A Substance Use Adaptation of Fathering Through Change

Study Overview
=================
Brief Summary
-----------------
This study is a randomized control trial of the Fathering Through Change intervention, delivered via text messaging, to fathers in recovery for substance use disorders.

Official Title
-----------------
A Pilot Study of the Fathering Through Change Intervention for Fathers With Substance Use Disorders

Conditions
-----------------
Parenting, Substance Use

Intervention / Treatment
-----------------
* Behavioral: Fathering Through Change


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: identify as being in recovery abstinent from illicit substances for at least 1 day and less than one year at time of enrollment parenting responsibilities for a child between the ages of 3-16 spend at least 2 hours per week with child between ages of 3-16 English speaking Exclusion Criteria: -

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
Male

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>6 weeks of Fathering Through Change videos and 3 individual coaching calls. | Behavioral: Fathering Through Change<br>* Fathering Through Change is an adaptation of Parent Management Training Oregon. This pilot provides a limited version of Fathering Through Change via text messaged and emailed weekly video content and includes individual coaching calls.<br>|
| No Intervention: Control<br>Links to parenting websites | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Group mean change at 6 weeks and 4 months on parenting self-efficacy on the Tool of Parenting Self-Efficacy | TOPSE consists of 48 self-efficacy statements that address six domains of parenting; emotion and affection, play and enjoyment, empathy and understanding, control, discipline and boundary setting, pressures of parenting, self-acceptance, and learning and knowledge. There are six self-efficacy statements for each domain and parents indicate how much they agree with each statement by responding to a Likert scale from 0-10 where 0 equates to completely disagree and 10 equates to completely agree. A higher overall score indicates greater self-efficacy. | baseline to 6 weeks and baseline to 4 months | 
| Group mean change at 6 weeks and 4 months on parenting skills on the Parenting Practices Interview | Parenting Practices Interview is a standardized instrument to measure parenting skills. It includes three subscales: harsh discipline, inept discipline, and positive parenting. It includes 35 items on all rated on a 7-point scale. Higher scores in each subscale indicate greater frequency of the behavior. | baseline to 6 weeks and baseline to 4 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Group mean change at 6 weeks and 4 months on substance use | Substance use is collected using the Center on Parenting and Opioids substance use questionnaire. We will measure substance use as a both a dichotomous variable (using or not using) and as frequency of use of alcohol, cannabis, and illicit substances in the past thirty days. | baseline to 6 weeks and baseline to 4 months | 
| Group mean change at 4 months on child behavior | Child behavior as measured by the Strengths and Difficulties Questionnaire prosocial behavior scale. This scale includes five items, rated on a 3-point scale ranging from 0 to 2. Higher scores indicate greater prosocial behavior. | baseline to 4 months |