Disruptive Behaviorss- shortNCT07109661
Efficacy of the Rational Positive Parenting Program (s-rPPP) for Disruptive Behaviors
A study testing Rational Positive Parenting Program (s-rPPP) in people with Disruptive Behaviors, run by Sadia Ramzan at 1 site in Pakistan.
Trial summary
The goal of this clinical trial is to learn if the Rational Positive Parenting Program (s-rPPP), a group-based intervention based on Rational Emotive Behavior Therapy (REBT), can help reduce disruptive behaviors in children and improve parenting among mothers in Pakistan. Read more about this study
- Who is it for?
- Ages 30 to 45 years, women only
- Conditions the study is for
- Disruptive Behaviors
- What is being tested?
- Rational Positive Parenting Program (s-rPPP)
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 24 participants
- Where
- 1 sitePakistan
- Study dates
- 15 Dec 2025to 15 Jul 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 30 to 45 years
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- For Mothers
- Mothers with the age range between 30 and 45 years.
- Mothers who score high on the PAS and P RIBS will be included in the study.
- Mothers willing and available to attend group-based rPPP sessions throughout the intervention period.
- For Children
- Children between 6 and 12 years of age.
- Children who score high on measures of externalizing and internalizing behavioral problems.
Who cannot join
- For Mothers
- Mothers with Psychological illness (screening questions will be included in the demographic section),
- Mothers enrolled in any other parenting or psychological intervention programs. For Children
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- Children with comorbid neurodevelopmental disorders (e.g., autism, ADHD) (screening questions will be included in the demographic section)
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
Centre for Clinical Psychology, University of the Punjab
Lahore, Punjab Province, 54590
About this study
The goal of this clinical trial is to learn if the Rational Positive Parenting Program (s-rPPP), a group-based intervention based on Rational Emotive Behavior Therapy (REBT), can help reduce disruptive behaviors in children and improve parenting among mothers in Pakistan. The study focuses on mothers of children aged 6-12 years who show behavioral problems like aggression, defiance, and temper outbursts.
The main questions it aims to answer are:
Read more
Does the s-rPPP reduce disruptive behavior in children? Does it improve parents' beliefs, emotional regulation, and sense of competence? Researchers will compare a group of mothers receiving the s-rPPP to a wait-list control group to see if the intervention leads to positive changes in both parent and child behavior.
Participants will:
Attend weekly group sessions based on s-rPPP techniques. Complete assessments before and after the program using standardized tools. Be followed up to evaluate the program's effectiveness in improving parenting and child outcomes.
- Conditions
- Disruptive Behaviors
- Being tested
- Rational Positive Parenting Program (s-rPPP)
- Medical subject headings
- Problem Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rational Positive Parenting Program (s-rPPP)Behavioural
The Rational Positive Parenting Program (s-rPPP) is a structured cognitive-behavioral group intervention based on Rational Emotive Behavior Therapy (REBT). It comprises 4 weekly sessions focused on addressing irrational parenting beliefs, improving emotion regulation, and teaching positive behavior management strategies for children with disruptive behaviors. Participants in the control group will not receive the intervention during the active phase, but will be offered the rPPP after final assessment to ensure ethical treatment.
| Study group | Role | What they receive |
|---|---|---|
| Intervention Group | Experimental | Participants receiving Rational Positive Parenting Program (rPPP) throughout the study. Receives: Behavioral: Rational Positive Parenting Program (s-rPPP) |
| Waitlist Control Group | Other | Participants on waitlist control, they will receive the rPPP after post-intervention assessment. Receives: Behavioral: Rational Positive Parenting Program (s-rPPP) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Measure of Externalizing and Internalizing Behavioral Problems
The developed scale is a 5-point Likert scale consisting of 36 items, designed to assess externalizing and internalizing behavioral problems in children aged 6 to 12 years. Each item requires respondents to rate the frequency of specific behaviors observed in the child.
Response options range from:
- = Not at all (absence of the behavior)
- = Rarely
- = Sometimes
- = Often
- = Always (consistent presence of the behavior)
The scale evaluates two domains:
Externalizing behaviors (hyperactivity \& impulsivity, aggression, anti-social tendencies, defiance) Internalizing behaviors (anxiety, depression, hypersensitivity) Minimum score: 36 Maximum score: 180 Higher scores indicate worse outcomes, reflecting greater severity and frequency of behavioral problems.
Lower scores indicate better outcomes, reflecting fewer or absent behavioral problems.
