Brief Intervention in At-Risk First-time Mothers
Preliminary controlled trial of a brief intervention designed to reduce child maltreatment risk among low-income pregnant mothers. Foci will include major risk factors for maltreatment, including substance abuse, social isolation, depression, violence exposure, and maladaptive child-rearing attitudes/beliefs.
Behavioral: Brief motivational intervention
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Prevention
|Official Title:||Brief Intervention in At-Risk First-time Mothers|
- Alcohol Use [ Time Frame: 3 month follow-up ] [ Designated as safety issue: No ]Alcohol use was measured by looking at frequency of use in past 30 days with the Alcohol Use Disorders Identification Test (AUDIT), reported at the 3 month follow-up. The mean of each the control and intervention group was used. Frequency of use ranged from 0 to 5 for the follow-up sample. Higher scores mean more frequent use of the substance.
- Drug Use [ Time Frame: 3 month follow-up ] [ Designated as safety issue: No ]Drug use was measured by looking at frequency of use in past 30 days with the Alcohol Use Disorders Identification Test (AUDIT), reported about marijuana use at the 3 month follow-up. The mean of each the assessment only and intervention group was used. Scores ranged from 0 to 13 for the follow-up sample. Higher scores mean more frequent use of the substance.
- Child Abuse Potential [ Time Frame: baseline and 3 month follow-up ] [ Designated as safety issue: No ]Change score was calculated by taking the follow-up scores on the Brief Child Abuse Potential Inventory (BCAP) and subtracting the baseline score. The possible total score for the BCAP ranges from 0 to 24. Therefore, the possible range of scores for the change calculation (reported below) is -24 to +24. Higher scores indicate higher risk at the follow-up visit (worse outcome).
- Treatment Engagement [ Time Frame: at 3 month follow-up ] [ Designated as safety issue: No ]The number of participants who reported seeking outpatient substance abuse treatment since baseline (either at a treatment facility or through outpatient counseling).
- Depression [ Time Frame: at 3 month follow-up ] [ Designated as safety issue: No ]Depression was measured by using the Center for Epidemiologic Studies Depression Scale (CES-D) at the 3 month follow-up. CES-D total scores can range from 0 to 60. Scores at 16 or higher indicate clinical significance. Higher scores represent higher risk for depression.
|Study Start Date:||April 2004|
|Study Completion Date:||March 2007|
|Primary Completion Date:||March 2007 (Final data collection date for primary outcome measure)|
|No Intervention: Assessment only|
|Experimental: Brief intervention session||Behavioral: Brief motivational intervention|
|United States, Michigan|
|Wayne State University|
|Detroit, Michigan, United States, 48207|
|Principal Investigator:||Steven J Ondersma, Ph.D.||Wayne State University|