treatment needs, safety plans, upcoming appointments, and medication needs. Following discharge, programs frequently recommend follow-up with an outpatient provider for medication management and therapy for the adolescent. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. This arm includes only parent respondents. TAU: The TAU condition is the standard of care offered to parents in RT settings.
Parenting Wisely Residential Treatment (PWRT) - Adolescents
Parents in the PWRT arm complete online parent training modules and attend groups. Adolescents do not receive any components of the intervention. They complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. This arm includes only adolescent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention for parents
Treatment as Usual (TAU) - Adolescents
The TAU condition is the standard of care offered to parents in RT settings (e.g., family therapy). Adolescents complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. This arm includes only adolescent respondents. TAU: The TAU condition is the standard of care offered to parents in RT settings.
Overall Study
STARTED
32
32
1
4
Overall Study
COMPLETED
32
32
1
4
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Data was analyzed separately for Parent and Child Arms.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Parenting Wisely Residential Treatment (PWRT) - Parents
n=32 Participants
In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely. Each week, parents will also attend a 90-minute facilitated discussion group via Zoom. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. This arm includes only parent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention
Treatment as Usual (TAU) - Parents
n=32 Participants
The TAU condition is the standard of care offered to parents in RT settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. Parents will attend discharge planning meetings with caseworkers (if assigned) to discuss the adolescent's progress, continued treatment needs, safety plans, upcoming appointments, and medication needs. Following discharge, programs frequently recommend follow-up with an outpatient provider for medication management and therapy for the adolescent. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. This arm includes only parent respondents. TAU: The TAU condition is the standard of care offered to parents in RT settings.
Parenting Wisely Residential Treatment (PWRT) - Adolescents
n=1 Participants
In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely and attend parent groups. While adolescents will not directly receive the intervention, they will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3). This arm includes only adolescent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention
Treatment as Usual (TAU) - Adolescents
n=4 Participants
The TAU condition is the standard of care offered to parents in Residential Treatment (RT) settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. Adolescents complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3). This arm includes only adolescent respondents. TAU: The TAU condition is the standard of care offered to parents in RT settings.
Total
n=69 Participants
Total of all reporting groups
Race/Ethnicity, Customized
Hispanic /Latinx · No
31 Participants
n=32 Participants
32 Participants
n=32 Participants
1 Participants
n=1 Participants
3 Participants
n=4 Participants
67 Participants
n=69 Participants
Age, Customized
Age, Parents
48.1 years
STANDARD_DEVIATION 8.1 • n=32 Participants • Data was analyzed separately for Parent and Child Arms.
45.1 years
STANDARD_DEVIATION 7.9 • n=32 Participants • Data was analyzed separately for Parent and Child Arms.
46.6 years
STANDARD_DEVIATION 8.1 • n=64 Participants • Data was analyzed separately for Parent and Child Arms.
Age, Customized
Age, Adolescents
14.25 years
STANDARD_DEVIATION 0 • n=1 Participants • Data was analyzed separately for Parent and Child Arms.
15.5 years
STANDARD_DEVIATION 1.9 • n=4 Participants • Data was analyzed separately for Parent and Child Arms.
15.4 years
STANDARD_DEVIATION 1.7 • n=5 Participants • Data was analyzed separately for Parent and Child Arms.
Sex/Gender, Customized
Male
1 Participants
n=32 Participants
4 Participants
n=32 Participants
0 Participants
n=1 Participants
0 Participants
n=4 Participants
5 Participants
n=69 Participants
Sex/Gender, Customized
Female
31 Participants
n=32 Participants
28 Participants
n=32 Participants
1 Participants
n=1 Participants
4 Participants
n=4 Participants
64 Participants
n=69 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=32 Participants
0 Participants
n=32 Participants
0 Participants
n=1 Participants
0 Participants
n=4 Participants
0 Participants
n=69 Participants
Race (NIH/OMB)
Asian
1 Participants
n=32 Participants
0 Participants
n=32 Participants
0 Participants
n=1 Participants
0 Participants
n=4 Participants
1 Participants
n=69 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=32 Participants
0 Participants
n=32 Participants
0 Participants
n=1 Participants
0 Participants
n=4 Participants
0 Participants
n=69 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=32 Participants
0 Participants
n=32 Participants
0 Participants
n=1 Participants
0 Participants
n=4 Participants
5 Participants
n=69 Participants
Race (NIH/OMB)
White
26 Participants
n=32 Participants
29 Participants
n=32 Participants
1 Participants
n=1 Participants
4 Participants
n=4 Participants
60 Participants
n=69 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=32 Participants
3 Participants
n=32 Participants
0 Participants
n=1 Participants
0 Participants
n=4 Participants
3 Participants
n=69 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=32 Participants
0 Participants
n=32 Participants
0 Participants
n=1 Participants
0 Participants
n=4 Participants
0 Participants
n=69 Participants
Race/Ethnicity, Customized
Hispanic /Latinx · Yes-Mexican
1 Participants
n=32 Participants
0 Participants
n=32 Participants
0 Participants
n=1 Participants
1 Participants
n=4 Participants
2 Participants
n=69 Participants
Race/Ethnicity, Customized
Hispanic /Latinx · Yes-Puerto Rican/Cuban/Other
0 Participants
n=32 Participants
0 Participants
n=32 Participants
0 Participants
n=1 Participants
0 Participants
n=4 Participants
0 Participants
n=69 Participants
Region of Enrollment
United States
32 participants
n=32 Participants
32 participants
n=32 Participants
1 participants
n=1 Participants
4 participants
n=4 Participants
69 participants
n=69 Participants
Relationship to child in treatment
Mother
22 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
18 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
40 Participants
n=64 Participants • The adolescent participants were not assessed for this baseline measure.
Relationship to child in treatment
Father
1 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
1 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
2 Participants
n=64 Participants • The adolescent participants were not assessed for this baseline measure.
Relationship to child in treatment
Stepmother
0 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
2 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
2 Participants
n=64 Participants • The adolescent participants were not assessed for this baseline measure.
Relationship to child in treatment
Stepfather
0 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
0 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
0 Participants
n=64 Participants • The adolescent participants were not assessed for this baseline measure.
Relationship to child in treatment
Foster parent
0 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
0 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
0 Participants
n=64 Participants • The adolescent participants were not assessed for this baseline measure.
Relationship to child in treatment
Grandmother
4 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
1 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
5 Participants
n=64 Participants • The adolescent participants were not assessed for this baseline measure.
Relationship to child in treatment
Grandfather
0 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
0 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
0 Participants
n=64 Participants • The adolescent participants were not assessed for this baseline measure.
Relationship to child in treatment
Aunt
0 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
2 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
2 Participants
n=64 Participants • The adolescent participants were not assessed for this baseline measure.
Relationship to child in treatment
Uncle
0 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
0 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
0 Participants
n=64 Participants • The adolescent participants were not assessed for this baseline measure.
Relationship to child in treatment
Other
5 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
8 Participants
n=32 Participants • The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
0 Participants
The adolescent participants were not assessed for this baseline measure.
13 Participants
n=64 Participants • The adolescent participants were not assessed for this baseline measure.

