Weaving Healthy Families Program for Substance Use and Domestic Violence

Overseen By Katherine P Theall, PhD

Age: Any Age

Sex: Any

Trial Phase: Academic

Sponsor: Tulane University

Disqualifiers: Current protective order, IPV record

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 7

1000 Participants Needed

Trial Summary

What is the purpose of this trial?

Alcohol and other drug (AOD) abuse and violence in families are co-occurring risk factors that drive health disparities and mortality among Native Americans (NA), making the long-term goal of this research is to promote health and wellness, while preventing and reducing AOD abuse and violence in NA families by testing an efficacious, sustainable, culturally-relevant and family-centered intervention for cross-national dissemination. The central hypothesis is that the sustainable and community-based Weaving Healthy Families program, will reduce and postpone AOD use among NA adults and youth, decrease and prevent violence in families, and promote resilience and wellness (including mental health) among NA adults and youth. The expected outcomes of the proposed research are an efficacious, culturally relevant, and sustainable community based program to promote health and wellness that will address the factors that drive health disparities and promote individual, family, and community resilience.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the Weaving Healthy Families Program treatment for substance use and domestic violence?

Research shows that family intervention programs, like the Strengthening Families Program, can reduce family and child problems in families dealing with substance abuse. These programs have been effective across different cultural groups, suggesting that similar approaches, like the Weaving Healthy Families Program, might also help families facing substance use and domestic violence. ^{1 2 3 4 5}

Is the Weaving Healthy Families Program safe for humans?

The research articles provided do not contain specific safety data for the Weaving Healthy Families Program or similar programs. They focus on strategies and collaborative efforts to support families affected by substance use, but do not address safety outcomes directly. ^{4 6 7 8 9}

How is the Weaving Healthy Families Program treatment different from other treatments for substance use and domestic violence?

The Weaving Healthy Families Program is unique because it is a culturally grounded and community-based program specifically designed for Indigenous families, focusing on preventing violence and substance use while promoting mental health and resilience. Unlike other treatments, it integrates cultural values and community involvement to address these issues holistically. ^{8 10 11 12 13}

Eligibility Criteria

This trial is for Native American families with at least one parent/caregiver who is a member of the focal tribe and has a child aged 12-18. Adults must be over 18, have at least a high school education, and an interest in working with tribal families. Families currently dealing with intimate partner violence or protective orders are excluded.

Inclusion Criteria

I am 18 years old or older.

You have worked with or are interested in working with children and families from tribal communities.

I am a parent from the specific tribe with a child aged 12-18 living with me.

Exclusion Criteria

having less than a high school degree

current protective order

current intimate partner violence (IPV) record will be excluded

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessment

Data collection prior to receiving the intervention in this stepped-wedge trial design

1 month

1 visit (in-person)

Intervention

Families receive the Weaving Healthy Families curriculum, a cognitive-behavioral, support group model aimed at reducing AOD abuse and promoting wellness

6 months

Monthly sessions (in-person)

Follow-up

Participants are monitored for changes in AOD use, violence, and resilience through various assessments

12 months

Follow-up assessments at 6, 9, and 12 months

Treatment Details

Interventions

• Weaving Healthy Families Program

Trial Overview The Weaving Healthy Families Program aims to reduce alcohol and drug abuse, prevent family violence, and improve wellness among Native Americans. It's a culturally-tailored program that focuses on promoting resilience within individuals, families, and communities.

Participant Groups

Group I: Families Receiving Weaving Healthy Families Intervention Experimental Treatment 1 Intervention

The Weaving Healthy Families curriculum is a cognitive-behavioral, support group model for high-risk families related to alcohol, tobacco, or other drugs (ATOD) and/or or domestic violence, child abuse, or neglect. This curriculum is tailored for all ages (i.e., (a) parents/caregivers; (b) early childhood (5-7); (c) children (8-11); and (d) adolescent (12-17) and is aimed at reducing alcohol and other drug (AOD) abuse, promote unity, address mental health problems, strengthen parenting skills, and bolster wellness and resilience.

Group II: Families who have not yet receive the Weaving Healthy Families Active Control 1 Intervention

Baseline group --data will be collected prior to receiving the intervention in this stepped-wedge trial design.

Who Is Running the Clinical Trial?

Tulane University

Lead Sponsor

Trials

129

Recruited

259,000+

National Institutes of Health (NIH)

Collaborator

Trials

2,896

Recruited

8,053,000+

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Collaborator

Trials

865

Recruited

1,091,000+

Findings from Research

The Nurturing Program for Families in Substance Abuse Treatment and Recovery effectively improves parenting skills and enhances parents' satisfaction and competence, as shown by objective scales and participant reports.

