Effectiveness of psychosocial interventions for reducing parental substance misuse

McGovern, Ruth; Addison, Michelle; Newham, James; Hickman, Matthew; Kaner, Eileen

doi:10.1002/14651858.cd012823

Cited by 11 publications

(11 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As with alcohol, behavioral counseling which consists of Contingency management (CM), Motivational interviewing (MI) and Cognitive Behavioral Therapy (CBT) is found to be effective. Contingency management has been shown to reduce both prenatal alcohol use and smoking [47,48]. Ethiopia is among countries that implement the WHO MPOWER policy package which is incorporated in FCTC [38].…”

Section: Introductionmentioning

confidence: 99%

Magnitude and associated factors of substance use among pregnant women attending antenatal care in public hospitals of eastern Ethiopia

et al. 2021

View full text Add to dashboard Cite

Background Use of substances like alcohol, tobacco and khat during pregnancy can bring miscarriage, prematurity, neurodevelopmental problems, sudden infant death syndrome and others. There are limited studies on the magnitude and associated factors of substance use among pregnant women in Eastern Ethiopia. Therefore, the aim of this study was to assess the magnitude and associated factors of substance use among pregnant women attending antenatal care in public hospitals of Easttern Ethiopia, 2019. Method Hospital based cross-sectional study was employed on 510 pregnant women attending ANC at public hospitals of Eastern Ethiopia (Jigjiga, Dire Dawa and Harar towns). Data were collected from the study participants that were selected using systematic sampling method from each public hospital. The data were collected through interviewer administered structured questionnaire. Binary logistic regressions with 95% confidence interval were used to determine the degree of association between covariates and outcome variable. Multicollinearity between independent variables by using the standard error was checked. The goodness of fit was tested by Hosmer-Lemeshow statistic and Omnibus tests. Results Out of 526 participants, a total of 510 study participants were involved in this study thereby making a response rate of 96.9%. In this study, the magnitude of substance use among pregnant women attending ANC was 26.5% (95% CI: 22.7, 30.6%). Among the overall pregnant mothers, 100 (19.6%) chewed khat, 48 (9.4%) drank alcohol, 12 (2.4%) used tobacco products and 28(20.7%) were dual substance users. Pre pregnancy substance use (AOR = 27.25, CI: 14.107–52.66), partner substance use (AOR = 3.704 CI: 1.839–7.464), family substance use (AOR = 3.447 CI: 1.69–7.031) and the amount of monthly household income (AOR = 3.397, 95% CI: 1.316–8.766) were found to be statistically significant and positively associated with substance use during pregnancy. Conclusion The magnitude of antenatal substance use in the study area was 26.5%. Pre- pregnancy substance use, partner substance use, monthly house hold income and family substance use were found to be positively associated with substance use during pregnancy. Therefore, health education which is inclusive of child bearing age women with their partner and family may be helpful to decrease antenatal substance use during pregnancy.

show abstract

Section: Introductionmentioning

confidence: 99%

Magnitude and associated factors of substance use among pregnant women attending antenatal care in public hospitals of eastern Ethiopia

et al. 2021

View full text Add to dashboard Cite

show abstract

“…While unclear reporting was common, very few trials were at high risk of bias on domains other than performance. Full details of the assessed risk of bias are reported in the Cochrane Review [28].…”

Section: Risk Of Biasmentioning

confidence: 99%

The effectiveness of psychosocial interventions at reducing the frequency of alcohol and drug use in parents: findings of a Cochrane Review and meta‐analyses

