Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02979262
Other study ID # 1R34DA038763-01A1
Secondary ID 1R34DA038763-01A
Status Completed
Phase N/A
First received
Last updated
Start date May 2016
Est. completion date June 2018

Study information

Verified date November 2016
Source University of South Florida
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The proposed stage 1 intervention development study is designed to address two significant co-occurring issues for fathers with substance abuse (SA) problems: Intimate partner violence (IPV) and child maltreatment (CM). SA treatment programs are an important avenue to reduce family violence because SA treatment alone does not result in an end to these behaviors. Currently available interventions have had little success in reducing male IPV. Fathers for Change, an integrated outpatient intervention, shows promise as an intervention model targeting the intersection of SA, IPV, and CM. The intervention uses men's roles as fathers as a motivation for change and targets factors that are known to trigger SA, IPV and CM: hostile cognitions and poor emotion regulation. An intervention of this sort has not been integrated and tested as part of a residential substance abuse program for men. This project is a pilot study of 60 fathers randomly assigned to Fathers for Change or a Parent Education Program (PE) comparison. The initial feasibility of the Fathers for Change will be assessed by comparing it to PE in the areas of: participant completion rates, hostile cognitions, emotion regulation, SA relapse, IPV, and CM risk behaviors (negative parenting). Change in hostile cognitions and emotion regulation will be examined as the mechanisms through which Fathers for Change reduces relapse, IPV and CM risk behaviors.


Recruitment information / eligibility

Status Completed
Enrollment 62
Est. completion date June 2018
Est. primary completion date June 2018
Accepts healthy volunteers No
Gender Male
Age group 18 Years and older
Eligibility Inclusion Criteria:

1. meet current DSM-5 criteria for substance use disorder of alcohol, cocaine, marijuana, amphetamines, or opiates at the time of admission to Westcare; (2) report physical violence in an intimate relationship (pushing, slapping, kicking) within 6 months of admission to the program (based on court/police records or self- report); and (3) have at least one biological child under the age of 12 with whom they lived or had at least once per month visitation prior to admission to Westcare. Each will agree to have their female co-parents contacted for participation as collateral informants and will provide the contact information. If a participant has more than one child in the age range, the youngest child will be the target of assessment. Female co-parents (the target children's mothers) will be invited to participate as collateral informants on research assessments and to participate in a portion (2 -4) of the intervention sessions. If a female co-parent does not consent to participate, a male participant will still be allowed to enroll in the study if he meets eligibility criteria

Exclusion Criteria:

- Individuals will be excluded who: 1) Have histories of severe physical violence (e.g. strangulation, causing hospitalization) based on police records, self or partner reports; 2) Men who have an active FULL/NO CONTACT protective order pertaining to their partner or child (Westcare has access to criminal record/court information for all of it's residential clients. Participants will sign releases of information during informed consent to allow the study team to access this information to determine eligibility); 3) Have cognitive impairment (a mini mental state score <25); 4) Have major medical complications such as a head injury or HIV dementia that may also be a confound in the study interventions; 5) Have current untreated psychotic or bipolar disorder (reported by history, as part of the Westcare record, or self-report); or 6) Are currently suicidal or homicidal. If potential participants have a prior diagnosis of bipolar or psychotic disorder that is currently treated and symptoms are well managed based on initial study interview and after collateral contact with the Westcare treatment team, they may participate in the study.

Study Design


Intervention

Behavioral:
Fathers for Change

Parent Education


Locations

Country Name City State
United States Westcare Inc. Davis Bradley Building Saint Petersburg Florida

Sponsors (2)

