Moderators and mediators of outcomes of parents with substance use problems: further evaluation of the Parents under Pressure programme.
Background and aims: Family‐focused interventions can improve family functioning when parents have substance use problems. However, there has been little focus upon potential predictors of change and analysis of mechanisms of change. This study aims to identify mediators and moderators of change in...
| Publicado en: | Addiction Vol. 116; no. 11; pp. 3206 - 3219 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=152818842&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 152818842 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Nov2021 vid: 116 iid: 11 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 152818842 150740025 152818842 152818842 10.1111/add.15579 152818842 ppf: 3206 ppct: 13 formats: fmt: @attributes: type: P tig: atl: Moderators and mediators of outcomes of parents with substance use problems: further evaluation of the Parents under Pressure programme. aug: au: Dawe, Sharon Harnett, Paul Gullo, Matthew J. Eggins, Elizabeth Barlow, Jane affil: School of Psychology, Griffith University, Brisbane, Australia sug: subj: Parents Psychosocial Factors Substance Use Disorders Outcome Assessment Family Functioning Program Evaluation Human United Kingdom Female Male Adult Secondary Analysis Community Health Services Psychological Distress Mediation Analysis Variable Child Abuse Socioeconomic Factors Emotional Regulation Descriptive Statistics Confidence Intervals Adult: 19-44 years Female Male ab: Background and aims: Family‐focused interventions can improve family functioning when parents have substance use problems. However, there has been little focus upon potential predictors of change and analysis of mechanisms of change. This study aims to identify mediators and moderators of change in a pragmatic, multi‐site, randomized controlled trial of the Parents under Pressure (PuP) programme, a family‐focused intervention for parents with substance use and other problems, and treatment‐as‐usual (TAU). Design Secondary analysis of data: multi‐level modelling was used to investigate moderators of treatment outcome; mediation was tested with cross‐lagged models. Setting: Community‐based family support services in the United Kingdom. Participants: Parents (n = 100) attending community‐based addiction services with children aged 2.5 years or younger. Measurements Predictors of the primary outcome, child abuse potential, were: baseline child age and gender, composite family risk score, parental substance use and parental emotional dysregulation. Mediation was tested across three time‐points with the observed variables parental emotion dysregulation and child abuse potential. Findings Increased child age [Z = 2.14, 95% confidence interval (CI) = 0.01, 0.33] at baseline was associated with greater reductions in child abuse potential for PuP programme participants compared with TAU. Poorer parental emotional regulation (Z = 2.48, 95% CI = –2.76, −0.32) was associated with greater reductions in child abuse potential for all participants. Parental substance use (either recent use or primary substance of concern) did not alter any treatment effects on child abuse potential. The mediation analysis showed that PuP produced greater improvements in emotional regulation at post‐treatment (P < 0.001) compared with TAU, which predicted lower child abuse potential at 6‐month follow up (P < 0.05). Conclusions: For UK parents enrolled in a family‐focused intervention, baseline measurements of higher child age appear to be associated with greater reductions in child abuse potential at 6‐month follow‐up in PuP participants compared with treatment as usual (TAU). Poorer parental emotional regulation and, potentially, higher family risk, appears to be associated with greater reductions in child abuse potential at 6‐month follow‐up in PuP and TAU. Emotional regulation appeared to act as a mediator as improvements in parental emotional regulation post‐treatment appeared to be associated with greater reductions in child abuse potential at 6‐month follow up. Notably, participation in the PuP programme led to better parental emotional regulation compared with TAU. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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