Non-medical opioid use (NMOU) has had a devastating effect on families. Affected families may experience interpersonal and financial problems and self-stigma that can impede help-seeking and self-care. This study aimed to identify recommendations for families affected by opioids given by those with lived experience. Adults with a family member with NMOU ( N = 299) completed a survey that included an open-ended question asking for advice for other families similarly affected by opioids. Data were coded independently by research team members using an iterative approach to thematic analysis. Themes included seeking support, seeking education, and managing relationships with the loved one and others. Results highlight avenues for helping families cope while supporting a loved one who uses opioids, including contact with others with shared experience and access to educational resources. Families affected by opioids can provide valuable insights that should be considered when designing supports for families.
Behavioral parent training programs show clear efficacy/effectiveness in response to young children’s disruptive behavior problems, but limitations in engagement and accessibility prevent many families from benefiting from these programs. The Parenting Young Children Check-up (PYCC) is a technology-based program being created to overcome these barriers and increase the reach of behavioral parent training. Developed for use in pediatric healthcare settings, the PYCC includes three parts: 1) an initial check-up designed to motivate program involvement; 2) text messages; and 3) a parent training website involving interactive video-based content to teach parenting skills. Following an established intervention development framework, this report details initial steps to refine PYCC intervention materials. Seventeen mothers and 17 primary care physicians (pediatricians or family medicine physicians) participated in this mixed methods data collection across three iterations. During semi-structured interviews, participants provided feedback regarding early drafts of the three parts of the PYCC; participants also completed a feedback questionnaire. Refinements were made to the PYCC materials after iterations 1 and 2. A third iteration of data collection revealed saturation of qualitative input, positive qualitative feedback, and positive quantitative ratings on the feedback questionnaire. This project represents an example of using mixed method input to refine and create a technology-based, behavioral intervention. Project completion led to a full version of the PYCC, which will be tested in a proof-of-concept trial and a subsequent pilot randomized clinical trial.
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