PRIMARY outcome

Timeframe: Mean calculated at 6-weeks post-baseline

Population: Treatment as Usual group did not attend the intervention groups nor complete the intervention modules. There was not data on these outcomes collected from them. Data was not collected on either adolescent group for this measure

The mean number of groups attended by parent participants in the PWRT arm.

Outcome measures

Outcome measures
Measure
Parenting Wisely Residential Treatment (PWRT) - Parents
n=32 Participants
In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely. Each week, parents will also attend a 90-minute facilitated discussion group via Zoom. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. While adolescents (n=60) will not directly receive the intervention, they will complete assessments at baseline, six weeks post-baseline (T2), and six months post-baseline (T3). This arm includes only parent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention
Treatment as Usual (TAU) - Parents
The TAU condition is the standard of care offered to parents in RT settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. Parents will attend discharge planning meetings with caseworkers (if assigned) to discuss the adolescent's progress, continued treatment needs, safety plans, upcoming appointments, and medication needs. Following discharge, programs frequently recommend follow-up with an outpatient provider for medication management and therapy for the adolescent. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. While adolescents (n=60) will not directly receive the intervention, they will complete assessments at baseline, six weeks post-baseline (T2), and six months post-baseline (T3).This arm includes only parent respondents. TAU: The TAU condition is the standard of care offered to parents in RT settings.
Parenting Wisely Residential Treatment (PWRT) - Adolescents
In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely. While adolescents will not directly receive the intervention, they will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3). This arm includes only adolescent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention for parents
Treatment as Usual (TAU) - Adolescents
The TAU condition is the standard of care offered to parents in Residential Treatment (RT) settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. While adolescents will not directly receive the intervention, they will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3).This arm includes only adolescent respondents.
Group Attendance (Feasibility)
3 number of groups attended
Standard Deviation 1.08

