Replication of Recovery and Reunification Interventions for Families (R3-Impact): Evaluation of the Parent Mentor Program

Last registered on July 01, 2024

Pre-Trial

Trial Information

General Information

Title
Replication of Recovery and Reunification Interventions for Families (R3-Impact): Evaluation of the Parent Mentor Program
RCT ID
AEARCTR-0013900
Initial registration date
June 26, 2024

Initial registration date is when the trial was registered.

It corresponds to when the registration was submitted to the Registry to be reviewed for publication.

First published
July 01, 2024, 12:11 PM EDT

First published corresponds to when the trial was first made public on the Registry after being reviewed.

Locations

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Primary Investigator

Affiliation
Abt Global

Other Primary Investigator(s)

PI Affiliation
Abt Global
PI Affiliation
Abt Global

Additional Trial Information

Status
In development
Start date
2024-07-01
End date
2028-12-15
Secondary IDs
Prior work
This trial does not extend or rely on any prior RCTs.
Abstract
The Replication of Recovery and Reunification Interventions for Families–Impact Study (R3-Impact), funded by the Administration for Children and Families (ACF) within the U.S. Department of Health and Human Services (HHS), includes impact and implementation evaluations of the Parent Mentor Program (PMP). PMP is a peer-based, parent-driven recovery coaching intervention for parents with an open child welfare case with substance use as a primary risk factor. PMP is delivered through community-based organizations by Parent Mentors who will receive robust ongoing training and supervision. Parent Mentors, who have been in active recovery for at least two years and have a closed child welfare case for at least one year, provide recovery coaching services tailored to parents’ needs and goals in navigating recovery and their child welfare case. PMP aims to reduce parenting stress, support recovery from substance use, and increase child welfare case engagement, with family preservation and permanency as potential downstream benefits.

The impact evaluation of PMP will study its effects in select counties within four states: Michigan, Minnesota, Oregon, and Virginia. The evaluation will randomly assign parents who consent to participate in the study either to a group that has access to “services as usual” (SAU) or to a group that has access to PMP in addition to SAU. The impact evaluation will examine self-reported measures of parent mental and emotional health, substance use, and engagement with the child welfare case, as well as additional self-reported and administrative outcomes. The implementation evaluation will measure implementation fidelity and seek to understand the barriers to, and facilitators of implementation. The study will enroll parents into the study from summer 2024 until fall 2026.
External Link(s)

Registration Citation

Citation
Francis, Kimberly, Daniel Gubits and Jessica Thornton Walker. 2024. "Replication of Recovery and Reunification Interventions for Families (R3-Impact): Evaluation of the Parent Mentor Program." AEA RCT Registry. July 01. https://doi.org/10.1257/rct.13900-1.0
Experimental Details

Interventions

Intervention(s)
The Parent Mentor Program (PMP) is a peer-based, parent-driven recovery coaching intervention for parents with an open child welfare case with substance use as a primary risk factor. PMP is delivered by community-based organizations. Parent Mentors, who have been in active recovery for at least two years and have a closed child welfare case for at least one year, provide peer recovery coaching services tailored to parents’ needs and goals in navigating recovery and their child welfare case. Parent Mentors will receive robust ongoing training and supervision. PMP aims to reduce parenting stress, support recovery from substance use, and increase case engagement, with family preservation and permanency as potential downstream benefits.
Intervention Start Date
2024-07-01
Intervention End Date
2027-06-30

Primary Outcomes

Primary Outcomes (end points)
1. Adult Well-Being (self-reported)
a. Mental and emotional health
b. Substance use
2. Child Welfare Case Engagement (self-reported)
a. Engagement with child welfare case

Primary Outcomes (explanation)
Primary outcomes will be measured from follow-up survey data collected 15 months after random assignment.

Secondary Outcomes

Secondary Outcomes (end points)
1. Adult Well-being (self-reported)
a. Family functioning
b. Economic and housing stability
2. Substance use treatment and recovery engagement (self-reported)
a. Substance use treatment engagement
b. Substance use recovery engagement
3. Family Preservation and Child Permanency (administrative records)
a. Placement into foster care
b. Total time in foster care
c. Any permanency
d. Reunification
e. Adoption
f. Legal guardianship
g. Living with relative
h. Living with parent at subsequent point in time
4. Child Safety (administrative records)
a. Children’s subsequent child maltreatment
b. Parents' perpetration of subsequent maltreatment
Secondary Outcomes (explanation)
Self-reported outcomes will be measured from follow-up survey data collected 15 months after random assignment. Administrative data outcomes will be constructed for 12-, 24-, and 36-month periods following random assignment. We expect to have at least 36 months of follow-up for all enrolled parents. For parents with sufficient length of follow-up observed in the administrative records, we will also construct outcomes for 48- and 60-month periods.

Experimental Design

Experimental Design
The study will be implemented in selected counties within four states: Michigan, Minnesota, Oregon, and Virginia. The focus population are parents with an open child welfare case and substance use as a primary risk factor in the case. These parents are receiving in-home services from the child welfare system and do not have any children who are in foster care. The study will randomly assign parents who consent to participate in the study either to a group that has access to “services as usual” (SAU) or to a group that has access to PMP in addition to SAU. The evaluation will measure outcomes for one parent per family. If two parents in a family both meet the eligibility criteria for the study, they will be randomly assigned to the same study group and both will be offered PMP or SAU, according to their study group assignment. The evaluation will estimate the effects of PMP as the difference in average outcomes between the group of parents randomly assigned to access PMP plus SAU versus the group of parents randomly assigned to access SAU only. The evaluation will report short-term impacts in 2028 and longer-term impacts in 2030.
Experimental Design Details
Not available
Randomization Method
Randomization will be done by a computer, immediately after all baseline information is collected.
Randomization Unit
Randomization takes place at the family level.
Was the treatment clustered?
No

Experiment Characteristics

Sample size: planned number of clusters
N/A
Sample size: planned number of observations
Total planned sample size: 2,300 parents (one parent per family). Follow-up survey sample size (expected number of respondents): 1,074 parents.
Sample size (or number of clusters) by treatment arms
Total sample (for administrative outcomes): PMP: 805 parents; SAU: 1,495 parents
Follow-up survey sample size: PMP: 376 parents; SAU: 698 parents
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
IRB

Institutional Review Boards (IRBs)

IRB Name
Abt Associates, Inc.IRB #1
IRB Approval Date
2024-02-16
IRB Approval Number
2190
Analysis Plan

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