Actively Recruiting
A Type I Hybrid Effectiveness-Implementation Trial of MIO
Led by Baystate Medical Center · Updated on 2026-01-07
200
Participants Needed
1
Research Sites
188 weeks
Total Duration
On this page
Sponsors
B
Baystate Medical Center
Lead Sponsor
B
Behavioral Health Network
Collaborating Sponsor
AI-Summary
What this Trial Is About
Mothers with substance use disorders face unprecedented stress in their roles as parents working to care for their children while maintaining healthy recovery. Mothering from the Inside Out (MIO) is the first attachment-based parenting intervention designed specifically for mothers in recovery from substance use disorders that has been shown to have benefit for both mother and child in multiple randomized controlled trials. This project will: (a) test the effectiveness of MIO among women in outpatient treatment under 'real-world' conditions, (b) evaluate implementation in different settings, and (c) assess key implementation factors to support optimal uptake and treatment in future dissemination studies; closing an important science-to-service gap for an underserved population in an effort to support maternal and child health simultaneously.
CONDITIONS
Official Title
A Type I Hybrid Effectiveness-Implementation Trial of MIO
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Identifies as a woman
- English-speaking
- Age 18 years or older
- Enrolled in outpatient substance use treatment for a substance use disorder at one of the four target clinics
- Caring for at least one child between 0 and 60 months of age (guardian or working towards reunification with regular contact)
- Child is 5 years old or younger and in biological mother's custody or with family aiming for reunification with permission from legal guardian
- Employed as an addiction counselor at a participating agency if counselor subject
- Have a bachelor's degree or higher in psychology, social work, counseling, or related field if counselor subject
- Secure approval for supervision and MIO delivery time commitments if counselor subject
- Willing to have counseling and supervision sessions recorded if counselor subject
- Receive mean score greater than 4 on Clinical Reflective Functioning Scale if counselor subject
- Capable of managing counselor responsibilities as deemed by supervisors
- Employment at participating agency for at least 3 months if agency staff subject
- Willingness to complete questionnaires and participate in interviews or focus groups if agency staff subject
- Fluency in English if agency staff subject
You will not qualify if you...
- Severe mental health problems (e.g., actively suicidal, homicidal, psychosis)
- Severe cognitive impairment
- Psychiatric or substance-related symptoms requiring inpatient hospitalization or ambulatory detoxification
- Unable to speak English
- Child with severe medical condition limiting interaction with mother (e.g., paralysis, severe weakness)
- Child welfare custody with no goal of reunification with biological mother
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 1 location
1
Baystate Medical Center
Springfield, Massachusetts, United States, 01199
Actively Recruiting
Research Team
E
Elizabeth Peacock-Chambers, MD, MSc
CONTACT
B
Briana L Jurkowski, BS
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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