A randomized controlled trial to improve fathering among fathers with substance use disorders: Fathering in recovery intervention

J Fam Psychol. 2023 Dec;37(8):1303-1314. doi: 10.1037/fam0001134. Epub 2023 Sep 11.

Abstract

In early recovery for substance use disorders (SUDs), fathers may experience a desire to become more active in their role as a parent but may need support in using effective parenting strategies. Parent management training programs may be effective for fathers in recovery from SUD as they have been shown to improve parenting knowledge, self-efficacy, parenting practices, and child behavior, as well as decrease parent substance use. Using the Parent Management Training-Oregon model, we adapted a video-based program for text delivery to fathers in their first year of recovery from SUD, the fathering in recovery (FIR) intervention. In this pilot study, we randomized 41 fathers to control or 6 weeks of video content and three brief coaching calls and assessed outcomes in the parenting, child, and substance domains at baseline, 6-week, and 4-month follow-ups. We found FIR was effective for improving parenting knowledge, fathering efficacy, and in reducing fathers' ineffective parenting. The intervention showed promise for reducing child behavior problems. While larger studies are needed to replicate and build on these FIR findings, our data suggest that FIR holds promise for improving the lives of fathers and their families affected by SUD. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Trial registration: ClinicalTrials.gov NCT4532619.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Child
  • Fathers* / psychology
  • Humans
  • Male
  • Parenting / psychology
  • Parents
  • Pilot Projects
  • Substance-Related Disorders*

Associated data

  • ClinicalTrials.gov/NCT4532619