PRIMARY outcome

Timeframe: Mean calculated at 6-weeks post-baseline

Population: Treatment as Usual group did not attend the intervention groups nor complete the intervention modules. There was not data on these outcomes collected from them. Data on this outcome was not collected for either adolescent group.

The mean amount of time parent participants spent in a single session of the group.

Outcome measures

Outcome measures
Measure
Parenting Wisely Residential Treatment (PWRT) - Parents
n=32 Participants
In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely. Each week, parents will also attend a 90-minute facilitated discussion group via Zoom. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. While adolescents (n=60) will not directly receive the intervention, they will complete assessments at baseline, six weeks post-baseline (T2), and six months post-baseline (T3). This arm includes only parent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention
Treatment as Usual (TAU) - Parents
The TAU condition is the standard of care offered to parents in RT settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. Parents will attend discharge planning meetings with caseworkers (if assigned) to discuss the adolescent's progress, continued treatment needs, safety plans, upcoming appointments, and medication needs. Following discharge, programs frequently recommend follow-up with an outpatient provider for medication management and therapy for the adolescent. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. While adolescents (n=60) will not directly receive the intervention, they will complete assessments at baseline, six weeks post-baseline (T2), and six months post-baseline (T3).This arm includes only parent respondents. TAU: The TAU condition is the standard of care offered to parents in RT settings.
Parenting Wisely Residential Treatment (PWRT) - Adolescents
In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely. While adolescents will not directly receive the intervention, they will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3). This arm includes only adolescent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention for parents
Treatment as Usual (TAU) - Adolescents
The TAU condition is the standard of care offered to parents in Residential Treatment (RT) settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. While adolescents will not directly receive the intervention, they will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3).This arm includes only adolescent respondents.
Group Duration (Feasibility)
54 minutes
Standard Deviation 17.9

PRIMARY outcome

Timeframe: Mean calculated at 6-weeks post-baseline

Population: Treatment as Usual group did not attend the intervention groups nor complete the intervention modules. There was not data on these outcomes collected from them. Data on this outcome was not collected for either adolescent group

The mean time parent participants spent completing one module in Parenting Wisely.

Outcome measures

Outcome measures
Measure
Parenting Wisely Residential Treatment (PWRT) - Parents
n=32 Participants
In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely. Each week, parents will also attend a 90-minute facilitated discussion group via Zoom. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. While adolescents (n=60) will not directly receive the intervention, they will complete assessments at baseline, six weeks post-baseline (T2), and six months post-baseline (T3). This arm includes only parent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention
Treatment as Usual (TAU) - Parents
The TAU condition is the standard of care offered to parents in RT settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. Parents will attend discharge planning meetings with caseworkers (if assigned) to discuss the adolescent's progress, continued treatment needs, safety plans, upcoming appointments, and medication needs. Following discharge, programs frequently recommend follow-up with an outpatient provider for medication management and therapy for the adolescent. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. While adolescents (n=60) will not directly receive the intervention, they will complete assessments at baseline, six weeks post-baseline (T2), and six months post-baseline (T3).This arm includes only parent respondents. TAU: The TAU condition is the standard of care offered to parents in RT settings.
Parenting Wisely Residential Treatment (PWRT) - Adolescents
In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely. While adolescents will not directly receive the intervention, they will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3). This arm includes only adolescent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention for parents
Treatment as Usual (TAU) - Adolescents
The TAU condition is the standard of care offered to parents in Residential Treatment (RT) settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. While adolescents will not directly receive the intervention, they will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3).This arm includes only adolescent respondents.
Module Duration (Feasibility)
21 minutes
Standard Deviation 5.4

PRIMARY outcome

Timeframe: Mean calculated at 6-weeks post-baseline

Population: Treatment as Usual group did not attend the intervention groups nor complete the intervention modules. There was not data on these outcomes collected from them. Data from this outcome was not collected from either adolescent group.

