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CTRI Number  CTRI/2025/08/092997 [Registered on: 13/08/2025] Trial Registered Prospectively
Last Modified On: 12/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   The Role of Growing Up with Responsibilities in Young Adults’ Self-Reliance and Relationships 
Scientific Title of Study   The Interplay of Self-Reliance, Parentification, and Attachment Style In Emerging Adults: A Mixed Method Approach 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Samyuktha R 
Designation  M.Sc. Clinical Psychology Student 
Affiliation  Manipal College of Health Professions 
Address  Department of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka.

Udupi
KARNATAKA
576104
India 
Phone  8870910912  
Fax    
Email  samyuktha.mchpmpl2024@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Samyukta Vaidhyanathan 
Designation  Assistant Professor 
Affiliation  Manipal College of Health Professions 
Address  Department of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka.

Udupi
KARNATAKA
576104
India 
Phone  8939372782  
Fax    
Email  samyukta.v@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Vaishalee S 
Designation  Assistant Professor  
Affiliation  Manipal College of Health Professions 
Address  Department of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka.

Udupi
KARNATAKA
576104
India 
Phone  9488615322  
Fax    
Email  vaishalee.s@manipal.edu  
 
Source of Monetary or Material Support  
Department of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104 
 
Primary Sponsor  
Name  Samyuktha R 
Address  Department of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Vaishalee S  Manipal College of Health Professions  5th Floor, Department of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka.
Udupi
KARNATAKA 
9488615322

vaishalee.s@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee - 2 (Student Research)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Individuals who have physical or mental illness and disabilities, and individuals who use substances will be excluded. 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  29.00 Year(s)
Gender  Both 
Details  Phase 1:
1. Participants ranging from the ages 18 to 29 years
2. Men and women
3. Participants who have only 1 sibling
4. Participants should be able to read and write in English.
Phase 2:
1. Participants who score 44 and above on the Parentification Inventory (Hooper, 2009) administered in Phase 1, and are open to sharing their experiences related to parentification.
 
 
ExclusionCriteria 
Details  1. Individuals who identify as genders other than male or female.
2. Individuals who are foster children.
3. Individuals who have children.
4. Individuals who have adopted siblings or half-siblings.
5. Individuals whose sibling is a twin.
6. Individuals whose sibling has a chronic disability or sickness.
7. Individuals who have a single parent.
8. Individuals who have physical or mental illness and disabilities.
9. Individuals who use substances.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Phase 1:
Scores from Self-reliance Scale, Parentification Inventory, and Revised Adult Attachment Scale (Close Relationships Version).
Phase 2:
Thematic account of lived experiences and underlying causes of parentification among participants. 
Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="94"
Sample Size from India="94" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   03/09/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="10"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
Aims & objectives: 
The study aims to relate self-reliance, parentification, and attachment styles among emerging adults, and explore the experiences and underlying causes of parentification through a qualitative approach. 
The primary objective is to relate self-reliance, parentification, and attachment styles among emerging adults. The secondary objectives are to explore hyper-independence among emerging adults and to understand the phenomenon of parentification.

Justification for study: 
A mixed-methods approach would offer an enhanced understanding of the psychological impact of parentification and its connection to self-reliance and attachment styles. This can lead to better mental health outcomes.
Exploring hyper-independence and sibling order within the context of parentification would help broaden the understanding of caregiving dynamics, fostering greater awareness and promoting healthier family environments.
Emerging adulthood (age 18 to 29) is a period that is characterised by significant transitions like establishing a career, forming romantic relationships, and undergoing individuation. Thus, studying these variables in emerging adults provides novel insights. 
By examining the role of cultural and familial expectations, the study gives an improved understanding of the interplay between the variables in collectivistic societies. These findings can be generalisable across diverse populations globally. 

Procedure: 
Research protocol has been reviewed by the Department Scientific Committee, Department of Clinical Psychology, MCHP, MAHE; following which, modifications and suggestions from the same were incorporated.
Once approved at the department level, the protocol was presented to the Institutional Research Committee (IRC) for clearance and appropriate approvals have been obtained. Then subsequently submitted to the Institutional Ethics Committee (IEC) for Ethical clearance. 
The research design is Sequential Explanatory Mixed Methods. Phase 1 is the Quantitative phase and Phase 2 is the Qualitative phase. These phases will occur sequentially, with Phase 2 starting only after data collection and analysis for Phase 1 are completed. 
The participants in Phase 1 will be selected through purposive sampling. The collection of data would be done through online mode using Google Forms. Informed consent will be acquired from all participants, and their confidentiality will be guaranteed throughout the study. Information, including socio-demographic details, and responses to the Self-reliance scale, Parentification Inventory (PI) and Revised Adult Attachment Scale - Close Relationships Version will be obtained from participants. Only responses from individuals meeting the inclusion criteria of phase 1 will be considered for the data analysis. Descriptive and inferential statistical analyses will be conducted in line with the study objectives.
Individuals meeting the phase 2 inclusion criteria of having a score of 44 and above on the PI will be screened.  Their willingness will be confirmed through a question in the debrief form, and their email IDs and phone numbers will be collected for further communication. From this group, 12-15 participants will be chosen for the in-depth semi-structured interviews in Phase 2. 
Once consent for phase 2 is obtained, interview appointments will be arranged based on the availability of both the researcher and the participants. Before each interview, the researcher will obtain verbal consent to record the session. Confidentiality will be maintained throughout the study. The interviews will be guided by a validated interview guide (approved by five experts) and conducted in English. The principal investigator will oversee the management and supervision of the audio recordings, ensuring they are handled ethically and stored securely for three years after the thesis is completed, after which they will be permanently deleted. To protect anonymity, participants will be identified using coded initials. The data collected from Phase 2 will be transcribed and analyzed using Thematic Analysis. 
 
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