About this trial
Opioid use disorder (OUD) is a fast-growing and devastating epidemic in the US with many mothers suffering cravings, depression, impaired interpersonal interactions and maladaptive parenting behaviors that may lead to child maltreatment and costly utilization of foster care. This interdisciplinary multisite project will begin with the high risk R61 phase, in which the investigators will administer the parenting intervention "Mom Power" to mothers with OUD during the first 6 months postpartum and look for effects on drug use, mood and brain mechanisms; and, If validated, the investigators will continue in the R33 with more brain mechanism investigation and outcome studies a larger sample. The completion of this grant will clarify the effects of parenting intervention for mothers with OUD, and yield brain-based biomarkers that may be connected with inexpensive measures toward improved treatment of families suffering OUD, their children and society - which ultimately bears much of the cost for the common trans-generational problems of peripartum drug use.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
mothers aged 18-50 from SBU or UM with diagnosis of Opioid Use Disorder (OUD); and/or receiving medication assisted treatment (such as buprenorphine or methadone)
with a child aged 5 or less
able to read, hear and understand English adequately enough to provide informed consent
Disqualifiers
require immediate clinical care for suicidal/homicidal risk or psychosis (please see Protection of Human Subjects section for clinical management of suicidal risk);
Trial design
Single group
Treatments tested in this trial
Mom Power
BehavioralExperimental participants will receive virtual Mom Power via phone/internet connection. Control participants will receive mail information and confirmation phone calls.
Treatment groups
Trial outcomes
Primary outcomes
R61 Milestone 1
To recruit at least N = 50 participants in 11.25 months for the expanded number in the R33
R61 Milestone 2
To end with 80% of mothers in the MP condition attending \>=80% of sessions
R61 Milestone 3
To end with \>=70% yielding satisfactory pre- and post-intervention ERP and fMRI data
R61 Milestone 4
To show that vMP for OUD significantly affects ERP (LPP and N170) and drug craving, mood, and parenting stress (P\<0.05)
Sponsors and contacts
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Stony Brook University
Lead sponsor
University of Michigan
Collaborator