The proposed study will conduct a translational randomized trial comparing Structural Ecosystems Therapy (SET) as an enhancement of substance abuse aftercare treatment, to aftercare treatment as usual (TAU) among 172 Black, Hispanic and White non-Hispanic mothers discharged from residential substance abuse treatment. The study will be conducted with a community partner that delivers integrated substance abuse treatment and primary care. Agency staff will conduct data collection and agency nurse practitioners will deliver SET. Data will be collected at baseline and 4, 8, and 12 month post-randomization.
The Specific Aims of the proposed study are to: 1) test the effectiveness of SET for improving physical and mental health and reducing relapse of mothers in substance abuse recovery;2) test the effectiveness of SET for improving health and mental health outcomes of children of mothers in recovery;3) test mechanisms of action of SET (self care, environmental risk, family functioning and stigma);4) assess SET implementation and sustainability factors and the relationship between fidelity and outcomes;and 5) examine the interactions of ethnicity and ethnicity-related factors on outcomes. SET is a manualized, strength-based, directive and process-oriented family-ecosystemic intervention developed to address the needs of minority women. SET targets the woman's social environment by building on existing adaptive interactions and reducing maladaptive interactions within the family and between the woman, family and supportive resources. A recently completed randomized trial with minority women in drug recovery who were also HIV+ found that for women who were raising children, SET resulted in reduced relapse and psychological distress in the mothers, and reduced symptoms of depression, anxiety and behavioral problems in the children. The proposed study will aim to demonstrate SET'S effectiveness, acceptability and feasibility for implementation in a community setting. The partnership between El Centro and Banyan Health Systems, a substance abuse and primary care provider with considerable research experience, provides a unique opportunity to rigorously test substance abuse aftercare treatment enhanced by SET in a real-world setting.
Substance abuse is a chronic and relapsing condition. Women with substance abuse disorders experience poor health and their children are at risk for negative consequences related to their mother's substance abuse and the resulting disruptions in parenting and family life. Family interventions hold promise for addressing these interrelated health problems but there are currently no empirically supported interventions that attempt to simultaneously address mother's relapse and children's health.
|Koskan, Alexis M; Fernández-Pineda, Madeline (2018) Human Papillomavirus Vaccine Awareness Among HIV-Positive Gay and Bisexual Men: A Qualitative Study. LGBT Health 5:145-149|
|Ferranti, Dina; Lorenzo, Dalia; Munoz-Rojas, Derby et al. (2018) Health education needs of intimate partner violence survivors: Perspectives from female survivors and social service providers. Public Health Nurs 35:118-125|
|McCabe, Brian E; Lai, Betty S; Gonzalez-Guarda, Rosa M et al. (2018) Childhood Abuse and Adulthood IPV, Depression, and High-Risk Drinking in Latinas. Issues Ment Health Nurs :1-6|
|Adebayo, Oluwamuyiwa Winifred; Salerno, John P; Francillon, Valerie et al. (2018) A systematic review of components of community-based organisation engagement. Health Soc Care Community 26:e474-e484|
|McCabe, Brian E; Troy, Adam S; Patel, Hersila H et al. (2018) Development of a University Campus Healthy Sleep Promotion Program. Issues Ment Health Nurs 39:264-268|
|Wen, Pey-Shan; Randolph, Marilys G; Elbaum, Leonard et al. (2018) Gender Differences in Psychosocial and Physical Outcomes in Haitian Amputees. Am J Occup Ther 72:7203205090p1-7203205090p8|
|Salerno, John P; McEwing, Evan; Matsuda, Yui et al. (2018) Evaluation of a nursing student health fair program: Meeting curricular standards and improving community members' health. Public Health Nurs 35:450-457|
|Matsuda, Yui (2017) Actor-Partner Interdependence Model Analysis of Sexual Communication and Relationship/Family Planning Factors Among Immigrant Latino Couples in the United States. Health Commun 32:612-620|
|McCabe, Brian E; Escoto, Ernesto R; Cruz-Ortega, Luis G et al. (2017) Translation and psychometric properties of a Spanish version of the College Alcohol Problems Scale. Addict Behav 75:36-39|
|Gonzalez-Guarda, Rosa M; Jones, Emily J; Cohn, Elizabeth et al. (2017) Advancing Nursing Science Through Community Advisory Boards: Working Effectively Across Diverse Communities. ANS Adv Nurs Sci 40:278-288|
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