Family ConflictPWS2NCT06533735
Parent Web - Support for Families With Young People
A study testing Parent Web in people with Family Conflict and Family Relations, run by Stockholm University at 1 site in Sweden.
Trial summary
To test an online parent training program. Relative to a randomized wait-list control group, those in the Parent Web (PW) will show benefits on well-being, parenting, stress, youth mental health. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Family Conflict, Family Relations, Family Dysfunction
- What is being tested?
- Parent Web
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 254 participants
- Where
- 1 siteSweden
- Study dates
- 14 Nov 2024to 29 Apr 2025
- Phase
- Interventional
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- Participants have to be parents and/or legal guardians of at least one 11 to 13 year old child.
- Participants must live in Region Stockholm.
Who cannot join
- 1. The target child (the 11 to 13-year-old) is presently receiving mental health treatment.
Trial locations and contacts
1 site in 1 country.
About this study
To test an online parent training program. Relative to a randomized wait-list control group, those in the Parent Web (PW) will show benefits on well-being, parenting, stress, youth mental health.
Read the detailed description
Parent-Web (PW) is internet delivered parent education that is created and developed by researchers at Karolinska Institute's Department of Clinical Neuroscience, namely Kajsa Lönn-Rhodin, Martin Forster, and Pia Enebrink. An effectiveness trial of the universal edition of the Parent Web is made possible through a research collaboration with Pia Enebrink. PW is derived from social learning and coercion theory. PW aims to support parenting practices and parent-child interactions encourage prosocial behaviour and emotion regulation, reduce coercive parenting, improve communication, problem solving, and warmth within families. PW has a universal and selective edition. Universal PW has 5 basic modules (1 module per week, 6-8 weeks) and bonus modules. Basic modules contain information, exercises, and videos of actors showing parenting practices. A family guide supports PW participants through PW modules. This study will test the effects of universal PW with a general population derived sample of parents living in Region Stockholm. All PW trial participants are parents to at least one adolescent child who is aged 11-13 years old.
- Conditions
- Family Conflict, Family Relations, Family Dysfunction
- Being tested
- Parent Web
- Keywords
- parent training, universal, youth externalizing problems, family conflict, warmth in families
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Parent WebBehavioural
Parent-Web (PW) is internet delivered and rooted in social learning and coercion theory, PW supports parenting practices and parent-child interactions encouraging prosocial behavior and emotion regulation, reduce coercive parenting, improve communication, problem solving, and warmth. PW has a universal and selective edition. Universal PW has 5 basic modules (1 module per week, 6-8 weeks) and bonus modules. Basic modules contain information, exercises, and videos of actors showing parenting practices. A family guide supports parents through modules.
| Study group | Role | What they receive |
|---|---|---|
| Experimental: Immediate Intervention Group | Experimental | The immediate intervention group will take part in the online parent training program called the Parent Web (PW), with pre and post testing (before and after intervention). Receives: Behavioral: Parent Web |
| Wait-List Control Group | Other | This is a group of parents who are in a wait-list control group and will receive the Parent Web, after pre and post testing. Receives: Behavioral: Parent Web |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline in parent rating of child's emotional problems, conduct problems, hyperactivity, peer problems and prosocial behavior
Change from baseline up to 10 months later (immediate intervention group, two time points) and up to 20 months later (wait-list comparison group, three time points) in parent rating of their child's emotional problems, conduct problems, hyperactivity, peer problems and prosocial behavior as indexed by the Strengths and Difficulties Questionnaire (SDQ).
The SDQ consists of 25 items rated on a 3-point Likert scale with response options that range from 0 = not true, 1 = somewhat true, 2 = certainly true. Higher scores indicate a worse outcome on the emotional problems, conduct problems, hyperactivity, peer problems scale scores. Higher scores on the prosocial behavior scale indicate a better outcome.
