MedPath

Integrating a Parenting Intervention Into Substance Use Treatment: A Feasibility Study

Conditions
Parenting
Registration Number
NCT04784858
Lead Sponsor
Toronto Metropolitan University
Brief Summary

While motherhood is central to the design of maternal integrated substance use treatment programs, "evidence-based" parenting interventions tailored to the needs of the population are rare. Stakeholder engagement has revealed that the evidence-base is not reflective of the needs of client population. With 34 ECD programs in Ontario, ECD programs are unique position to pilot Attachment and Biobehavioral Catch Up (ABC) and see if it is a good fit for their clients and if it is effective and feasible. ABC is 10-week evidence-based parenting intervention for parents who live in the context of complex risk, including mental health, addictions, child welfare involvement, and poverty. Investigators of this project will complete a open label mixed method feasibility pilot study involving active implementation of ABC that will involve: 1. exploration facilitators and barriers of the year-long implementation and training process and 2. exploration of changes in maternal mental health, substance use and parenting outcomes from beginning to end of treatment. Results of this mixed method pilot study will inform a larger trial with a control group and support a funding application to support its completion.

Detailed Description

While motherhood is central to the design of maternal integrated substance use treatment programs, there are few "evidence-based" parenting interventions tailored to the needs of the population. This study will address this limitation in current parenting intervention research by exploring if Attachment and Biobehavioral Catch Up (ABC) is well suited and feasible to implement within integrated maternal substance use outpatient treatment. ABC is 10-week evidence-based parenting intervention for parents who live in the context of complex risk, including mental health, addictions, child welfare involvement, and poverty. Investigators of this project will complete a open label mixed method feasibility pilot study involving active implementation of ABC that will involve: 1. exploration facilitators and barriers of the year-long implementation and training process and 2. exploration of changes in maternal mental health, substance use and parenting outcomes from beginning to end of treatment. Results of this mixed method pilot study will inform a larger trial with a control group and support a funding application to support its completion.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
34
Inclusion Criteria
  • Women pregnant/parenting children ages 6-24 months
  • Women that are clients of participating ECD agencies
Exclusion Criteria

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Maternal Sensitivity9 minutes play session

Coded from observed parent-child interactions

Secondary Outcome Measures
NameTimeMethod
Reflective Functioning5 minutes

Reflective Function (RF) 18-item questionnaire

Parenting Stress10 minutes

Parental Stress Index (PSI) - Short Form, 36 item questionnaire

Perceived Social Support5 minutes

Multidimensional Scale of Perceived Social Support (MSPS), 12 item questionnaire

Difficulties in Emotion Regulation5 minutes

Difficulties in Emotion Regulation Scale-SF (DERS-SF), 18-item questionnaire

Interpersonal Emotion Regulation8 minutes

Interpersonal Emotion Regulation Questionnaire (IERQ), 20-item

Parental Reflective Functioning5 minutes

Reflective Function Questionnaire (PRF-Q) 8-item questionnaire

Depression, Anxiety, and Stress8 minutes

Depression, Anxiety and Stress Scale (DASS21) - 21 item questionnaire

Substance use screener2 minutes

Global Appraisal of Individual Needs (Substance Use) (GAIN), 5-item questionnaire

Trial Locations

Locations (1)

Ryerson University

🇨🇦

Toronto, Ontario, Canada

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