Lead Sponsor Collaborator
University of South Florida National Institute on Drug Abuse (NIDA)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Hostile Thoughts on the Articulated Thoughts in Simulated Situations Task Hostile Thinking coded from audio recorded transcripts. Participants are presented with 4 scenarios in which they are asked to respond verbally their thoughts about a given situation. The scenarios present incidents that could induce feelings of jealousy, anger, abandonment, or disrespect. These are coded for number of hostile cognitions by trained blind coders and summed for a total score. The range of scores is 0 to 28 . Higher scores mean greater hostile cognitions (worse outcome). Baseline and intervention completion around 16 weeks
Primary Change in Total Score of the Difficulties With Emotion Regulation Scale (DERS) Emotion regulation difficulties are measured using this standardized self-report measure and a total score is calculated by summing the items. Score range is 0 to 180 with higher scores meaning worse outcome. Change over time is reported as the slope. Baseline, intervention completion around 16 weeks, and 3 month post intervention around week 28
Secondary Change in Number of Domestic Violence Episodes on the Timeline Follow-Back Calendars Domestic Violence including physical and psychological aggression episodes across the length of followup. Higher scores mean more violence. Scores can range from 0 to 210 days. Change over time is reported as the slope. Baseline through 3 month follow-up after intervention
Secondary Change in Total Score on the Adult Adolescent Parenting Inventory Overall score is indicator of maltreatment risk. A total score is calculated by summing the 5 scales with lower scores indicating greater risk for maltreatment. The range of scores is from 40 to 200. Change over time is reported as the slope. Baseline, intervention completion around 16 weeks, and 3 month post intervention around week 28
Secondary Change in Coparenting Relationship Scale Brief Coparenting score which is calculated from a sum of 14 scale items. Scores range from 0 to 84 with higher scores indicating better coparenting. Change over time is reported as the slope. Baseline, intervention completion around 16 weeks, and 3 month post intervention around week 28
Secondary Change in Days of Substance Use Reported on the Time Line Follow-Back Calendars Number of days of substance use over the course of the study. Higher scores equal more days of substance use. Possible range of scores was from 0 to 210 days. Change over time is reported as the slope. At intervention completion (around week 16) and 3 months post intervention (at around 28 weeks)
See also
  Status Clinical Trial Phase
Recruiting NCT06059196 - Adapting, Expanding and Evaluating ARCHES in Kenya N/A
Active, not recruiting NCT03573778 - IHEAL Trial: Effectiveness of a Health Promotion Intervention for Women Who Have Experienced Intimate Partner Violence N/A
Completed NCT00983593 - A Randomized Clinical Study of a Mind-Body Approach to Domestic Violence Offender Treatment N/A
Not yet recruiting NCT06178016 - Efficacy of Bystander Intervention Program in Nursing Students N/A
Recruiting NCT05564000 - Effects of Dating Violence Education Program on Bystanders' Help-giving Intention and Behavior Among College Students N/A
Completed NCT05598697 - Economic Evaluation of the MEWE Intervention N/A
Not yet recruiting NCT06252909 - Treating Common Mental Disorders in Women in Mozambique by Addressing Intimate Partner Violence in Couples N/A
Completed NCT04165291 - Comparing a Fatherhood Focused Individual Intervention to Batterer Intervention to Reduce IPV and Child Maltreatment N/A
Completed NCT04517994 - Implementation of Strength at Home for Military Couples N/A
Completed NCT04978064 - E-health Psychological Intervention in Pregnant Women Exposed to Intimate Partner Violence (eIPV) N/A
Completed NCT03261700 - Recovering From Intimate Partner Violence Through Strengths and Empowerment (RISE) N/A
Completed NCT05261230 - Vedic Counselling for Women Victims of Domestic Abuse N/A
Completed NCT01688427 - Perinatal Nurse Home Visiting Enhanced With mHealth Technology N/A
Unknown status NCT00790959 - The SASA! Study: An Evaluation of a Community Intervention to Address Gender-based Violence and Reduce HIV/AIDS Risk in Uganda N/A
Recruiting NCT05893277 - Harmony: A Combined MI and BCT Intervention to Reduce Intimate Partner Violence and Alcohol Use in South India N/A
Completed NCT03477877 - Indashyikirwa IPV Prevention Trial in Rwanda N/A
Not yet recruiting NCT03333798 - Psychosocial Intervention With Community Worker Support for Survivors of Intimate Partner Violence N/A
Completed NCT00527241 - Efficacy Trial of Raices Nuevas Phase 2/Phase 3
Completed NCT04106193 - Addressing Intimate Partner Violence Among Women Veterans N/A
Completed NCT05783336 - Stepping Stones and Creating Futures Plus Pilot N/A