Randomized Controlled Trial of a Risk Reframing Tool to Change Mothers' Parenting Associated With Children's Risky Play

2017-12-21 10:37:10 | BioPortfolio


Children's risky play is associated with a variety of positive developmental, physical and mental health outcomes, including greater physical activity, self-confidence and risk management skills. Children's opportunities for risky play have eroded over time, limited by parents' fears and beliefs about risk, particularly among mothers. We have developed a digital and in-person workshop version of a tool to reframe parents' perceptions of risk. We will examine whether the tool increases mothers' tolerance for risky play and influences parenting behaviour change, in the short and long term, and whether these changes are greater than those in the control group.

We will conduct a single-blind (researchers and outcome assessors) randomized controlled trial and will recruit at total of 501 mothers of children aged 6-12 years. The risk reframing (RR) digital tool is designed for a one-time visit and includes three chapters of self-reflection and experiential learning tasks. The RR in-person tool is a 2-hour facilitated workshop in which participants are guided through discussion of the same tasks contained within the digital tool. The control condition consists of reading the Position Statement on Active Outdoor Play.

Primary outcome is increased tolerance of risk in play, as measured by the Tolerance of Risk in Play Scale. Secondary outcome is self-reported attainment of a behaviour change goal that participants set for themselves. We will test the hypothesis that there will be differences between the experimental and control groups with respect to tolerance of risk in play and goal attainment.


The study uses 3-group parallel randomized controlled trial design.

Participants will be recruited through advertising on social media, distributing notices through our networks, snowball sampling, and posting notices in community centres. The aim is to obtain complete data on 375 participants, thus the investigators will recruit at least 501 mothers to account for attrition. Interested participants will complete a questionnaire in REDCap electronic data capture tool hosted at British Columbia Children's Hospital Research Institute to answer eligibility questions and provide informed consent. Enrolled participants will be sent a link to the baseline questionnaire package to be completed in REDcap.

Once participants are deemed eligible for the study, they are allocated to one of the three conditions: 1) Control group; 2) RR digital tool; and 3) RR in-person workshop. Participants in Condition 1 will be provided with a link to the Position Statement on Active Outdoor Play, which includes information on research and recommendations for action. Participants in Condition 2 will be provided with a link to the RR digital tool to complete at their leisure. Participants in Condition 3, will be scheduled to attend the RR in-person workshop. The randomization schedule was generated beforehand in using blocks of size 3, 6, and 9. The list was then transferred to REDCap.

Honoraria will be paid at each time point as compensation for participation. Participants attending in-person RR workshops are provided with an additional honorarium to compensate them for any expenses incurred in attending, such as travel or childcare.

Participants have equal likelihood of assignment to each condition (33%). They will not be blinded to allocation, because the nature of the intervention does not allow it. They will be informed of their allocated treatment after completing the baseline questionnaires. Allocation will be concealed to the researchers at participant assignment and data analysis. Furthermore, the RR in-person workshop facilitator does not need to be blinded to allocation, as the other two arms do not have a facilitator.

Participants will complete a questionnaire package at three time points: Baseline (T1), 1-week post-intervention (T2), and 3-months post-intervention (T3). Survey data will be collected and managed using REDCap.

The study hypotheses are:

1. Mothers completing the RR digital tool will have a significantly greater increase of tolerance for risk in play than mothers in the control condition.

2. Mothers completing the RR in-person workshop will have a significantly greater increase of tolerance for risk in play than mothers in the control condition.

3. A greater proportion of mothers completing the RR digital tool will attain their behaviour change goal, than mothers in the control condition.

4. A greater proportion of mothers completing the RR in-person workshop will attain their behaviour change goal than mothers in the control condition.

Study Design


Risk Assessment


RR Digital Tool, RR In-Person Workshop, Position Statement Active Outdoor Play


British Columbia Children's Hospital Research Institute
British Columbia
V6H 3V4




University of British Columbia

Results (where available)

View Results


Published on BioPortfolio: 2017-12-21T10:37:10-0500

Clinical Trials [1620 Associated Clinical Trials listed on BioPortfolio]

Getting Older Adults OUT-of -Doors (GO-OUT)

Community walking is an issue that older adults with chronic conditions have described as important to participation in the community. Walking outside the home is a universally accessible ...

Preschoolers Active at Child Care (PACT)

The aim of this study was to develop, test, and compare two approaches to increasing physical activity (PA) and decreasing sedentary time among young children at child care centers, one wh...

Evaluating a Digital Tool for Supporting Breast Cancer Patients

This is a prospective randomised controlled trial that aims to understand the impact of the OWise breast cancer digital tool in newly diagnosed breast cancer patients. Half the patients wi...

Influence of the "Atelier du rêve" (Dream Workshop) on the Quality of Falling Asleep in the Operating Room.

A "dream workshop" is organized for the children by nurses specialized in anesthesia in the CHI Creteil. During this workshop, the anesthesia process is explained to the children using gam...

Guangzhou Outdoor Activity Longitudinal Study

The purpose of this study is to assess whether outdoor activities are effective in preventing the development and progression of juvenile-onset myopia in Chinese children.

PubMed Articles [15740 Associated PubMed Articles listed on BioPortfolio]

Feasibility and Acceptability of a 3-day Group-based Digital Storytelling Workshop among Caregivers of Allogeneic Hematopoietic Cell Transplant Patients: A Mixed Methods Approach.

Family caregivers are essential partners for patients undergoing hematopoietic cell transplant (HCT). The caregiving role is emotionally, physically, and financially demanding. Intervention efforts to...

Self-directed learning digital tool versus tutorials under the guidance of an educator: Randomized trial.

Self-directed learning digital tool aims to enable students to acquire skills in an autonomous way. The aim of this work was to compare a self-directed learning digital tool in non-traumatic abdominal...

Long term functional results of digital replantation: A survey of 28 patients.

We sought to evaluate the long-term quality of life and functional outcome of patients who underwent digital replantation after amputation. A retrospective single-center study was conducted of patient...

Moderating effects of person and job characteristics on digital monitoring outcomes.

Many individuals perceive digital monitoring to be an inherently negative practice that invades privacy, but recent research suggests that it has positive effects for workers under certain circumstanc...

European Society of Endodontology Position Statement: Cone Beam Computed Tomography.

European Society of Endodontology developed by: Patel S, Brown J, Semper M, Abella F, Mannocci F. European Society of Endodontology Position Statement: Cone Beam Computed Tomography. International End...

Medical and Biotech [MESH] Definitions

Statement of the position requirements, qualifications for the position, wage range, and any special conditions expected of the employee.

Interference with the FREEDOM or PERSONAL AUTONOMY of another person, with justifications referring to the promotion of the person's good or the prevention of harm to the person. (from Cambridge Dictionary of Philosophy, 1995); more generally, not allowing a person to make decisions on his or her own behalf.

A person authorized to decide or act for another person, for example, a person having durable power of attorney.

The process of converting analog data such as continually measured voltage to discrete, digital form.

Indoor or outdoor areas designated for the parking of vehicles.

More From BioPortfolio on "Randomized Controlled Trial of a Risk Reframing Tool to Change Mothers' Parenting Associated With Children's Risky Play"

Quick Search

Relevant Topics

Pediatrics is the general medicine of childhood. Because of the developmental processes (psychological and physical) of childhood, the involvement of parents, and the social management of conditions at home and at school, pediatrics is a specialty. With ...

Psychiatry is the study of mental disorders and their diagnosis, management and prevention.  Conditions include schizophrenia, severe depression and panic disorders among others. There are pharmaceutical treatments as well as other therapies to help...

Searches Linking to this Trial