Measured: [Time Frame: Immediate PW group pretest in Fall/Winter 2024. Post test up to 10 months after pretest. Wait-list group pretest in Fall/Winter 2024. Post test 1 up to 10 months after pretest. Post test 2 for wait-list up to 10 months after post test 1]
Change from baseline in parent rated view of their child's behavioral problems/defiant behavior
Change from baseline up to 10 months later (immediate intervention group, two time points) and up to 20 months later (wait-list comparison group, three time points) in parent view of their child's behavioral problems/defiant behavior as measured by the Oppositional Defiant Scale of the Disruptive Disorder Rating Scale (DBD) which consists of 7 items rated on a 4-point scale ranging from 1 (not at all) to 4 (very much). Higher scores indicate a worse outcome.
Measured: [Time Frame: Immediate PW group pretest in Fall/Winter 2024. Post test up to 10 months after pretest. Wait-list group pretest in Fall/Winter 2024. Post test 1 up to 10 months after pretest. Post test 2 for wait-list up to 10 months after post test 1]
Change from baseline in parent rated family warmth and conflict
Change from baseline up to 10 months later (immediate intervention group, two time points) and up to 20 months later (wait-list comparison group, three time points) in parent rated warmth and conflict. Warmth and conflict are indexed by eight items rated on a five-point scale from 1 (never) to 5 (more than 7 times). Five items measure parent-child warmth and three items measure parent-child conflicts. Higher scores on parental warmth scale indicate a better outcome. Higher scores on the parent-child conflicts scale score indicate a worse outcome.
Measured: [Time Frame: Immediate PW group pretest in Fall/Winter 2024. Post test up to 10 months after pretest. Wait-list group pretest in Fall/Winter 2024. Post test 1 up to 10 months after pretest. Post test 2 for wait-list up to 10 months after post test 1]
Secondary outcomes (4)
Change from baseline in parent rated encouragement of positive behaviors, setting limits, and proactive parenting behaviors
Change from baseline up to 10 months later (immediate intervention group, two time points) and up to 20 months later (wait-list comparison group, three time points) in parent rated encouragement of positive behaviors, setting limits, and proactive parenting behaviors as indexed by the Parenting Children and Adolescents Scale (PARCA). The PARCA has 19 items rated on a five-point scale 1 = never to 5 = Very Often. The scale has three subscales on encouragement of positive behaviors, setting limits, and proactive parenting behaviors. Higher scores indicate a better outcome.
Measured: [Time Frame: Immediate PW group pretest in Fall/Winter 2024. Post test up to 10 months after pretest. Wait-list group pretest in Fall/Winter 2024. Post test 1 up to 10 months after pretest. Post test 2 for wait-list up to 10 months after post test 1]
Change from baseline in parent rated stress
Change from baseline up to 10 months later (immediate intervention group, two time points) and up to 20 months later (wait-list comparison group, three time points) in parent rated stress as measured by the Perceived Stress Scale (PSS). PSS consists of 10 questions about perceived stress during the last month rated on a 5-point Likert scale (0 = Never to 4 = Very Often). The scale measures the extent to which situations in one's life are assessed and perceived as stressful and current stress levels. Higher scores indicate a worse outcome.
Measured: [Time Frame: Immediate PW group pretest in Fall/Winter 2024. Post test up to 10 months after pretest. Wait-list group pretest in Fall/Winter 2024. Post test 1 up to 10 months after pretest. Post test 2 for wait-list up to 10 months after post test 1]
Change from baseline in parent rated health
Change from baseline up to 10 months later (immediate intervention group, two time points) and up to 20 months later (wait-list comparison group, three time points) in parent rated health as measured by the Hospital Anxiety and Depression Scale (HAD). HAD consists of two scales (a total of 14 items), one for anxiety and one for depression with seven questions each. Items are rated on a 4-point Likert scale. Higher scores indicate a worse outcome.
Measured: [Time Frame: Immediate PW group pretest in Fall/Winter 2024. Post test up to 10 months after pretest. Wait-list group pretest in Fall/Winter 2024. Post test 1 up to 10 months after pretest. Post test 2 for wait-list up to 10 months after post test 1]
Change from baseline in parent rated parents validation of their child's emotions when expressed
Change from baseline up to 10 months later (immediate intervention group, two time points) and up to 20 months later (wait-list comparison group, three time points) in parent rated affective style as measured by the tolerating subscale of the Affective Style Questionnaire (ASQ). The ASQ consists of five items (rated on a 3 point Likert scale,
1 = Completely Agree to 3 = Completely Disagree) that examine how parents view their own validation of their child's emotions when expressed. Higher scores indicate a worse outcome.
