What side effects are associated with this type of intervention?

Common treatments for substance abuse include behavioral interventions such as cognitive-behavioral therapy (CBT), motivational interviewing, and 12-step facilitation. These therapies generally have minimal physical side effects but can sometimes lead to emotional distress as patients confront their substance use issues. Video coaching interventions, like the FIND program, aim to improve parenting skills and may help reduce substance use indirectly by enhancing family dynamics. Side effects of such video-based interventions are typically minimal, though some participants may experience discomfort or resistance to being recorded and reviewed.

What prior FDA approvals exist?

The FDA has approved several medications for the treatment of substance abuse, particularly opioid use disorder. These include methadone, buprenorphine, and naltrexone, which are used to manage withdrawal symptoms and reduce cravings. While these medications are crucial for treating the physiological aspects of addiction, behavioral interventions like the FIND study's video coaching are essential for addressing the psychosocial components, such as improving parenting skills. Although the FDA does not specifically approve behavioral interventions, they are often recommended as complementary treatments to enhance overall recovery outcomes.

What other types of research exist?

Promising, novel alternatives to FIND for substance abuse patients include: 1) Mobile apps like QuitGuide and quitSTART, which offer motivational messaging, tracking, and coping strategies. 2) Social network platform interventions (e.g., Twitter, Facebook, Whatsapp) that provide support and relapse prevention. 3) Web-based professional training and self-directed interventions. 4) Behavioral therapies such as Cognitive-Behavioral Therapy (CBT) and 12-step facilitation programs, which have shown efficacy in improving substance use outcomes.

← Back to Search

Behavioral Intervention

Video Coaching for Opioid-Using Mothers

N/A

Recruiting

Led By Philip A Fisher, Ph.D.

Research Sponsored by University of Oregon

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Must be an adult (18 years or older) mother with a child between the ages of 0-36 months

Be younger than 65 years old

Must not have

Women who are or think they may be pregnant

History of neurological disorders

Timeline

Screening 3 weeks

Treatment Varies

Follow Up change from baseline at endpoint (3-4 months post-baseline) and 6 months post-endpoint

Awards & highlights

No Placebo-Only Group

Summary

This trial tests a video coaching program called FIND to help women using opioids improve their parenting skills. The program targets mothers with young children and uses video feedback to enhance caregiving, which may also support the mothers' recovery and well-being.

Who is the study for?

This trial is for adult mothers (18+) who are in or have been referred to treatment for opioid misuse and have custody of their child, aged 0-36 months, at least half the time each week. It's not suitable for those with claustrophobia, neurological disorders, a weight over 550 lbs, left-handedness, pregnancy or potential pregnancy, or any metal implants/electronic medical devices.

What is being tested?

The study is testing a video coaching program called Filming Interactions to Nurture Development (FIND), designed to improve parenting among mothers dealing with opioid addiction. The Healthy Toddler Program is also part of the intervention being evaluated.

What are the potential side effects?

Since this trial involves behavioral interventions rather than medications, traditional side effects like you'd see with drugs aren't expected. However, participants may experience emotional discomfort or stress related to discussing personal issues during sessions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

Select...

I am an adult mother with a child who is 3 years old or younger.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:

Select...

I am or might be pregnant.

Select...

I have a history of neurological disorders.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ change from baseline at endpoint (3-4 months post-baseline) and 6 months post-endpoint

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~change from baseline at endpoint (3-4 months post-baseline) and 6 months post-endpoint

This trial's timeline: 3 weeks for screening, Varies for treatment, and change from baseline at endpoint (3-4 months post-baseline) and 6 months post-endpoint for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Assessment of emotional or behavioral problems in children as assessed by the SDQ-Infant questionnaire

Assessment of parent's warmth and hostility towards their child through the use of the Iowa Family Interaction Rating Scales

Assessment of the caregivers motivation via measurement on the Behavioral Inhibition System and Behavioral Activation System (BIS/BAS) scale

+10 more

Secondary study objectives

Assessment of mental health domains across psychiatric conditions via the use of the PhenX Broad Psychopathology questionnaire

Assessment of unpredictability and fragmentation of early-life environments in infants and children through the use of the Questionnaire of Unpredictability in Childhood (QUIC)

Demographic information

+5 more

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups

Experimental Treatment

Active Control

Group I: Filming Interactions to Nurture Development (FIND)Experimental Treatment1 Intervention

FIND is a brief video coaching intervention which involves feedback provided by the coach to the caregiver using brief film clips derived from video of caregiver-child interaction. The coaching focuses on showing caregivers instances in which they are engaging in developmentally-supportive interactions during coaching sessions. FIND is delivered over 10 weekly sessions lasting 30-45 minutes. The process begins with an initial session in which the coach provides an overview, records 10-15 minutes of caregiver-child interaction, then introduces the concept of serve and return. The video is edited to show brief clips in which the caregiver is engaged in the first of five specific caregiver-based components of serve and return. The next week, the FIND coach reviews the edited clips in detail with the caregiver. Sessions continue, alternating between filming and coaching sessions until all five components have been covered sequentially.

Group II: The Healthy Toddler Program (HTP)Active Control1 Intervention

HTP, the active control intervention, consists of weekly sessions alternating between (a) coaching sessions covering one of five domains of child development (Motor, Cognitive, Language, Play, and Social-Emotional and (b) observation sessions that will include a review of the prior coaching session and an observation and discussion of the caregiver-child interaction. This intervention will consist of 10 sessions each lasting 25-30 minutes. The coach will not engage in any filming or video coaching, but will be able to discuss caregiving concerns. HTP materials are adapted from the Partners for a Healthy Baby curriculum developed by Florida State University's Center for Prevention and Early Intervention Policy.

0 / 3Eligibility criteria met

Research Highlights

Information in this section is not a recommendation. We encourage patients to speak with their healthcare team when evaluating any treatment decision.

Mechanism Of Action

Side Effect Profile

Prior Approvals

Other Research

Common treatments for substance abuse include Cognitive Behavioral Therapy (CBT), Behavioral Couples Therapy (BCT), and various forms of motivational interviewing and counseling. These treatments work by modifying biased cognitions and behaviors related to substance use, improving interpersonal relationships that support recovery, and enhancing intrinsic motivation to change. Video coaching interventions like FIND, which target responsive parenting, can be particularly effective by providing visual and practical examples of positive behaviors, thereby improving parenting skills and reducing stressors that may contribute to substance use. Understanding these mechanisms is crucial for substance abuse patients as it helps tailor interventions to their specific needs, improving the likelihood of successful outcomes.

Understanding eHealth Cognitive Behavioral Therapy Targeting Substance Use: Realist Review.A Process Evaluation of a Substance Use Brief Intervention for Adolescents in a Psychiatric Inpatient Program.Brief video intervention to teach firefighters the neurobiological basis of high risk alcohol use: A pilot study.