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N/A N=12 Treatment

Integration of DBT Skills and Parent Training for Parents With a History of Substance Use

Parenting · Substance Abuse Relapse · Emotional Regulation

Enrolled (actual)
12
Serious AEs
0.0%
Results posted
Jul 2024
Primary outcome: Primary: Parental Emotion Dysregulation - The Difficulties With Emotion Regulation Scale (DERS) — 109.50; 68.80 units on a scale

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
DBT Skills + Parent Training (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Oregon
Primary completion
Aug 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Parental Emotion Dysregulation - The Difficulties With Emotion Regulation Scale (DERS)
109.50; 68.80
PRIMARY
Parenting Stress - Parenting Stress Index Short Form
68.92; 48.00
PRIMARY
Parenting Quality (Total Dysfunctional Discipline) - The Parenting Scale
3.62; 2.75
PRIMARY
Parental Emotion Socialization (Non-supportive Parenting) - Coping With Children's Negative Emotions Scale (CCNES)
2.43; 2.16
PRIMARY
Acceptability (Client Satisfaction) - Client Satisfaction Questionnaire (CSQ-8)
30.75
PRIMARY
Feasibility of Intervention (Attendance)
86.25
PRIMARY
Feasibility of Intervention (Attrition)
4
PRIMARY
Implementation of Skills
2.56; 1.53; 4.03
SECONDARY
Child Externalizing Behaviors - Child Behavior Checklist (CBCL)
53.00; 44.90
SECONDARY
Child Emotion Dysregulation - Emotion Regulation Checklist (Lability/Negativity Subscale)
25.33; 22.20
SECONDARY
Parent Mental Health Symptoms: Anxiety - Hamilton Anxiety Scale (HAM-A)
19.33; 10.90
SECONDARY
Parent Mental Health Symptoms: Depression - Patient Health Questionnaire Depression Module (PHQ-9)
10.42; 4.70
SECONDARY
Parent Mental Health Symptoms: Substance Craving
9.42; 7.40

Summary

This treatment development study is aimed at developing and pilot testing a 20-week remotely delivered group intervention that integrates two evidence-based treatments: 1) Dialectical Behavior Therapy (DBT) Skills - targeting parental emotion dysregulation and substance use, and 2) Parent Training (PT) - targeting parenting behaviors linked to children's mental health. The case study will provide preliminary data on the feasibility of the DBT Skills +PT intervention and its engagement of the targeted outcomes, and aims to complete foundational steps necessary to conducting a future, larger scale randomized controlled trial. Specific aims are to: 1. Determine feasibility, acceptability and implementation. 2. Evaluate pre-post changes in measures of parental emotion dysregulation, parenting quality and children's mental health.

Eligibility Criteria

Inclusion Criteria

Participants must reside in Oregon.

Participants must have at least partial custody of a preschool-aged child (3-6 years)

Participants must present elevated levels of emotion dysregulation on the Difficulties with Emotion Regulation Scale (DERS) (a score of >88, equivalent to +.5 SD above a normative score) on the online screener.

Participants must endorse 2 or more positive answers on adapted version of the CAGE-AID screener for drug and alcohol problems, which asks about substance use in the past 5 years.

Participants must meet diagnostic criteria for a past (past 5 years) but not current (past 12 months) substance use disorder (SUD) from the following DSM 5 defined disorders: alcohol, cannabis, hallucinogenic, inhalant, opioid, sedative/hypnotic/anxiolytic, and stimulant.

Participants must be proficient in English.

Participants must have the internet access needed to participate in an online remote telehealth intervention.

Exclusion Criteria

Participants will be excluded if they or their child have a known developmental disability or if during the clinical intake parents are determined to have a low IQ score (IQ<70) on the PPVT-V.

Participants will be excluded if they are psychotic as determined by the SCID 5.

Participants will be excluded if they are actively manic or psychotic as determined by clinical observation.

Participants will be excluded if they are actively suicidal with an active plan as determined by the SCID 5 and/or Patient Health Questionnaire 9 (PHQ-9).

Participants will be excluded if they are determined by clinical judgment to be at high risk of violence towards others.

Participants may be excluded if clinical judgment suggests they requires a higher level or different form of care.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05287178). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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