100 Participants Needed

Parenting Programs for Substance Abuse-related Parent-Child Relationship Issues

Recruiting at 1 trial location
NR
Overseen ByNicole Racine, PhD, C.Psych
Age: Any Age
Sex: Female
Trial Phase: Academic
Sponsor: University of Ottawa
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

What is the purpose of this trial?

The goal of this clinical trial is to compare the effectiveness of the Breaking the Cycle (BTC) and Maxxine Wright (MW) programs in substance-involved mothers and their children. One key difference between the two programs is that the BTC program contains an infant mental health component while the MW program primarily focuses on the mothers. The main questions the trial aims to answer are: * Do children at BTC demonstrate enhanced infant mental health compared to children at MW up to 2 years post-intervention? * Do mother-child dyads at BTC experience more decreases in child adverse childhood experiences (ACE), maternal stress, and mental health symptoms and have better home environment scores, parenting attitudes, and mother-child relationship scores compared to mother-child dyads at MW? * Are enhanced infant mental health outcomes associated with children's lower psychosocial risk scores and mothers with lower ACE scores, lower depression and anxiety scores, and lower maternal stress? * Are the associations between treatment dose and infant mental health scores mediated by parenting attitudes and the mother-child relationship? Does child exposure to psychosocial risk moderate the association between treatment dose and child outcomes? * How do the mechanisms of change lead to the effectiveness of BTC? What are the potential lifetime health and non-health outcomes of at-risk children at BTC? What is the long-term social return on investment (SROI) of BTC? Participants will complete several questionnaires at three timepoints while receiving services at either BTC or MW: during the intake phase, 12 months after their engagement in services and 24 months after their engagement in services. Given that the two programs serve a similar demographic of women, researchers will compare the BTC group and the MW group to establish the comparative effectiveness and mechanisms of change of the infant mental health component of BTC.

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 Breaking the Cycle Program treatment for substance abuse-related parent-child relationship issues?

Research shows that programs addressing both substance abuse and parenting can reduce substance use and improve parenting skills. Similar programs, like the Nurturing Program for Families in Substance Abuse Treatment, have been effective in enhancing parenting satisfaction and competence, which suggests that the Breaking the Cycle Program may also be beneficial.12345

Is the Parenting Programs for Substance Abuse-related Parent-Child Relationship Issues treatment safe for participants?

The research does not provide specific safety data for the Parenting Programs for Substance Abuse-related Parent-Child Relationship Issues treatment, but similar programs like SafeCare and Family Check-Up have been tested in various settings and are generally considered safe for participants.678910

How is the Breaking the Cycle Program treatment different from other treatments for substance abuse-related parent-child relationship issues?

The Breaking the Cycle Program is unique because it integrates parenting skills education directly into addiction treatment, focusing on improving parenting behaviors and reducing risks of child abuse and neglect, which is not commonly addressed in standard substance abuse treatments.4581112

Eligibility Criteria

This trial is for English-speaking mothers with a child under 6 years old, who are receiving services at either the Breaking the Cycle (BTC) or Maxxine Wright (MW) programs due to substance involvement.

Inclusion Criteria

Patients receiving services at either BTC or MW
Patients being able to answer a questionnaire in English
I have a child who is under 6 years old.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intake

Participants complete initial assessments and questionnaires as part of the intake process

1 week
1 visit (in-person)

Intervention

Participants receive services from either the Breaking the Cycle (BTC) or Maxxine Wright (MW) programs

24 months
Ongoing engagement with program services

Follow-up

Participants are monitored for changes in child development and maternal mental health outcomes

24 months
Assessments at 12 and 24 months post-engagement

Treatment Details

Interventions

  • Breaking the Cycle Program
  • Maxxine Wright Program
Trial OverviewThe study compares two programs: BTC, which includes infant mental health care, and MW, focusing on mothers. It evaluates effects on children's mental health and mother-child relationships over a period of up to 2 years post-intervention.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: Breaking the Cycle Intervention groupExperimental Treatment1 Intervention
Group II: Maxxine Wright Intervention groupActive Control1 Intervention

Breaking the Cycle Program is already approved in Canada for the following indications:

🇨🇦
Approved in Canada as Breaking the Cycle Program for:
  • Substance abuse intervention for mothers and children
  • Infant mental health support

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Ottawa

Lead Sponsor

Trials
231
Recruited
267,000+

Findings from Research

The Parents Translational Research Center (PTRC) is focused on helping parents of adolescents who are using alcohol or other substances by providing practical tools based on scientific evidence.
The PTRC aims to empower parents to intervene early and facilitate treatment for their children, translating proven clinical interventions into actionable strategies.
Introduction to Special Issue: Translational Research to Help Parents Respond to Adolescent Substance Use Problems.Arria, AM., Kirby, KC.[2020]
The project aims to train parents to help their treatment-resistant adolescents enter community-based treatment, adapting the Community Reinforcement and Family Training (CRAFT) approach specifically for this age group.
Initial pilot results suggest that the tailored CRAFT program could effectively support parents in managing their child's substance abuse, although controlled trials are still needed to validate these findings.
Developing Community Reinforcement and Family Training (CRAFT) for Parents of Treatment-Resistant Adolescents.Kirby, KC., Versek, B., Kerwin, ME., et al.[2022]
Family treatment approaches for drug abuse are becoming increasingly accepted and show significant promise in effectively addressing drug-related issues, as highlighted by a review of 68 studies across various treatment modalities.
The review categorizes different family treatment techniques, such as marital and group treatments, and emphasizes the importance of tailored approaches, indicating that specific methods can lead to better outcomes in managing drug abuse problems.
Family treatment approaches to drug abuse problems: a review.Stanton, MD.[2019]

References

Introduction to Special Issue: Translational Research to Help Parents Respond to Adolescent Substance Use Problems. [2020]
Developing Community Reinforcement and Family Training (CRAFT) for Parents of Treatment-Resistant Adolescents. [2022]
Family treatment approaches to drug abuse problems: a review. [2019]
Interventions to address parenting and parental substance abuse: conceptual and methodological considerations. [2022]
Parenting services for families affected by substance abuse. [2004]
Examining an In-Home Behavioral Parent Training Protocol Among Parents Who Use Substances Involved Child Welfare: Effectiveness of SafeCare. [2023]
Effects of family risk factors on dosage and efficacy of a family-centered preventive intervention for rural African Americans. [2022]
Methodological challenges in intervention studies. [2009]
The Family Check-Up Online: A Telehealth Model for Delivery of Parenting Skills to High-Risk Families With Opioid Use Histories. [2021]
Implementation of a trauma-informed, evidence-informed intervention for Latinx families experiencing interpersonal violence and child maltreatment: protocol for a pilot randomized control trial of SafeCare+®. [2022]
Integration of parenting skills education and interventions in addiction treatment. [2021]
12.United Arab Emiratespubmed.ncbi.nlm.nih.gov
Understanding the diverse needs of children whose parents abuse substances. [2022]