Average number of modules parent participants completed over a 6 week intervention period The mean number of Modules participants completed in Parenting Wisely.

Outcome measures

Outcome measures
Measure
Parenting Wisely Residential Treatment (PWRT) - Parents
n=32 Participants
In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely. Each week, parents will also attend a 90-minute facilitated discussion group via Zoom. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. While adolescents (n=60) will not directly receive the intervention, they will complete assessments at baseline, six weeks post-baseline (T2), and six months post-baseline (T3). This arm includes only parent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention
Treatment as Usual (TAU) - Parents
The TAU condition is the standard of care offered to parents in RT settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. Parents will attend discharge planning meetings with caseworkers (if assigned) to discuss the adolescent's progress, continued treatment needs, safety plans, upcoming appointments, and medication needs. Following discharge, programs frequently recommend follow-up with an outpatient provider for medication management and therapy for the adolescent. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. While adolescents (n=60) will not directly receive the intervention, they will complete assessments at baseline, six weeks post-baseline (T2), and six months post-baseline (T3).This arm includes only parent respondents. TAU: The TAU condition is the standard of care offered to parents in RT settings.
Parenting Wisely Residential Treatment (PWRT) - Adolescents
In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely. While adolescents will not directly receive the intervention, they will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3). This arm includes only adolescent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention for parents
Treatment as Usual (TAU) - Adolescents
The TAU condition is the standard of care offered to parents in Residential Treatment (RT) settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. While adolescents will not directly receive the intervention, they will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3).This arm includes only adolescent respondents.
Module Completion
3.8 number of modules completed
Standard Deviation 3.7

SECONDARY outcome

Timeframe: Baseline, 6 weeks, 6 months; Change from baseline to 6 weeks; Change from baseline to 6-months post

Adolescent internalizing behaviors will be assessed using the Brief Problem Monitor (BPM) for ages 6 to 18. There are two subscales on the BPM: internalizing and externalizing subscales. There are six items on the internalizing subscale with scores ranging from 0-12. Higher scores indicate greater internalizing behaviors, therefore worse outcomes. Change over time in the outcome measure is assessed by subtracting mean values at T1 from mean values at T2 and T3 respectively.

Outcome measures

Outcome measures
Measure
Parenting Wisely Residential Treatment (PWRT) - Parents
n=32 Participants
In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely. Each week, parents will also attend a 90-minute facilitated discussion group via Zoom. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. While adolescents (n=60) will not directly receive the intervention, they will complete assessments at baseline, six weeks post-baseline (T2), and six months post-baseline (T3). This arm includes only parent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention
Treatment as Usual (TAU) - Parents
n=32 Participants
The TAU condition is the standard of care offered to parents in RT settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. Parents will attend discharge planning meetings with caseworkers (if assigned) to discuss the adolescent's progress, continued treatment needs, safety plans, upcoming appointments, and medication needs. Following discharge, programs frequently recommend follow-up with an outpatient provider for medication management and therapy for the adolescent. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. While adolescents (n=60) will not directly receive the intervention, they will complete assessments at baseline, six weeks post-baseline (T2), and six months post-baseline (T3).This arm includes only parent respondents. TAU: The TAU condition is the standard of care offered to parents in RT settings.
Parenting Wisely Residential Treatment (PWRT) - Adolescents
n=1 Participants
In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely. While adolescents will not directly receive the intervention, they will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3). This arm includes only adolescent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention for parents
Treatment as Usual (TAU) - Adolescents
n=4 Participants
The TAU condition is the standard of care offered to parents in Residential Treatment (RT) settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. While adolescents will not directly receive the intervention, they will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3).This arm includes only adolescent respondents.
Brief Problem Monitor (BPM) - Internalizing Behaviors
T1 (baseline)
7.34 score on a scale
Standard Error 0.58
6.75 score on a scale
Standard Error 0.50
6 score on a scale
Standard Error 0
4 score on a scale
Standard Error 2.8
Brief Problem Monitor (BPM) - Internalizing Behaviors
T2 (6 weeks)
5.56 score on a scale
Standard Error 0.71
5.63 score on a scale
Standard Error 0.49
7 score on a scale
Standard Error 0
4.8 score on a scale
Standard Error 1.9
Brief Problem Monitor (BPM) - Internalizing Behaviors
T3 (6 months)
6.62 score on a scale
Standard Error 0.70
5.22 score on a scale
Standard Error 0.43
3 score on a scale
Standard Error 0
4.3 score on a scale
Standard Error 2.9
Brief Problem Monitor (BPM) - Internalizing Behaviors
Change, T1, T2
-1.68 score on a scale
Standard Error 0.46
-1.12 score on a scale
Standard Error 0.43
1 score on a scale
Standard Error 0
0.8 score on a scale
Standard Error 0.9
Brief Problem Monitor (BPM) - Internalizing Behaviors
Change, T1, T3
-0.71 score on a scale
Standard Error 0.47
-1.53 score on a scale
Standard Error 0.43
-3 score on a scale
Standard Error 0
0.3 score on a scale
Standard Error 0.1

