Project BETTER: A Family-Centered, Technology-Delivered Intervention for Pregnant People with Opioid Use Disorder

Birthing people with opioid use disorder (OUD) face unique stressors during the transition from pregnancy to postpartum that can negatively impact the maternal–infant dyad. This study aimed to describe the development of a family-centered, technology-delivered intervention tailored to help pregnant...

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Main Authors: Anna Beth Parlier-Ahmad, Michelle Eglovitch, Sarah Martin, Dace S. Svikis, Caitlin E. Martin
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/2/359
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author Anna Beth Parlier-Ahmad
Michelle Eglovitch
Sarah Martin
Dace S. Svikis
Caitlin E. Martin
author_facet Anna Beth Parlier-Ahmad
Michelle Eglovitch
Sarah Martin
Dace S. Svikis
Caitlin E. Martin
author_sort Anna Beth Parlier-Ahmad
collection DOAJ
description Birthing people with opioid use disorder (OUD) face unique stressors during the transition from pregnancy to postpartum that can negatively impact the maternal–infant dyad. This study aimed to describe the development of a family-centered, technology-delivered intervention tailored to help pregnant people receiving medication for OUD (MOUD) prepare for this transition. Formative data from patients and providers identified intervention content: (1) recovery-oriented strategies for the pregnancy-to-postpartum transition; (2) guidance around caring for an infant with opioid withdrawal symptoms; and (3) preparation for child welfare interactions. The content was reviewed in successive rounds by an expert panel and modified. Pregnant and postpartum people receiving MOUD pre-tested the intervention modules and provided feedback in semi-structured interviews. The multidisciplinary expert panel members (<i>n</i> = 15) identified strengths and areas for improvement. Primary areas for improvement included adding content, providing more structure to help participants navigate the intervention more easily, and revising language. Pre-testing participants (<i>n</i> = 9) highlighted four themes: reactions to intervention content, navigability of the intervention, feasibility of the intervention, and recommendation of the intervention. All iterative feedback was incorporated into the final intervention modules for the prospective randomized clinical trial. Family-centered interventions tailored for pregnant people receiving MOUD should be informed by patient-reported needs and multidisciplinary perspectives.
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spelling doaj.art-743eb51c4fa649b58b7ad9ea7b430d392023-11-16T19:49:40ZengMDPI AGChildren2227-90672023-02-0110235910.3390/children10020359Project BETTER: A Family-Centered, Technology-Delivered Intervention for Pregnant People with Opioid Use DisorderAnna Beth Parlier-Ahmad0Michelle Eglovitch1Sarah Martin2Dace S. Svikis3Caitlin E. Martin4Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USADepartment of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USASchool of Medicine, Virginia Commonwealth University, Richmond, VA 23298, USADepartment of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USAInstitute for Drug and Alcohol Studies, Virginia Commonwealth University, Richmond, VA 23298, USABirthing people with opioid use disorder (OUD) face unique stressors during the transition from pregnancy to postpartum that can negatively impact the maternal–infant dyad. This study aimed to describe the development of a family-centered, technology-delivered intervention tailored to help pregnant people receiving medication for OUD (MOUD) prepare for this transition. Formative data from patients and providers identified intervention content: (1) recovery-oriented strategies for the pregnancy-to-postpartum transition; (2) guidance around caring for an infant with opioid withdrawal symptoms; and (3) preparation for child welfare interactions. The content was reviewed in successive rounds by an expert panel and modified. Pregnant and postpartum people receiving MOUD pre-tested the intervention modules and provided feedback in semi-structured interviews. The multidisciplinary expert panel members (<i>n</i> = 15) identified strengths and areas for improvement. Primary areas for improvement included adding content, providing more structure to help participants navigate the intervention more easily, and revising language. Pre-testing participants (<i>n</i> = 9) highlighted four themes: reactions to intervention content, navigability of the intervention, feasibility of the intervention, and recommendation of the intervention. All iterative feedback was incorporated into the final intervention modules for the prospective randomized clinical trial. Family-centered interventions tailored for pregnant people receiving MOUD should be informed by patient-reported needs and multidisciplinary perspectives.https://www.mdpi.com/2227-9067/10/2/359family-centered caretechnology-delivered interventionopioid use disordermedication for opioid use disordermaternal–infant dyadneonatal opioid withdrawal syndrome
spellingShingle Anna Beth Parlier-Ahmad
Michelle Eglovitch
Sarah Martin
Dace S. Svikis
Caitlin E. Martin
Project BETTER: A Family-Centered, Technology-Delivered Intervention for Pregnant People with Opioid Use Disorder
Children
family-centered care
technology-delivered intervention
opioid use disorder
medication for opioid use disorder
maternal–infant dyad
neonatal opioid withdrawal syndrome
title Project BETTER: A Family-Centered, Technology-Delivered Intervention for Pregnant People with Opioid Use Disorder
title_full Project BETTER: A Family-Centered, Technology-Delivered Intervention for Pregnant People with Opioid Use Disorder
title_fullStr Project BETTER: A Family-Centered, Technology-Delivered Intervention for Pregnant People with Opioid Use Disorder
title_full_unstemmed Project BETTER: A Family-Centered, Technology-Delivered Intervention for Pregnant People with Opioid Use Disorder
title_short Project BETTER: A Family-Centered, Technology-Delivered Intervention for Pregnant People with Opioid Use Disorder
title_sort project better a family centered technology delivered intervention for pregnant people with opioid use disorder
topic family-centered care
technology-delivered intervention
opioid use disorder
medication for opioid use disorder
maternal–infant dyad
neonatal opioid withdrawal syndrome
url https://www.mdpi.com/2227-9067/10/2/359
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