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Opioid-Related DisordersPRE-FAIRNCT05380440

Preventing Parental Opioid and/or Methamphetamine Addiction Within DHS-Involved Families: PRE-FAIR

A study testing Prevention Adaptation of Families Actively Improving Relationships (PRE-FAIR) and Standard Case Management and Referral in people with Opioid-Related Disorders and Stimulant-Related Disorder, run by Chestnut Health Systems at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Young parents aged 16 to 30, involved in the DHS system for child welfare or self-sufficiency needs are at risk for opioid use disorder and/or methamphetamine use disorder (OUD; MUD). Those identified as engaging in opioid or methamphetamine misuse are at high risk for escalation. Read more about this study

Who is it for?
Ages 16 to 30 yearsHealthy volunteers can take part
What is being tested?
Prevention Adaptation of Families Actively Improving Relationships (PRE-FAIR) and Standard Case Management and Referral
Could I receive a placebo?
No, everyone receives an active treatment
How many people
241 participants
Where
1 siteUnited States
Study dates
9 Jun 2021to 31 Aug 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 16 to 30 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Risk for opioid or methamphetamine misuse or escalation of use
  • Parent of a child 0-18.
  • Involvement or risk for involvement with self-sufficiency or child welfare systems.
  • Aged 16 to 30 at date of intake assessment.
  • Enrolled in Oregon Health Plan
  • Child in home or reunification plan in place.
  • Lives in a participating Oregon county.

Who cannot join

  • Used methamphetamines or opioids 4 or more times in past year
  • Active diagnosis of a methamphetamine or opioid use disorder

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Chestnut Health Systems

    Eugene, Oregon, 97401

Other trials in United States

About this study

Young parents aged 16 to 30, involved in the DHS system for child welfare or self-sufficiency needs are at risk for opioid use disorder and/or methamphetamine use disorder (OUD; MUD). Those identified as engaging in opioid or methamphetamine misuse are at high risk for escalation. Children of parents with OUD and MUD are at-risk for entering into foster care. Oregon is one state particularly affected by this challenge. The proposed research offers one potential solution by adapting and evaluating a recently developed treatment for parental OUD and MUD, for prevention. This study seeks to collaborate with Oregon Department of Humans Services (DHS) leadership to deliver a new outpatient prevention program to high-risk, young, parents. The Prevention Adaptation of Families Actively Improving Relationships (PRE-FAIR) program will include community-based mental health, parent management, and ancillary needs treatment, and ongoing monitoring and prevention services for opioid and methamphetamine use. This study will randomize 240 parents, aged 16 to 30, to receive PRE-FAIR or standard case management and referral, in two counties in Oregon. Outcomes will include an evaluation of the effectiveness of PRE-FAIR in addressing risk factors associated with substance use disorders in DHS-involved populations, OUD and MUD outcomes, and implementation outcomes including implementation process and milestones, and program delivery outcomes. Intervention and Implementation costs will be assessed, and the benefit of PRE-FAIR will be evaluated in relation to standard services, but also in relation to capacity and population needs. Study hypotheses are: (1) Parents randomized to PRE-FAIR will be less likely to escalate opioid and/or methamphetamine use, and to receive a diagnosis of OUD and/or MUD; (2) Parents randomized to PRE-FAIR will experience significant reductions in mental health, parent skills, and ancillary needs compared to those receiving standard services; (3) Counties will follow the implementation plan developed in collaboration between study team members and state leadership, and that doing so will yield successful implementation of PRE-FAIR; and (4) Implementation and intervention costs for PRE-FAIR will demonstrate a benefit for offering PRE-FAIR compared to standard services, particularly in rural communities where capacity influences service delivery decisions.

