Methadone-maintained and alcohol-dependent parents Mental and Behavioural Disorders Mental and behavioural disorders due to use of alcohol
Conditions
Interventions
The study will comprise a randomised controlled trial in which 140 families recruited from four drug / alcohol treatment centres will be randomly allocated to the intervention or standard treatment gr
Sponsors
University of Warwick (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Participation in an opioid replacement treatment programme or an alcohol abstinence / relapse prevention programme 2. At least one child under the age of 2 years 3. Parents with an ability to understand and read English
Exclusion criteria
Exclusion criteria: 1. Parents with severe learning disabilities 2. Unable to understand spoken English
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Child Abuse Potential will be assessed using the Child Abuse Potential Inventory (CAP), which is a self-report questionnaire developed to identify individuals at risk for physical child abuse. The instrument contains 160 items in an agree/disagree format. The CAP has three validity scales: Lie, Random Response, and Inconsistency scales that are combined to derive three validity indices: Faking Good, Faking Bad, and Random Response. The CAP Abuse scale consists of 77 items randomly distributed throughout the questionnaire. The internal reliability of the Abuse scale is high, with KR-20 correlation coefficients ranging from .92 to .96 and good temporal stability of .91 and .83 for 1-day and 1-month intervals, respectively. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Parent-child interaction will be assessed using the CARE index, which measures three aspects of maternal behaviour: 1.1. Sensitivity 1.2. Covert and overt hostility 1.3. Unresponsiveness) and four aspects of infant behaviour: 1.4. Cooperativeness 1.5. Compulsive compliance 1.6. Difficultness 1.7. Passivity These scales are highly correlated with the infant Strange Situation assessment pattern of attachment and also differentiate abusing from neglecting, abusing and neglecting, marginally maltreating, and adequate dyads. Scores range from 0 to 14, higher scores indicating better sensitivity and/or co-operation etc. 2. Parenting Stress will be measured using the Parenting Stress Index (PSI) Short Form (Abidin,1995), which is a well-validated measure of perceived stress in the parenting role. High scores on the PSI have been associated with abusive parenting with recent studies finding that parenting stress is higher in women with five or more risk factors for child abuse. 3. Infant social and emotional adjustment will be assessed using the Brief Infant and Toddler Socio-emotional Adjustment Scale which is a 42-item parent-report measure of infant-toddler (i.e. 1-3 year old children) social and emotional adjustment. It comprises two subscales competence and problems. The total for the problems subscale is produced by summing the scores across 31 items and the total for the competence subscale is produced by summing the scores across 11 items. A higher score for the competence subscale and a lower score for the problems subscale indicate better adjustment. and adequate internal consistency for the problem scale and the competence scale). It also discriminates children with clinically significant problems from matched subjects. 4. Parents object relations will be assessed using | — |
Countries
England, United Kingdom
Outcome results
None listed