Substance Use Treatment and Access to Resources (STARS) Project

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeUp to 55
SponsorUniversity of Oklahoma

About this trial

This study is evaluating a randomized clinical trial and a quasi-experimental observational study combined. Pregnant women with substance abuse issues are referred to the Substance Use Treatment and Recovery (STAR) prenatal clinic, and those who consent to participate in the study will be randomized to the STAR + maternal Attachment Biobehavioral Catchup (mABC) home visiting model or to the STAR only treatment group. Those who opt out of receiving prenatal care at STAR will be recruited as a control group for the QED portion. Those randomized to STAR + mABC will receive additional supports from a licensed therapist, including up to 12 home visits focused on substance exposed babies and positive parenting.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Pregnant woman with substance abuse issue occurring during pregnancy

Eligible for services at the STAR prenatal clinic

Speaks/comprehends English

Disqualifiers

Unable to read English at 8th grade comprehension level

Those outside of Oklahoma City metropolitan area.

Trial design

Design model

Parallel

Treatments tested in this trial

  • STARS + maternal Attachment Biobehavioral Catchup home visiting model

    Behavioral

    Mothers receive up to 12 home visits from a licensed therapist focused on attachment and positive parenting in substance exposed babies. This includes 1 prenatal home visit and up to 11 postnatal visits.

  • STARs Only

    Behavioral

    Participants receive prenatal care in the STAR clinic (a clinic specifically designed to support mothers with substance abuse who are at risk of losing their children to child welfare at birth).

Treatment groups

242 Participants
are divided into 3 treatment groups
Group A: STARs OnlyActive comparator 1 intervention
Group B: STARS + mABCExperimental treatment 1 intervention
Group C: Control Group/CHOUM OnlyNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Mother substance use

Are there group differences in the rate of mother's substance use? Substance use measured using Addiction Severity Index (ASI) assessment self-report. Frequencies of use of different drugs will be monitored.

Time frame
Change from baseline to 18 months post birth of child
2

Mother contraceptive use

Are there group differences in the rate of mother's contraceptive use? Substance use measured using risk and contraception items from Youth Risk Behavior Surveillance System survey. Frequencies will be monitored for change.

Time frame
Change from baseline to 18 months post birth of child
3

Mother depressive symptoms

Center for Epidemiological Studies Depression Screener score

Time frame
Change from baseline to 18 months post birth of child
4

Child development

Infant and Toddler Sensory Profile

Time frame
Change from baseline to 18 months post birth of child

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.