Read the detailed description

The Families Actively Improving Relationships (FAIR) program is a recently developed, rigorously evaluated, intensive outpatient treatment program for parents involved in the child welfare system for parental opioid and/or amphetamine type substance use disorder-methamphetamine (OUD; MUD). Outcomes from the FAIR effectiveness trial suggest the potential for FAIR to be adapted as a prevention program for parents involved with child welfare and self-sufficiency systems, and to be implemented in counties with low service availability and access. This exploratory-developmental phased project dedicates a year of activities toward collaborating with Oregon state Department of Human Services (DHS) partners and leadership to develop a plan for adaptation, recruitment, and implementation of FAIR for prevention (PRE-FAIR). The investigative team-with expertise in intervention development and clinical effectiveness trials, implementation science, decision science, health economics, and including DHS leadership-will work in collaboration with the Coordinating Center to develop strategies to identify, reach, and engage parents involved in the DHS system, aged 16 to 30, who are at-risk for escalation of misuse or development of OUD and/or MUD; and develop and adapt FAIR to prevent initiation of opioid and/or methamphetamine misuse and escalation to disorder. Following the completion of a set of concrete milestones during the first year, the project will conduct a Hybrid I randomized clinical trial, to evaluate the PRE-FAIR program and its implementation. Across two counties, parents referred by DHS for opioid or methamphetamine use or misuse with risk for escalation (n = 240), will be recruited and followed longitudinally for 24 months. Parents will be randomized to receive PRE-FAIR or standard case management and referral (STAND). Overarching goals of this study phase are to test the effectiveness of the adaptations designed in the previous phase and to build upon state collaborations-specifically, to: Evaluate the effectiveness of PRE-FAIR in preventing DHS-involved parents, aged 16 to 30, from initiating misuse or escalating opioid and/or methamphetamine use; Examine and assess the implementation of PRE-FAIR in the county-driven DHS system to inform sustainability plans; and Assess the implementation and intervention costs associated with the adoption of PRE-FAIR. Outcomes from this project will inform further refinement of protocols and the potential for broader scale-up of PRE-FAIR.

Being tested
Prevention Adaptation of Families Actively Improving Relationships (PRE-FAIR), Standard Case Management and Referral
Keywords
Substance-Related Disorders, Preventive Health Services, Opioid-Related Disorders, Amphetamine-Related Disorders, Child Abuse
Medical subject headings
Opioid-Related Disorders, Substance-Related Disorders, Amphetamine-Related Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Prevention Adaptation of Families Actively Improving Relationships (PRE-FAIR)Behavioural

    FAIR is a behavioral intervention to treat parental substance use and child neglect for families involved in the child welfare system. This project will adapt the existing FAIR intervention for prevention (PRE-FAIR). FAIR involves four major treatment components, supported by ongoing purposeful engagement : (1) Substance use treatment including contingency management and positive reinforcement, frequent urinalysis, relationship building, day planning, healthy environments and peer choices, and refusal skills; (2) Mental health treatment including cognitive behavioral therapy, developing healthy coping skills, emotion regulation skills, exposure therapy, and referral for medication management; (3) Parent management training including parenting skills, nurturing and attachment, reinforcement, emotion regulation, supervision, structure, non-harsh discipline, and nutrition; and (4) Resource building and provision of ancillary supports including assistance with housing and employment.

  • Standard Case Management and ReferralBehavioural

    Parents will be referred for a substance use and mental health assessment with possible resulting treatment. Child Welfare treatment plans typically include a series of recommendations, including parenting classes, securing safe housing, psychosocial treatment (e.g., domestic violence), accessing self-sufficiency services (e.g., food stamps, WIC), securing employment or education, and meeting court dates and requirements.

Study groups in NCT05380440
Study groupRoleWhat they receive
PRE-FAIRExperimentalParticipants in this arm will receive the PRE-FAIR intervention.
Receives: Behavioral: Prevention Adaptation of Families Actively Improving Relationships (PRE-FAIR)
ControlActive comparatorParticipants in this arm will receive services standard case management and services .
Receives: Behavioral: Standard Case Management and Referral

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in opioid or methamphetamine use measured from Baseline to 24 months post-baseline

    Any opioid or methamphetamine use in the past 30 days measured by the Addiction Severity Index

    Measured: Baseline; 4-, 8-, 12-, 18-, and 24- months post Baseline

  2. Completion of Key Intervention Implementation Activities Over the Course of the Study

    Measure of implementation progress as measured by the Stages of Implementation Completion (SIC).

    Measured: Duration of the study, up to 4 years

  3. Costs Associated with Key Intervention Implementation Activities Over the Course of the Study

    Implementation costs associated with adoption of PRE-FAIR as measured by the Cost of Implementing New Strategies (COINS).

    Measured: Duration of the study, up to 4 years

  4. Mean changes in parent drug cravings and stress as measured by the Parent Daily Report

    Parental stress and drug cravings as measured by the Parent Daily Report (PDR). Measured monthly from Baseline to 18-months post-Baseline and at 24-months post-Baseline.

    Measured: Baseline, monthly for 18-months post-Baseline, 24-months post-Baseline

  5. Mean changes in behavioral health services utilization

    Behavioral health services utilization (mental health, substance use) including visits assessed in the Service Utilization Survey and PRE-FAIR visits assessed in the coach portal software. Measured at Baseline, 4-, 8-, 12-, 18-, and 24-Months Post-Baseline.