Measured: Baseline (pre-intervention) and post-intervention at 4 weeks
Parenting Sense of Competence Scale - PSCS
The Parenting Sense of Competence Scale (PSCS) assesses parents' self-perceived competence in their parenting role. It evaluates two subscales:
Satisfaction Subscale - measures comfort and frustration in the parenting role
Efficacy Subscale - assesses perceived competence and capability as a parent
Different versions have slightly varying scoring, but the original 17-item version uses a 6-point Likert scale (from 1 = Strongly Disagree to 6 = Strongly Agree).
Score Range (for 17-item version):
Total Score
Range: 17 to 102
Higher scores indicate greater parenting competence and satisfaction
Subscale Ranges:
Efficacy Subscale (8 items): 8-48
Satisfaction Subscale (9 items): 9-54
Measured: Baseline (pre-intervention) and post-intervention at 4 weeks
Parent Rational and Irrational Belief Scale - PRIBS
The Parent Rational and Irrational Beliefs Scale (PRIBS) evaluates both rational and irrational parental beliefs related to child behavior and discipline.
Items are rated on a 5-point Likert scale (from 1 = strongly disagree to 5 = strongly agree).
Includes two major dimensions:
Rational Beliefs Subscale
Irrational Beliefs Subscale
Score Ranges:
Total Score Range: Depends on the number of items used. Typically:
20 items total: 10 rational + 10 irrational
Score Range (each subscale): 10 to 50
Higher Rational Belief Scores = More adaptive, logical parenting beliefs
Higher Irrational Belief Scores = More rigid, demanding, or unrealistic beliefs
Measured: Baseline (pre-intervention) and post-intervention at 4 weeks
Parent Anger Scale - PAS
The Parent Anger Scale (PAS) is a 30-item self-report measure assessing the frequency and intensity of parental anger in response to child-related situations. Items are rated on a 5-point Likert scale from 1 (Strongly Disagree) to 5 (Strongly Agree).
Score Range:
Total Score Range: 30 to 150
Higher Scores: indicate greater frequency and intensity of parental anger
Lower Scores: reflect better emotional regulation and lower anger expression in parenting contexts
Measured: Baseline (pre-intervention) and post-intervention at 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Aug 2025
- Study start15 Dec 2025
- Primary completion15 May 2026 (estimated)
- Study completion15 Jul 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Disruptive BehaviorsStudies 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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants (caregivers of children with disruptive behaviors) will be randomly assigned to either the intervention group (receiving s-rPPP sessions) or the waitlist control group. The intervention group will complete weekly sessions of the Rational Positive Parenting Program, while the control group will receive usual care and be offered the intervention after post-assessment.
- Masking
- None (open label)
- Enrolment
- 24 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Sadia Ramzan
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Sadia Ramzan, University of the Punjab
- Investigators
- Hira Liaqat Supervisor, Principal investigator, Centre for Clinical Psychology, University of the Punjab
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07109661
- Sponsor's protocol ID
- No. D/114/FIMS
- Acronym
- s- short
- Status last verified
- Jan 2026
- First submitted
- 31 Jul 2025
- Last updated
- 5 May 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 5 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy of the Rational Positive Parenting Program (s-rPPP) for Disruptive Behaviors
- ClinicalTrials.gov ID
- NCT07109661
- Acronym / sponsor ID
- s- short / No. D/114/FIMS
- Conditions
- Disruptive Behaviors
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 24 participants (estimated)
- Lead sponsor
- Sadia RamzanUniversity, hospital or other
- Study start
- 15 Dec 2025 (actual)
- Primary completion
- 15 May 2026 (estimated)
- Study completion
- 15 Jul 2026 (estimated)
- First posted
- 7 Aug 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this clinical trial is to learn if the Rational Positive Parenting Program (s-rPPP), a group-based intervention based on Rational Emotive Behavior Therapy (REBT), can help reduce disruptive behaviors in children and improve parenting among mothers in Pakistan. The study focuses on mothers of children aged 6-12 years who show behavioral problems like aggression, defiance, and temper outbursts.
The main questions it aims to answer are:
Does the s-rPPP reduce disruptive behavior in children? Does it improve parents' beliefs, emotional regulation, and sense of competence? Researchers will compare a group of mothers receiving the s-rPPP to a wait-list control group to see if the intervention leads to positive changes in both parent and child behavior.