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background and aim: Parental substance use is a major public health and safeguarding concern. There have been a number of trials examining interventions targeting this risk factor. We aimed to estimate the effectiveness of psychosocial interventions at reducing parental substance use. Design: We used systematic methods to identify trials; pooling data using a randomeffects model. Moderator analyses examined influence of parent gender, presence of child in treatment and intervention type. Setting: No restrictions on setting. Participants: Substance using parents of children below the age of 21 years. Interventions: Psychosocial interventions including those that targeted drug and alcohol use only, and drug and alcohol use in combination with associated issues. Measurements: Frequency of alcohol use and frequency of drug use. Findings: We included eight unique studies with a total of 703 participants. Psychosocial interventions were more effective at reducing the frequency of parental alcohol use than comparison conditions at 6-month [standardized mean difference (SMD) = -0.32, 95% confidence interval (CI) = -0.51 to −0.13, P = 0.001] and 12-month follow-up (SMD = -0.25, 95% CI = -0.47 to −0.03, P = 0.02) and frequency of parental drug use at 12 months only (SMD = -0.21, 95% CI = -0.41 to −0.01, P = 0.04). Integrated interventions which combined both parenting and substance use targeted components were effective at reducing the frequency of alcohol use (6 months: SMD = -0.56, 95% CI = -0.96 to −0.016, P = 0.006; 12 months: SMD = -0.42, 95% CI = -0.82 to −0.03, P = 0.04) and drug use (6 months: SMD = -0.39, 95% CI = -0.75 to −0.03, P = 0.04; 12 months: SMD = -0.43, 95% CI = -0.80 to −0.07, P = 0.02). Interventions targeting only substance use or parenting skills were not effective at reducing frequency of alcohol or drug use at either time-point. Conclusion: Psychosocial interventions should target both parenting and substance use in an integrated intervention.

show abstract

“…Substance use is a major public health concern worldwide [ 1 , 2 ]. Whereas there is significant variation in levels of substance use globally, alcohol and drug use has increased during recent decades in many low-income countries [ 1 – 3 ].…”

Section: Introductionmentioning

confidence: 99%

Mediation pathways for reduced substance use among parents in South Africa: a randomized controlled trial

et al. 2021

View full text Add to dashboard Cite

Background Substance use is a major public health concern worldwide. Alcohol and drug use have increased during recent decades in many low- and middle-income countries, with South Africa, where this study was conducted, having among the highest rates in the world. Despite existing evidence on the effectiveness of family-based interventions in reducing substance use among parents and caregivers in low- and middle-income countries, little is known about the mechanism of change that contributes to the reduction. This study investigated mediators of change in a parenting programme (Parenting for Lifelong Health [PLH]) on reducing substance use among parents and caregivers of adolescents through three potential mediators: parental depression, parenting stress and family poverty. Methods The current study used a pragmatic cluster randomized controlled trial design. The total sample comprised 552 parent and caregiver of adolescents M = 49.37(SD = 14.69) who were recruited from 40 communities in South Africa’s Eastern Cape. Participants completed a structured confidential self-report questionnaire at baseline and a follow-up test 5 to 9 months after the intervention. Structural equation modeling was conducted to investigate direct and indirect effects. Results Analyses indicated that the effect of the PLH intervention on reducing parental substance use was mediated in one indirect pathway: improvement in parental mental health (reduction in parental depression levels). No mediation pathways from the PLH intervention on parental substance use could be associated with parenting stress or family poverty. Conclusions The findings of the study suggest that intervention approaches targeting mental health among parents and caregivers have promise for reducing parental substance use. These findings emphasize the need to create supportive environments and systems for parents who suffer from emotional strain and mental health problems, particularly within families experiencing adversity. Trial registration Pan-African Clinical Trials Registry PACTR201507001119966. Registered on 27 April 2015. The trial can be found by searching for the key word ‘Sinovuyo’ on the Pan-African Clinical Trials Registry website or via the following link: http://www.pactr.org/ATMWeb/appmanager/atm/atmregistry?_nfpb=true&_windowLabel=BasicSearchUpdateController_1&BasicSearchUpdateController_1_actionOverride=%2Fpageflows%2Ftrial%2FbasicSearchUpdate%2FviewTrail&BasicSearchUpdateController_1id=1119

show abstract

Effectiveness of psychosocial interventions for reducing parental substance misuse

Cited by 11 publications

References 53 publications

Magnitude and associated factors of substance use among pregnant women attending antenatal care in public hospitals of eastern Ethiopia

Magnitude and associated factors of substance use among pregnant women attending antenatal care in public hospitals of eastern Ethiopia

The effectiveness of psychosocial interventions at reducing the frequency of alcohol and drug use in parents: findings of a Cochrane Review and meta‐analyses

Mediation pathways for reduced substance use among parents in South Africa: a randomized controlled trial

Contact Info

Product

Resources

About