DOI: 10.3886/e229866v1
title: An online parenting intervention for families affected by substance misuse in pediatric primary care, Oregon, 2023-2024

description: In this study, investigators partnered with pediatric primary care providers to recruit parent participants, then evaluated feasibility and acceptability by systematically assessing parents’ engagement with the FCU Online app. Engagement data from the app included time spent in app overall and in each module, activities completed, and which modules were accessed. Investigators also administered a consumer satisfaction survey, which asked parents to report on their perceptions of the app (e.g., helpfulness, useability, and effects on parenting). To assess engagement in telehealth coaching sessions, investigators used the following variables: number of telehealth sessions completed, length of session, content of sessions, and coaches’ ratings of participant engagement in the session and barriers to using the app. Coaches also rated participant engagement on a 3-point scale from “low” to “high.” Lastly, investigators conducted qualitative interviews with a sub-sample of participants to solicit additional feedback on the acceptability of the FCU Online, focusing particularly on the perception of acceptability within an integrated primary care context and stigma associated with endorsing substance use in this setting. Investigators also assessed pediatric healthcare providers’ perceptions and attitudes regarding the fit of the FCU Online with their practice settings as well as potential barriers to implementation via qualitative interviews and a quantitative survey.
description: <b>Inclusion Criteria:</b><br>Must be a parent of a child between the ages of 10 months and 5 years that lives in the parent’s home at least 50% of the timeMust be over the age of 18Must speak English fluentlyMust have a smart phone with text messaging capability and access to emailMust endorse “yes” on at least one of the five following screening questions addressing lifetime family substance misuse: 1) participant has ever drunk alcohol or used drugs more than they meant to, 2) participant has ever participated in treatment for substance use, 3) participant has ever felt they wanted or needed to cut down on their drinking or drug use, 4) participant ever ever lived with someone who had a problem with drinking or using drugs, including prescription drugs, and 5) a family member’s drinking or drug use ever impacted the participant’s child. Note: Items 1, 3, and 5 were adapted from the Family Questions section of the Survey of Well-Being of Young Children (SWYC) screening form, which has been recommended by the American Academy of Pediatrics for use as a screening tool in pediatric primary care settings. Adaptations made reflect lifetime family substance misuse instead of family substance misuse in the past year. Item 2 was added to include parents in substance use treatment, and item 4 was adapted from the Adverse Childhood Experience Questionnaire for Adults to further reflect family substance use.<br><b>Measures administered in the surveys:</b><br>Demographic QuestionnaireService UtilizationBrief Infant-Toddler Social-Emotional AssessmentBehavior Rating Inventory of Executive FunctionIncome, Assistance, and Financial Strain QuestionsPhysical FunctionPain InterferenceSocial Support Questionnaire - Short FormBroadband Substance Use MeasureEveryday Discrimination Scale<br><b>Waves & Follow-up Times:</b><br>There are 2 waves of data.<br>Wave 1 Baseline was administered at day 0.Wave 2 3-month Follow-up was administered approximately at day 90.<br><b>Observations:</b><br>In total, there are 18 unique participants across all the data files submitted. There are 34 data rows and 256 data variables.