Participants will:
Attend weekly group sessions based on s-rPPP techniques. Complete assessments before and after the program using standardized tools. Be followed up to evaluate the program's effectiveness in improving parenting and child outcomes.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Participants (caregivers of children with disruptive behaviors) will be randomly assigned to either the intervention group (receiving s-rPPP sessions) or the waitlist control group. The intervention group will complete weekly sessions of the Rational Positive Parenting Program, while the control group will receive usual care and be offered the intervention after post-assessment.
| Arm | Type | Receives |
|---|---|---|
| Intervention Group | Experimental | Behavioral: Rational Positive Parenting Program (s-rPPP)Participants receiving Rational Positive Parenting Program (rPPP) throughout the study. |
| Waitlist Control Group | Other | Behavioral: Rational Positive Parenting Program (s-rPPP)Participants on waitlist control, they will receive the rPPP after post-intervention assessment. |
Who may qualify
- Ages
- 30 to 45 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- For Mothers
- For Children
- Children between 6 and 12 years of age.
- Children who score high on measures of externalizing and internalizing behavioral problems.
Key exclusion criteria (5 listed)
- For Mothers
- <!-- -->
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Rational Positive Parenting Program (s-rPPP)The Rational Positive Parenting Program (s-rPPP) is a structured cognitive-behavioral group intervention based on Rational Emotive Behavior Therapy (REBT). It comprises 4 weekly sessions focused on addressing irrational parenting beliefs, improving emotion regulation, and teaching positive behavior management strategies for children with disruptive behaviors. Participants in the control group will not receive the intervention during the active phase, but will be offered the rPPP after final assessment to ensure ethical treatment. | Behavioural | Intervention Group, Waitlist Control Group |
Primary outcome
Measure of Externalizing and Internalizing Behavioral Problems
Time frame: Baseline (pre-intervention) and post-intervention at 4 weeks
The developed scale is a 5-point Likert scale consisting of 36 items, designed to assess externalizing and internalizing behavioral problems in children aged 6 to 12 years. Each item requires respondents to rate the frequency of specific behaviors observed in the child. Response options range from: 1. = Not at all (absence of the behavior) 2. = Rarely 3. = Sometimes 4. = Often 5. = Always (consistent presence of the behavior) The scale evaluates two domains: Externalizing behaviors (hyperactivity \& impulsivity, aggression, anti-social tendencies, defiance) Internalizing behaviors (anxiety, depression, hypersensitivity) Minimum score: 36 Maximum score: 180 Higher scores indicate worse outcomes, reflecting greater severity and frequency of behavioral problems. Lower scores indicate better outcomes, reflecting fewer or absent behavioral problems.
Parenting Sense of Competence Scale - PSCS
Time frame: Baseline (pre-intervention) and post-intervention at 4 weeks
The Parenting Sense of Competence Scale (PSCS) assesses parents' self-perceived competence in their parenting role. It evaluates two subscales: Satisfaction Subscale - measures comfort and frustration in the parenting role Efficacy Subscale - assesses perceived competence and capability as a parent Different versions have slightly varying scoring, but the original 17-item version uses a 6-point Likert scale (from 1 = Strongly Disagree to 6 = Strongly Agree). Score Range (for 17-item version): Total Score Range: 17 to 102 Higher scores indicate greater parenting competence and satisfaction Subscale Ranges: Efficacy Subscale (8 items): 8-48 Satisfaction Subscale (9 items): 9-54
Parent Rational and Irrational Belief Scale - PRIBS
Time frame: Baseline (pre-intervention) and post-intervention at 4 weeks
The Parent Rational and Irrational Beliefs Scale (PRIBS) evaluates both rational and irrational parental beliefs related to child behavior and discipline. Items are rated on a 5-point Likert scale (from 1 = strongly disagree to 5 = strongly agree). Includes two major dimensions: Rational Beliefs Subscale Irrational Beliefs Subscale Score Ranges: Total Score Range: Depends on the number of items used. Typically: 20 items total: 10 rational + 10 irrational Score Range (each subscale): 10 to 50 Higher Rational Belief Scores = More adaptive, logical parenting beliefs Higher Irrational Belief Scores = More rigid, demanding, or unrealistic beliefs
Parent Anger Scale - PAS
Time frame: Baseline (pre-intervention) and post-intervention at 4 weeks
The Parent Anger Scale (PAS) is a 30-item self-report measure assessing the frequency and intensity of parental anger in response to child-related situations. Items are rated on a 5-point Likert scale from 1 (Strongly Disagree) to 5 (Strongly Agree). Score Range: Total Score Range: 30 to 150 Higher Scores: indicate greater frequency and intensity of parental anger Lower Scores: reflect better emotional regulation and lower anger expression in parenting contexts
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 May 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Hira Liaqat Supervisor principal investigator
Centre for Clinical Psychology, University of the Punjab
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Rational Positive Parenting Program (s-rPPP) in people with Disruptive Behaviors, run by Sadia Ramzan at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 5 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Measure of Externalizing and Internalizing Behavioral Problems (time frame: Baseline (pre-intervention) and post-intervention at 4 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 May 2026.