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Application of a RE-AIM Evaluation Framework to Test Integration of a Mindfulness Based Parenting Intervention into a Drug Treatment Program

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Abstract

Background The RE-AIM framework was applied to the Mindfulness Based Parenting (MBP) intervention to evaluate the feasibility and effectiveness of this innovative trauma informed model in a drug treatment program. The MBP intervention is aimed at mitigating the stress experienced by women in treatment for substance use disorders, and thereby improving parenting and dyadic attachment between mother and child. Methods This was a single arm pre-test post-test design using repeated measure data collected between 2013 and 2016. The design also includes comprehensive process and impact evaluation data. Participants were 120 parenting women enrolled in an opioid treatment program between 2013 and 2016 in Philadelphia, PA. The MBP intervention included weekly 2-h MBP group sessions over 12 weeks, including three dyadic sessions with their child. The main outcomes of this study include the five facets of RE-AIM: Reach, Effectiveness, Adoption, Implementation, and Maintenance. Results The MBP intervention was associated with improvements in parenting across participants. Data showed implementation and sustainability are contingent upon a strong multidisciplinary team and clinical staff support and “buy-in”. Iterative adaptations of interventions used in the general population may be necessary when working with a traumatized population burdened by low literacy levels, trauma history and co-occurring disorders. Conclusions MBP is a feasible and effective intervention for improving parenting and dyadic attachment between women with opioid use disorder and their children, and may be useful for other programs that serve parenting women with substance use disorders.

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Acknowledgements

This work was supported by the Children’s Bureau which is located within the Administration for Children and Families, a division of the US Department of Health and Human Services (Grant Award no. 90CB0190). The authors especially thank the MBP participants, Esther Chung, Michelle Calvano, Kimberly McLaughlin, Megan Foss, Ruth Gubernick, Mariana LaNoue, Carolyn Palmer, Lindsay Reid, Wendy Weingarten, and the staff at the following institutions for their help in various aspects of the project: MATER, Family Center and My Sisters Place.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Thomas Jefferson University, 1233 Locust St., Suite 400, Philadelphia, PA, 19107, USA

    Meghan A. Gannon, Vanessa Short & Diane Abatemarco

  2. Department of Behavioral Health and Nutrition, University of Delaware, Newark, DE, USA

    Michael Mackenzie

  3. Department of Obstetrics and Gynecology, Department of Psychiatry & Human Behavior, Thomas Jefferson University, Philadelphia, PA, USA

    Dennis J. Hand

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  1. Meghan A. Gannon
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  5. Diane Abatemarco
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Correspondence to Meghan A. Gannon.

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Gannon, M.A., Mackenzie, M., Hand, D.J. et al. Application of a RE-AIM Evaluation Framework to Test Integration of a Mindfulness Based Parenting Intervention into a Drug Treatment Program. Matern Child Health J 23, 298–306 (2019). https://doi.org/10.1007/s10995-018-02715-y

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