Problem drinking among men, specifically fathers Mental and Behavioural Disorders Mental and behavioural disorders due to use of alcohol
Conditions
Interventions
A non-concurrent multiple baseline single case series design, replicated across participants (n=9), was used to examine alcohol use changes among nine fathers who screened positive for problem drinkin
start dates were staggered by one week. There are several advantages to using this design. First, as this is the first attempt to examine the impact of a novel intervention, a larger trial would be pr
Sponsors
Duke University
Moi University School Of Medicine/Moi Teaching and Referral Hospital
Eligibility
Sex/Gender
Male
Inclusion criteria
Inclusion criteria: 1. Male caregiver (referred to as fathers) identified as responsible for the care of a child between the ages of 8 and 17 years of age 2. Problematic drinking indicated by a score of 8-20 on the Alcohol Use Disorder Identification Test (AUDIT; Babor et al., 2001) 3. Alcohol use within the past 2 months 4. Willingness to participate in study and sign a consent form 5. Willingness to have one child and the other primary caregiver of the child participate in study assessments 6. Willingness of other primary caregiver and child to consent to participate
Exclusion criteria
Exclusion criteria: 1. Living in a home that brews alcohol 2. Has not had any alcohol in over two months 3. AUDIT score below 8 4. Alcohol dependence defined as having an AUDIT score above 20 and/or exhibiting visible symptoms of withdrawal or past history of hospitalization when attempting to reduce alcohol
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 1. Readiness to change measured with the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES) 1 month pre-treatment and 1-month post treatment. A few sub items were assessed 4 weeks prior to treatment, during treatment, and every 4 weeks post-treatment 2. Men’s willingness to engage in treatment assessed with a locally developed item 1 month pre-treatment and 1-month post treatment 3. Family functioning assessed with a locally-developed tool 1 month pre-treatment and 1-month post treatment 4. Household decision making assessed 1 month pre-treatment and 1-month post treatment 5. Couple relationship quality assessed with locally developed items and the Dyadic Adjustment scale 1 month pre-treatment and 1-month post treatment 6. Harsh marital interactions assessed with the Conflict Tactics Scale 1 month pre-treatment and 1-month post treatment 7. Father-child relationship quality assessed with locally-developed items and with the Parental Acceptance and Rejection Questionnaire 1 month pre-treatment and 1-month post treatment 8. Child maltreatment assessed with 15-items from the Discipline Interview 1 month pre-treatment and 1-month post treatment 9. Caregiver mental health assessed with the Patient Health Questionnaire 1 month pre-treatment and 1-month post treatment 10. Child mental health assessed by child-report and caregiver-report using the 19-item Brief Problem Monitor 1 month pre-treatment and 1-month post treatment | — |
Primary
| Measure | Time frame |
|---|---|
| 1. Alcohol use and spending measured using the timeline followback every 4 weeks prior to treatment, during treatment, and every 4 weeks post-treatment 2. Problem drinking measured with the Alcohol Use Disorders Identification Test (AUDIT) at baseline to assess eligibility 3. Father’s drinking-related problem behavior (all reporters) assessed with a locally-developed measure 1 month pre-treatment and 1-month post treatment. A few sub items were assessed 4 weeks prior to treatment, during treatment, and every 4 weeks post-treatment. 4. Missed family time (all reporters) assessed using a locally-developed measure 1 month pre-treatment and 1-month post treatment 5. Paternal involvement and instrumental support (all reporters) assessed with the involvement subscale of the Alabama Parenting Questionnaire (APQ)1 month pre-treatment and 1-month post treatment | — |
Countries
Kenya
Outcome results
None listed