# Modification and evaluation of the DECIDE intervention to improve parent-provider interactions in low-income parents of adolescents with Disruptive Impulse Control, and Conduct Disorders

> **NIH NIH R21** · INDIANA UNIVERSITY INDIANAPOLIS · 2021 · $236,250

## Abstract

PROJECT SUMMARY/ABSTRACT
Interventions to optimize parent-provider interactions are urgently needed to ensure adolescents aged 12 to 17
years with Disruptive, Impulse-Control, and Conduct disorders (DIC) receive the behavioral health care they
need. For these adolescents, behavioral health care is complex, long-term, and requires parental participation.
Research shows providers have biases and limited skills and confidence to communicate with these parents to
encourage them to voice their concerns and care preferences. Low income and/or minority parents are at
greatest risk for not being involved in their adolescents' behavioral health care, having poor interactions with
providers, being more likely to perceive poor quality of their adolescents' behavioral health care, and having
low treatment engagement. If unaddressed, poor parent-provider interactions interfere with adolescents'
retention in behavioral health care. No evidence-based interventions have targeted both parents and providers
to optimize their interactions and improve behavioral health care for adolescents with DIC. To address these
problems, we propose modifying the evidence-based DECIDE intervention to target low income and/or minority
parents and providers of adolescents with DIC. DECIDE stands for Decide the problem; Explore the questions;
Closed or open-ended questions; Identify the who, why, or how of the problem; Direct questions to your health
care professional; Enjoy a shared solution. DECIDE was developed for ethnically/racially diverse adult patients
with serious mental illness and the latest evidence-based iterations include intervention components targeted
to and shown to increase patient activation, provider communication, and patient-provider interactions. The
purposes of this two-phase study are: Phase I, Aim 1. Modify the DECIDE intervention for parents and
providers of adolescents with DIC. Phase II, Aim 2. Evaluate the feasibility and acceptability of modified
DECIDE. Aim 3. Estimate preliminary effects of modified DECIDE to improve parent, provider, and adolescent
outcomes. Innovations are focus on both parents and providers; inclusion of parent activation and provider
communication, which are new in field of child and adolescent behavioral health care; and focus on low income
and/or minority parents. The sample will be 16 providers and 80 parents (~ 5 parents per provider) recruited
from the Child and Adolescents Program of a large safety net health system setting that serves predominately
low income and/or minority persons. Feasibility will be assessed using tracking logs and field notes, and
acceptability through parent and provider satisfaction scores, and in-depth, semi structured interviews.
Outcomes will be assessed at baseline and within 4 weeks post- intervention using standardized
questionnaires multi-informants. Effects sizes will be estimated using linear mixed models. If findings are
positive, we will be poised to test the modified DECIDE in a fully ...

## Key facts

- **NIH application ID:** 10149401
- **Project number:** 5R21MD015150-02
- **Recipient organization:** INDIANA UNIVERSITY INDIANAPOLIS
- **Principal Investigator:** Ukamaka Marian Oruche
- **Activity code:** R21 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $236,250
- **Award type:** 5
- **Project period:** 2020-04-23 → 2022-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10149401

## Citation

> US National Institutes of Health, RePORTER application 10149401, Modification and evaluation of the DECIDE intervention to improve parent-provider interactions in low-income parents of adolescents with Disruptive Impulse Control, and Conduct Disorders (5R21MD015150-02). Retrieved via AI Analytics 2026-06-11 from https://api.ai-analytics.org/grant/nih/10149401. Licensed CC0.

---

*[NIH grants dataset](/datasets/nih-grants) · CC0 1.0*