The program is grounded in principles that have been proven to reduce the risks of child abuse, neglect, and substance abuse for both parents and children, indicating its potential for long-term positive outcomes in affected families.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Parenting services for families affected by substance abuse. Moore, J., Finkelstein, N.[2004]

Women receiving integrated care for substance abuse during pregnancy reported feeling more comfortable with healthcare teams that maintained a consistent nonjudgmental attitude.

Effective communication among providers and between providers and patients, along with support groups, were key factors in enhancing the overall care experience for these women.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Participant perception of an integrated program for substance abuse in pregnancy. Lefebvre, L., Midmer, D., Boyd, JA., et al.[2018]

Collaboration between agencies addressing substance abuse treatment and child welfare significantly improves child safety, parental recovery, and overall family well-being, based on data from over 15,000 families served by 53 federal grantees.

The study highlights effective strategies that can help reduce negative outcomes for families affected by substance use disorders, emphasizing the importance of integrated support systems.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Promising Results for Cross-Systems Collaborative Efforts to Meet the Needs of Families Impacted by Substance Use. Dennis, K., Rodi, MS., Robinson, G., et al.[2016]

The National Partnership for Maternal Safety has developed a Consensus Bundle on Obstetric Care specifically for pregnant and postpartum women with opioid use disorder, aiming to standardize care and improve maternal and neonatal health outcomes.

Implementation resources and quality improvement initiatives are being created to help healthcare providers adopt these evidence-based recommendations, ensuring consistent and safe care for women affected by substance use during pregnancy.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

National Partnership for Maternal Safety: Consensus Bundle on Obstetric Care for Women With Opioid Use Disorder. Krans, EE., Campopiano, M., Cleveland, LM., et al.[2021]

A new Plan of Safe Care was developed to improve perinatal support for families affected by parental substance use, addressing barriers to accessing prenatal care and treatment services.

This plan promotes care coordination by engaging both patients and healthcare providers, facilitating better delivery planning and resource alignment for families with substance use disorders.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Facilitating Integrated Perinatal Care for Families Affected by Substance Use. Schmidt, CN., Patel, D., Alpers, BS., et al.[2023]

The intervention, which included intensive home visits and case management for high-risk women of child-bearing age, showed significant improvements in 14 out of 16 assessed areas, indicating its effectiveness in reducing substance use.

The study found strong correlations between substance use and factors like mental health, social support, and self-efficacy, highlighting the importance of addressing these domains in substance use interventions.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A multifaceted intervention strategy for reducing substance use in high-risk women. Loudenburg, R., Leonardson, GR.[2019]

References

1. Spain pubmed.ncbi.nlm.nih.gov

[Strengthening family interventions for the prevention of substance abuse in children of addicted parents]. [2007]

2. United States pubmed.ncbi.nlm.nih.gov

Parenting services for families affected by substance abuse. [2004]

3. United States pubmed.ncbi.nlm.nih.gov

Participant perception of an integrated program for substance abuse in pregnancy. [2018]

4. United States pubmed.ncbi.nlm.nih.gov

Promising Results for Cross-Systems Collaborative Efforts to Meet the Needs of Families Impacted by Substance Use. [2016]

5. United States pubmed.ncbi.nlm.nih.gov

The use of support groups among pregnant substance abusers: implications for managed care. [2006]

6. United States pubmed.ncbi.nlm.nih.gov

National Partnership for Maternal Safety: Consensus Bundle on Obstetric Care for Women With Opioid Use Disorder. [2021]

7. Netherlands pubmed.ncbi.nlm.nih.gov

Facilitating Integrated Perinatal Care for Families Affected by Substance Use. [2023]

8. United States pubmed.ncbi.nlm.nih.gov

A Different Vision: Centering Love Not Punishment for Families Affected by Substance Use. [2023]

9. United States pubmed.ncbi.nlm.nih.gov

Reenvisioning success for programs supporting pregnant women with problematic substance use. [2017]

10. United States pubmed.ncbi.nlm.nih.gov

Developing the Weaving Healthy Families Program to Promote Wellness and Prevent Substance Abuse and Violence: Approach, Adaptation, and Implementation. [2023]

11. United States pubmed.ncbi.nlm.nih.gov

A multifaceted intervention strategy for reducing substance use in high-risk women. [2019]

12. England pubmed.ncbi.nlm.nih.gov

Levels and predictors of participation in integrated treatment programs for pregnant and parenting women with problematic substance use. [2020]

13. United States pubmed.ncbi.nlm.nih.gov

ADDRESSING SUBSTANCE-USE PROBLEMS IN TRIBAL HOME VISITING. [2020]