Substance Abuse Clinical Trial
Official title:
Family Strengthening in Native Communities Project
The goals of this study are to evaluate the effects of an in-home parenting education program, called Family Spirit, on parenting knowledge and skills and decreasing alcohol and substance use compared to a breast-feeding education. In addition, we will assess aspects of mother/child interaction.
To evaluate the study, we employed a randomized controlled design using a blocked
randomization procedure. In this procedure, single woman and women with a participating
father were randomized in equal numbers to the Family Spirit or the breast-feeding education
program.
Both treatment and comparison groups were assessed at multiple times. The number of times
depended on when the participant was recruited into the program. Women recruited into the
program between the study's start (May 2002) and January 31, 2004 were assessed at four
times: 1) The Pre-test occurs after informed consent (occurring at least 16 weeks before the
birth of the infant), 2) The Mid-Test at 6-8 weeks after the delivery of the infant, 3) The
Post-Test at 6 months post-partum (which is the end of the intervention period), and 4) The
6-month Follow Up Test occurs at 1 year post-partum. Women recruited into the program
between February 1, 2004 and March 31, 2004 (the date recruitment ended) were assessed at
three times: 1) The Pre-test occurs after informed consent (occurring at least 16 weeks
before the birth of the infant), 2) The Mid-Test at 6-8 weeks after the delivery of the
infant, and 3) The Post-Test at 6 months post-partum (the end of the intervention period).
Family Health Educator (FHE)s also conducted two instruments specific to child development:
the HOME and the ITSEA. The Home Observation for Measurement of the Environment (HOME) was
administered at the Post-Test and Follow-Up points (just the post-point for women recruited
into the study between February 1, 2004 and March 31, 2004). This measure was an observatory
measure completed by FHEs and provided a systematic measurement of the family environment.
The Infant-Toddler Social and Emotional Assessment (ITSEA) was a self-report form completed
by parents at their Follow-Up visit (not completed for women recruited into the study
between February 1 and March 31, 2004). This measure assessed social-emotional problems and
competencies in 12- to 36-month olds. FHEs also administered a Client Satisfaction Scale to
mothers in the (Family Support Person) FSP group who completed their participation in the
program. This Scale assessed their satisfaction with the various curricular sections and
their FHE.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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