    Measured: up to 24- months

Secondary outcomes (10)
  1. Mean Changes in Drug Use Frequency and Severity from Baseline to 24-months Post-Baseline

    Drug use frequency and severity measured through the Addiction Severity Index's (ASI) Drug Use subscale. Measured at Baseline, 4-, 8-, 12-, 18-, and 24-Months Post-Baseline.

    Measured: Baseline to 24-months Post-Baseline

  2. Changes in probability of opioid or methamphetamine use drug use as measured by Urinalysis testing

    Urinalysis based multi-drug panel using the ICUP Drug Screening device. Measured at Baseline, 4-, 8-, 12-, 18-, and 24-Months Post-Baseline.

    Measured: Baseline; 4-, 8-, 12-, 18-, and 24- months post Baseline

  3. Mean Changes From Baseline in Parenting Behaviors as Assessed by the BCAP at 24-months Post-Baseline

    Parenting behaviors as measured by the Brief Child Abuse Potential Inventory (BCAP). Measured at Baseline, 4-, 8-, 12-, 18-, and 24-Months Post-Baseline.

    Measured: Baseline to 24-months Post-Baseline

  4. Mean changes in anxiety symptoms reported as measured by the General Anxiety Disorder-7 (GAD-7)

    Anxiety symptoms as measured by the General Anxiety Disorder-7 (GAD-7). Measured at Baseline, 4-, 8-, 12-, 18-, and 24-Months Post-Baseline.

    Measured: Baseline; 4-, 8-, 12-, 18-, and 24- months post Baseline

  5. Mean changes in depression severity as measured by the Patient Health Questionnaire-9 (PHQ-9)

    Depression severity as measured by the Patient Health Questionnaire-9 (PHQ-9). Measured at Baseline, 4-, 8-, 12-, 18-, and 24-Months Post-Baseline.

    Measured: Baseline; 4-, 8-, 12-, 18-, and 24- months post Baseline

  6. Mean changes in post-traumatic stress and psychological effects of trauma as measured by the Trauma Symptom Inventory-2 (TSI-2)

    Measure of PTSD symptoms and psychological effects of trauma as measured by the Trauma Symptoms Inventory-2 (TSI-2). Measured at Baseline, 4-, 8-, 12-, 18-, and 24-Months Post-Baseline.

    Measured: Baseline; 4-, 8-, 12-, 18-, and 24- months post Baseline

  7. Mean Changes in Mental Health Symptoms from Baseline to 24-months Post-Baseline

    Mental health symptoms as measured by the Brief Symptom Inventory (BSI). Sum of responses to 53 Likert-type items, range 0-24. Measured at Baseline, 4-, 8-, 12-, 18-, and 24-Months Post-Baseline.

    Measured: Baseline to 24-months Post-Baseline

  8. Mean changes in parenting stress as measured by Parenting Stress Inventory

    Parenting stress as measured by the Parent Stress Inventory (PSI). Measured at Baseline, 4-, 8-, 12-, 18-, and 24-Months Post-Baseline.

    Measured: Baseline; 4-, 8-, 12-, 18-, and 24- months post Baseline

  9. Descriptive Measures of FAIR Program Delivery

    Descriptives of FAIR program delivery including: fidelity, attendance, caseload size, case characteristics, and session characteristics will be collected.

    Measured: Duration of the study, up to 4 years

  10. Mean Levels of Client Satisfaction with Services at the End of Treatment

    Participants' self-reported perceptions of services as measured by the Client Satisfaction with Services Questionnaire (CSQ).

    Measured: End of treatment, average of 9 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 May 2022
  2. Study start9 Jun 2021
  3. Primary completion31 Aug 2025
  4. Study completion31 Aug 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
241 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05380440
Sponsor's protocol ID
1174-0623
Other IDs
7UH3DA050193
Acronym
PRE-FAIR
Status last verified
Jan 2026
First submitted
12 Jul 2021
Last updated
5 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: As part of the HEAL Initiative, this study will follow the data sharing protocol set up by the Collaborating Center. Plan development currently in process.

Questions about this trial

What is this clinical trial studying?

A study testing Prevention Adaptation of Families Actively Improving Relationships (PRE-FAIR) and Standard Case Management and Referral in people with Opioid-Related Disorders and Stimulant-Related Disorder, run by Chestnut Health Systems at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in opioid or methamphetamine use measured from Baseline to 24 months post-baseline (time frame: Baseline; 4-, 8-, 12-, 18-, and 24- months post Baseline). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Jun 2026.

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