Measured: [Time Frame: Immediate PW group pretest in Fall/Winter 2024. Post test up to 10 months after pretest. Wait-list group pretest in Fall/Winter 2024. Post test 1 up to 10 months after pretest. Post test 2 for wait-list up to 10 months after post test 1]
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Aug 2024
- Study start14 Nov 2024
- Primary completion29 Apr 2025
- Study completion29 Apr 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (9)Papers the sponsor has linked to this study.
- Other trials for Family ConflictStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- This is a randomized controlled experiment (RCT) with a wait-list control group
- Masking
- None (open label)
- Enrolment
- 254 participants (actual)
Sponsor and investigators
- Lead sponsor
- Stockholm University
- Sponsor type
- University, hospital or other
- Collaborators
- Karolinska Institutet, Region Stockholm
- Responsible party
- Principal investigator, Laura Ferrer Wreder, Stockholm University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06533735
- Sponsor's protocol ID
- FoUI-993293
- Acronym
- PWS2
- Status last verified
- Apr 2026
- First submitted
- 30 Jul 2024
- Last updated
- 24 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: The datasets to be collected in this trial are not readily available because this study's ethical review does not allow for study data to be in a public repository. For meta-analysis or confirmation of published study results, individual level, de-identified data requests will be reviewed when made by qualified researchers (e.g., Ph.D.) along with ethical permission under Swedish law regarding secondary data analysis. Requests to access the datasets should be directed to Laura Ferrer-Wreder (laura.ferrer-wreder@psychology.su.se)
Publications
Goodman R. The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry. 1997 Jul;38(5):581-6. doi: 10.1111/j.1469-7610.1997.tb01545.x.
PubMed 9255702Malmberg M, Rydell AM, Smedje H. Validity of the Swedish version of the Strengths and Difficulties Questionnaire (SDQ-Swe). Nord J Psychiatry. 2003;57(5):357-63. doi: 10.1080/08039480310002697.
PubMed 14522609Pelham WE Jr, Gnagy EM, Greenslade KE, Milich R. Teacher ratings of DSM-III-R symptoms for the disruptive behavior disorders. J Am Acad Child Adolesc Psychiatry. 1992 Mar;31(2):210-8. doi: 10.1097/00004583-199203000-00006.
PubMed 1564021Criss MM, Shaw DS. Sibling relationships as contexts for delinquency training in low-income families. J Fam Psychol. 2005 Dec;19(4):592-600. doi: 10.1037/0893-3200.19.4.592.
PubMed 16402874Wetterborg D, Enebrink P, Lonn Rhodin K, Forster M, Risto E, Dahlstrom J, Forsberg K, Ghaderi A. A pilot randomized controlled trial of Internet-delivered parent training for parents of teenagers. J Fam Psychol. 2019 Oct;33(7):764-774. doi: 10.1037/fam0000541. Epub 2019 Jun 17.
PubMed 31204818Ringle JL, Mason WA, Oats RG, Cogua J. Parenting Children and Adolescents (PARCA) scale English to Spanish translation: An investigation of measurement invariance. J Fam Psychol. 2019 Dec;33(8):938-944. doi: 10.1037/fam0000559. Epub 2019 Jul 18.
PubMed 31318263Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385-96. No abstract available.
PubMed 6668417Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983 Jun;67(6):361-70. doi: 10.1111/j.1600-0447.1983.tb09716.x.
PubMed 6880820Hofmann SG, Kashdan TB. The Affective Style Questionnaire: Development and Psychometric Properties. J Psychopathol Behav Assess. 2010 Jun 1;32(2):255-263. doi: 10.1007/s10862-009-9142-4.
PubMed 20495674