Preventing Conduct Disorder in Child Welfare


A mixed methods randomized control trial was conducted to test the effectiveness of Pathways Triple P with child welfare involved families compared to treatment as usual. Outcomes tested included parenting behaviors and attitudes, and child behavior problems. 144 families were recruited into the study. Data was collected at 4 time points (baseline, 4 months, 9 months, and 18 months). Over 70% were retained from baseline to 18 months.


Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: None (Open Label)
  • Study Primary Completion Date: July 2015


  • Behavioral: Pathways Triple P
    • Pathways Triple was developed by Matt Sanders and is a behavioral parent training intervention designed to treat child behavior problems and prevent child maltreatment.
  • Behavioral: Services as Usual
    • Families received family centered services and other parenting interventions as deemed appropriate by the child welfare case manager.

Arms, Groups and Cohorts

  • Experimental: Pathways Triple P
    • Families randomized to the Pathways Triple P received a 14 week home based intervention.
  • Active Comparator: Services as Usual
    • Families randomized to the services as usual condition received services as usual through the Missouri Children’s Division

Clinical Trial Outcome Measures

Primary Measures

  • Eyberg Child Behavior Inventory
    • Time Frame: 18 months
    • Child Behavior Problems
  • PedsQL
    • Time Frame: 18 months
    • Pediatric Quality of Life Scale

Secondary Measures

  • Parenting Stress Inventory
    • Time Frame: 18 months
    • Parent Stress
  • Parent Anger Inventory
    • Time Frame: 18 months
    • Parent Anger
  • Parental Sense of Competence
    • Time Frame: 18 months
    • Parent Sense of Competence
  • Alabama Parenting Questionnaire
    • Time Frame: 18 months
    • Parenting Behavior Inventory
  • Depression Anxiety Stress Scales
    • Time Frame: 18 months
    • Parental Mental Health
    • Time Frame: 18 months
    • Alcohol Abuse in Parents
  • The Drug Abuse Screening Test
    • Time Frame: 18 months
    • Parent Substance use
  • HITS IPV Screening
    • Time Frame: 18 months
    • Domestic Violence history
  • PQL
    • Time Frame: 18 months
    • Parent Report of Child Quality of Life

Participating in This Clinical Trial

Inclusion Criteria

  • Families with open child protective service case following allegation of child physical abuse or neglect
  • parent of child between the age of 3 and 12
  • Child remained in the home following investigation
  • parent spoke English

Exclusion Criteria

  • parent's child could not have chronic medical condition or have a pervasive developmental delay

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Washington University School of Medicine
  • Provider of Information About this Clinical Study
    • Principal Investigator: Patricia Kohl, Ph.D., Associate Professor – Washington University School of Medicine
  • Overall Official(s)
    • Patricia Kohl, PhD, Principal Investigator, Washington University School of Medicine

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