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

Study Overview
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Brief Summary
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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
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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.

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

Conditions
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Parenting

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women pregnant/parenting children ages 6-24 months Women that are clients of participating ECD agencies Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

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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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maternal Sensitivity | Coded from observed parent-child interactions | 9 minutes play session | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reflective Functioning | Reflective Function (RF) 18-item questionnaire | 5 minutes | 
| Parental Reflective Functioning | Reflective Function Questionnaire (PRF-Q) 8-item questionnaire | 5 minutes | 
| Depression, Anxiety, and Stress | Depression, Anxiety and Stress Scale (DASS21) - 21 item questionnaire | 8 minutes | 
| Parenting Stress | Parental Stress Index (PSI) - Short Form, 36 item questionnaire | 10 minutes | 
| Perceived Social Support | Multidimensional Scale of Perceived Social Support (MSPS), 12 item questionnaire | 5 minutes | 
| Difficulties in Emotion Regulation | Difficulties in Emotion Regulation Scale-SF (DERS-SF), 18-item questionnaire | 5 minutes | 
| Substance use screener | Global Appraisal of Individual Needs (Substance Use) (GAIN), 5-item questionnaire | 2 minutes | 
| Interpersonal Emotion Regulation | Interpersonal Emotion Regulation Questionnaire (IERQ), 20-item | 8 minutes |