SECONDARY outcome

Timeframe: Baseline, 6 weeks, 6 months; Change from baseline to 6 weeks; Change from baseline to 6-months post

Adolescent externalizing behaviors will be assessed using the Brief Problem Monitor (BPM) for ages 6 to 18. There are two subscales on the BPM: internalizing and externalizing subscales. There are seven items on the externalizing subscale with scores ranging from 0-14. Higher scores indicate greater externalizing behaviors, therefore worse outcomes. Change over time in the outcome measure is assessed by subtracting mean values at T1 from mean values at T2 and T3 respectively.

Outcome measures

Outcome measures
Measure
Parenting Wisely Residential Treatment (PWRT) - Parents
n=32 Participants
In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely. Each week, parents will also attend a 90-minute facilitated discussion group via Zoom. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. While adolescents (n=60) will not directly receive the intervention, they will complete assessments at baseline, six weeks post-baseline (T2), and six months post-baseline (T3). This arm includes only parent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention
Treatment as Usual (TAU) - Parents
n=32 Participants
The TAU condition is the standard of care offered to parents in RT settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. Parents will attend discharge planning meetings with caseworkers (if assigned) to discuss the adolescent's progress, continued treatment needs, safety plans, upcoming appointments, and medication needs. Following discharge, programs frequently recommend follow-up with an outpatient provider for medication management and therapy for the adolescent. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. While adolescents (n=60) will not directly receive the intervention, they will complete assessments at baseline, six weeks post-baseline (T2), and six months post-baseline (T3).This arm includes only parent respondents. TAU: The TAU condition is the standard of care offered to parents in RT settings.
Parenting Wisely Residential Treatment (PWRT) - Adolescents
n=1 Participants
In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely. While adolescents will not directly receive the intervention, they will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3). This arm includes only adolescent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention for parents
Treatment as Usual (TAU) - Adolescents
n=4 Participants
The TAU condition is the standard of care offered to parents in Residential Treatment (RT) settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. While adolescents will not directly receive the intervention, they will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3).This arm includes only adolescent respondents.
Brief Problem Monitor (BPM) - Externalizing Behaviors
T1 (baseline)
8.40 score on a scale
Standard Error 0.82
9.88 score on a scale
Standard Error 0.68
9 score on a scale
Standard Error 0
8.3 score on a scale
Standard Error 2.2
Brief Problem Monitor (BPM) - Externalizing Behaviors
T2 (6 weeks)
7.11 score on a scale
Standard Error 0.86
7.53 score on a scale
Standard Error 0.84
8 score on a scale
Standard Error 0
9.3 score on a scale
Standard Error 4.6
Brief Problem Monitor (BPM) - Externalizing Behaviors
T3 (6 months)
7.69 score on a scale
Standard Error 0.79
7.88 score on a scale
Standard Error 0.80
6 score on a scale
Standard Error 0
9.3 score on a scale
Standard Error 4.6
Brief Problem Monitor (BPM) - Externalizing Behaviors
Change, T1, T2
-1.32 score on a scale
Standard Error 0.66
-2.34 score on a scale
Standard Error 0.61
-1 score on a scale
Standard Error 0
1 score on a scale
Standard Error 2.4
Brief Problem Monitor (BPM) - Externalizing Behaviors
Change, T1, T3
-0.98 score on a scale
Standard Error 0.67
-2.00 score on a scale
Standard Error 0.61
-3 score on a scale
Standard Error 0
2 score on a scale
Standard Error 2.4

