The goal of this study is to learn about whether digital screening and brief intervention can help address substance use in postpartum mothers who are enrolled in home visiting programs. The main questions it aims to answer are:
1. What combination of digital intervention components work best for postpartum mothers in home visiting programs? 2. What are the factors that help the intervention work best in home visiting, and what factors serve as barriers to the success of the intervention? Participants in the study will include home visiting staff and postpartum home visiting clients.
Participants who are home visitors will be asked to participate in focus groups and interviews, introduce the study to their clients and refer interested clients to the study, complete online surveys, and implement the home visitor components of the intervention with their clients who enroll in the study.
Participants who are home visiting clients will be asked to participate in focus groups and interviews, complete online surveys, and complete the digital screening and brief intervention sessions.
English-speaking
Age 18 years old or older
Gave birth to a baby within the prior year
Enrolled in a Healthy Families Kansas program with a participating home visitor
Does not speak English
Under age 18 years
Did not give birth to a baby within the prior year
Not enrolled in a Healthy Families Kansas program with a participating home visitor
Factorial
e-SBI main session
BehavioralSingle 20-minute e-SBI session that includes screening followed by brief motivational intervention.
e-SBI Booster Session
BehavioralA 20-minute booster e-SBI session that reinforces content from the main e-SBI session.
Text messaging
Behavioral4 weeks of daily automated text messages that reinforce content from the e-SBI main session.
6
Treatment groupsSee each treatment group below.
Substance use
Quantity and frequency of substance use, measured by the Timeline Follow Back Method. Higher scores indicate more substance use.
Motivation to avoid substance use
How motivated are you to avoid substance use until your baby is one year old, on a scale of 1 to 10. This Maternal Motivation Scale was developed by Ondersma and has been widely used in studies of brief digital interventions for perinatal substance use. Higher scores indicate greater motivation to avoid substance use.
Maternal self-efficacy
Confidence in your ability to care for your baby, assessed via the Karitane Parenting Confidence Scale. Higher scores indicate greater maternal self-efficacy.
Home visiting retention
Length of time enrolled in the home visiting program in months.
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The National Center on Addiction and Substance Abuse at Columbia University
Lead sponsor
National Institute on Drug Abuse (NIDA)
Collaborator
This trial is not recruiting at the moment. You can still explore other options:
