Improving delay discounting to decrease harsh parenting among parents receiving substance use treatment in a low resource community

Ended Project Grant Awarded Last action

Award ID
R34DA053524
Recipient
Awarding agency
Obligated
$1,534,832

Award facts

Assistance listing
93.279 Drug Use and Addiction Research Programs
Completion date
Originally
Funding
  • $1,307,328.44 Federal
  • $227,504.00 Non-federal
Place of performance
Michigan, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
Parents with substance use disorders (SUD) are significantly more likely to engage in harsh parenting practices, including spanking, hitting, and belittling their children, than parents without SUD. Punitive physical and emotional discipline is, in turn, associated with increased rates of child maltreatment and the subsequent intergenerational transmission of substance use disorders. Parents in residential substance use treatment facilities are among those at highest risk for perpetrating harsh and abusive parenting; yet most behaviorally- based parenting interventions available within inpatient settings do not take into account the unique mechanisms linking parental substance use to harsh parenting. Specifically, parents with SUD may be at heightened risk for engaging in maladaptive parenting approaches given a tendency to prioritize immediate rewards (such as stopping a child's misbehavior using physical punishment) relative to larger, but delayed rewards (including shaping positive child behavior over a longer term). This behavioral tendency is known as delay discounting and recent findings suggest that rates of delay discounting predict parents' use of harsh physical discipline. Existing research also indicates a strong link between steeper (more problematic) rates of delay discounting and the severity of alcohol and illicit drug use across the lifespan. Thus, delay discounting may represent a specific vulnerability underlying both harsh parenting and disordered substance use. The current project proposes to pilot and feasibility test an adapted episodic future thinking (EFT) intervention to target the reduction of parenting-related delay discounting and examine its effects on parenting practices among families in a residential substance use treatment setting. EFT may be particularly well-suited for dissemination in a residential SUD setting because IT is brief, flexible, and can be delivered by peer recovery coaches (PRCS), individuals with lived substance use and recovery experiences. Utilizing PRCS, who are already widely employed in SUD treatment settings, increases the scalability, acceptability and cost- effectiveness of this approach and may reduce stigma, a critical barrier to participation in parenting programs among individuals with SUD. Following a deployment-focused model, we will conduct a small case-series trial and collect data regarding critical implementation outcomes (including acceptability, tolerability, and dosage). Results from this aim will inform manual adaptation. We will then recruit 72 parents of children between the ages of 6 and 10 receiving inpatient substance use treatment in the low resource, majority-minority, city of flint, michigan. Participants will be randomized to receive EFT or a comparison intervention. Findings from this study will be used to plan a large-scale (R01) intervention trial and will inform public health approaches for reducing child maltreatment and preventing intergenerational cycles of addiction.

Transactions

Action Federal Non-federal Date
Amendment -$6,734 $0
Amendment $0 $0
Amendment $0 $0
Amendment $0 $0
Amendment $206,164 $0
Amendment $217,630 $0
Amendment $217,630 $0
Amendment $217,630 $0
Amendment $227,504 $0
Original award $227,504 $227,504

Subawards

Subrecipient Amount Awarded
University Of Kansas Center For Research Inc. Dr. Richard Yi will contribute to the design, execution, and data analysis of the proposed project in the areas relevant to delay discounting and episodic… $42,472
University Of Maryland Dr. Andrea Chronis-Tuscano will: (1.) provide guidance to the PI on the treatment development progress; (2.) provide expertise on parenting intervention; (3.)… $50,242
Flint Odyssey House, Inc. The Flint Odyssey House, Inc. provides specialized services for couples and parenting families in low-income, diverse populations in Genessee County Michigan.… $58,075

Quick answers

Who received award R34DA053524?

R34DA053524 was awarded to Henry Ford Health System by National Institute on Drug Abuse (National Institutes of Health) on July 15, 2021.

How much is award R34DA053524 worth?

$1,534,832 has been obligated on R34DA053524: $1,307,328 in federal funding and $227,504 in non-federal funding.

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