Trial of the Families Moving Forward (FMF) Connect Mobile Health Intervention

Study Overview
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Brief Summary
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The purpose of this study is to test a new smartphone app for parents/caregivers of children with fetal alcohol spectrum disorder (FASD). The app is called Families Moving Forward (FMF) Connect. The goal of the app is to provide parents/caregivers with useful information to help manage their children's condition and obtain peer support.

Official Title
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Feasibility Trial of the FMF Connect Mobile Health Intervention

Conditions
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Fetal Alcohol Spectrum Disorders

Intervention / Treatment
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* Other: FMF Connect


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Biological parent or other primary caregiver (e.g., foster or adoptive parent, relative, legal guardian) of a child with FASD or prenatal alcohol exposure (PAE) The parent/caregiver must be at least 18 years old The child must between the ages of 3 and 12 years old The child has a diagnosis of FASD or has confirmed PAE The child has lived with the parent/caregiver for at least 4 months and is expected to remain in the home for at least 1 year The parent/caregiver lives in the United States The parent/caregiver has a smartphone with iOS or Android operating system Exclusion Criteria: The parent/caregiver is not fluent in English (the FMF Connect app and pre-post measures are currently only available in English) There is another parent/caregiver of the same child or living in the home that is already enrolled in the study (couples are excluded to prevent dependence in the data) The family has previously received or is currently receiving the therapist-led Families Moving Forward (FMF) Program

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: FMF Connect Intervention<br> | Other: FMF Connect<br>* The FMF Connect intervention includes cloud infrastructure and an innovative, multilayered mobile app. It incorporates tailored content for parents/caregivers of children (ages 3-12) with FASD or PAE. The app integrates five main components: 1) Dashboard; 2) Learning Modules; 3) Family Forum; 4) Library; and 5) Notebook. Weekly emails are also sent to support motivational engagement.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Eyberg Child Behavior Inventory at Baseline and 3-Month Follow-Up | The Eyberg Child Behavior Inventory measures the intensity of child behavior problems. Scores are presented as T-scores with a mean of 50 and a standard deviation of 10. A T-score of 60 or higher is considered clinically significant. Higher scores indicate more intense behavior problems. An effect size of 0.2 is small, 0.5 is medium and 0.8 is large. | baseline to 3-month follow-up | 
| Parenting Sense of Competence - Satisfaction Sub-scale at Baseline and 3-Month Follow-up | The Parenting sense of competence scale includes two sub-scales: 1) satisfaction and 2) efficacy. The satisfaction sub-scale reported here includes 9 items, rated on a scale from 1 (strongly agree) to 6 (strongly disagree). Responses are summed, with possible sub-scale score range from 9 to 54 with higher scores indicating higher satisfaction in the parenting role. An effect size of 0.2 is small, 0.5 is medium and 0.8 is large. | baseline to 3-month follow-up | 
| Parenting Sense of Competence - Efficacy Sub-scale Baseline to 3-Month Follow-up | The Parenting sense of competence scale includes two sub-scales: 1) satisfaction and 2) efficacy. The efficacy sub-scale reported here measures how effective parents feel they are and includes 7 items, rated on a scale from 1 (strongly agree) to 6 (strongly disagree). Responses are summed, with possible sub-scale score range from 7 to 42 with higher scores indicating lower feelings of efficacy. An effect size of 0.2 is small, 0.5 is medium and 0.8 is large. | baseline to 3-month follow-up | 
| Family Needs Questionnaire Baseline to 3-Month Follow-up | The family needs questionnaire measures the degree to which family needs are met. The scale includes 20 items reflecting family needs that are rated on a scale from 0 to 4, with 0 being not applicable to 4 being met a great deal. The total score on this measure is created by averaging across all items. Total score ranges from 0-4. Higher scores reflect more needs being met. An effect size of 0.2 is small, 0.5 is medium and 0.8 is large. | baseline to 3-month follow-up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Participant Perception of Self-care Change Over Intervention Period Reported at 3-month Follow-up | Participants are asked at follow-up to rate how much their self-care practices have changed over the last 3 months on a 5-point scale ranging from A lot less self-care (1) to A lot more self-care (5). A score of 3 equates to no change. | 3-month follow-up | 
| Mean App Quality Score on Mobile App Rating Scale: User Version | The mobile app rating scale includes a measure of users perception of app quality. There are 16 items contributing to this score, each rated on a scale from 1 to 5. Total app quality score is presented as a mean with range of 1 to 5, with higher scores reflecting greater perceived quality of the app. . | 3-month follow-up |