SECONDARY outcome

Timeframe: Baseline, 6 weeks, 6 months; Change from baseline to 6 weeks; Change from baseline to 6-months post

Total adolescent behavior problems will be assessed using the Brief Problem Monitor (BPM) for ages 6 to 18. The BPM consists of 19 items derived from the Child Behavior Checklist. The total score includes internalizing, externalizing and inattention subscales which are summed. Internalizing behaviors is 6 items with scores ranging from 0-12, Externalizing is 7 items with scores ranging from 0-14, Inattention is 6 items with scores ranging from 0-12. Raw scores range from 0-38; higher scores indicate greater total behavior problems thereby worse outcomes. Change over time in the outcome measure is assessed by subtracting mean values at T1 from mean values at T2 and T3 respectively.

Outcome measures

Outcome measures
Measure
Parenting Wisely Residential Treatment (PWRT) - Parents
n=32 Participants
In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely. Each week, parents will also attend a 90-minute facilitated discussion group via Zoom. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. While adolescents (n=60) will not directly receive the intervention, they will complete assessments at baseline, six weeks post-baseline (T2), and six months post-baseline (T3). This arm includes only parent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention
Treatment as Usual (TAU) - Parents
n=32 Participants
The TAU condition is the standard of care offered to parents in RT settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. Parents will attend discharge planning meetings with caseworkers (if assigned) to discuss the adolescent's progress, continued treatment needs, safety plans, upcoming appointments, and medication needs. Following discharge, programs frequently recommend follow-up with an outpatient provider for medication management and therapy for the adolescent. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. While adolescents (n=60) will not directly receive the intervention, they will complete assessments at baseline, six weeks post-baseline (T2), and six months post-baseline (T3).This arm includes only parent respondents. TAU: The TAU condition is the standard of care offered to parents in RT settings.
Parenting Wisely Residential Treatment (PWRT) - Adolescents
n=1 Participants
In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely. While adolescents will not directly receive the intervention, they will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3). This arm includes only adolescent respondents. Parenting Wisely Residential Treatment (PWRT): PWRT experimental intervention for parents
Treatment as Usual (TAU) - Adolescents
n=4 Participants
The TAU condition is the standard of care offered to parents in Residential Treatment (RT) settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. While adolescents will not directly receive the intervention, they will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3).This arm includes only adolescent respondents.
Brief Problem Monitor (BPM) - Total Score
T1 (baseline)
23.76 score on a scale
Standard Error 1.51
25.09 score on a scale
Standard Error 1.09
23 score on a scale
Standard Error 0
18 score on a scale
Standard Error 7.3
Brief Problem Monitor (BPM) - Total Score
T2 (6 weeks)
19.85 score on a scale
Standard Error 1.86
20.25 score on a scale
Standard Error 1.38
20 score on a scale
Standard Error 0
21.3 score on a scale
Standard Error 9.1
Brief Problem Monitor (BPM) - Total Score
T3 (6 months)
21.81 score on a scale
Standard Error 1.57
20.25 score on a scale
Standard Error 1.37
13 score on a scale
Standard Error 0
21.3 score on a scale
Standard Error 6.5
Brief Problem Monitor (BPM) - Total Score
Change, T1, T2
-3.82 score on a scale
Standard Error 1.19
-4.84 score on a scale
Standard Error 1.10
-3 score on a scale
Standard Error 0
3.3 score on a scale
Standard Error .8
Brief Problem Monitor (BPM) - Total Score
Change, T1, T3
-2.36 score on a scale
Standard Error 1.20
-4.84 score on a scale
Standard Error 1.10
-10 score on a scale
Standard Error 0
3.3 score on a scale
Standard Error 1.8

Adverse Events

Parenting Wisely Residential Treatment (PWRT)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Treatment as Usual (TAU)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Parenting Wisely Residential Treatment (PWRT) - Adolescents

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Treatment as Usual (TAU) - Adolescents

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Kayla Herbell

Ohio State University

Phone: 614-688-0959

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place