Averting neonatal abstinence syndrome and treating addiction among rural, opioid‐using young women

Edgerton, Ryan

doi:10.1111/ajad.13299

Cited by 2 publications

(3 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To combat this stigma at the individual level, PPWP require detailed nonjudgmental psychoeducation about MOUD use and NOWS. A recent pilot study of a single Education and Motivational Counseling session for women with OUD found approximately half of participants enrolled in MOUD treatment, an uptake rate well above those reported in complementary pilot studies 13 . Other psychoeducational approaches used to support MOUD uptake among other populations, including group and cognitive behavioral therapy, may also support PPWP 14 .…”

Section: Discussionmentioning

confidence: 97%

“…A recent pilot study of a single Education and Motivational Counseling session for women with OUD found approximately half of participants enrolled in MOUD treatment, an uptake rate well above those reported in complementary pilot studies. 13 Other psychoeducational approaches used to support MOUD uptake among other populations, including group and cognitive behavioral therapy, may also support PPWP. 14 At the structural level, nonpunitive policies and provider trainings for obstetricians, pediatricians, and social workers/case managers that emphasize NOWS as an adverse effect of a lifesaving medication may reduce external stigma and improve MOUD utilization.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Attitudes Toward Medication for Opioid Use Disorder Among Pregnant and Postpartum Women and People Seeking Treatment

Banks

Fentem

et al. 2022

J Addict Med

View full text Add to dashboard Cite

ObjectivesPregnant and postpartum women and people (PPWP) who use opioids experience higher rates of morbidity, preterm labor, and stillbirth than those who do not. Although medication for opioid use disorder (MOUD) is the standard of treatment, utilization among PPWP has remained low because of MOUD stigma and misconceptions. The current report examined general and pregnancy-related MOUD attitudes, norms, and self-efficacy among PPWP seeking treatment.MethodsParticipants (n = 33) receiving MOUD at a Midwestern clinic reported beliefs about MOUD in general using the Attitudes toward Methadone Questionnaire (modified to include all MOUD) and during pregnancy/postpartum using an investigator-generated scale based on previous research. Participants responded using a 5-point scale from “strongly agree” to “strongly disagree” with higher scores indicating more positive attitudes. Analyses examined the bivariate association of attitudes with MOUD subjective norms and self-efficacy, also measured via investigator-generated scales.ResultsRespondents reported positive attitudes toward MOUD use during pregnancy, with most agreeing it was safe. However, up-to-half of participants reported uncertainty regarding the appropriate dosage of MOUD and its impact on the fetus and/or neonate. Both general and pregnancy/postpartum-related MOUD attitudes were positively associated with subjective norms toward MOUD.ConclusionsPregnant and postpartum women and people reported high uncertainty about MOUD use despite currently using it, emphasizing the need for strategies that assess and mitigate MOUD-related stigma. Findings suggest that familial support and stigma impact attitudes toward MOUD and highlight the importance of accurate psychoeducation and social supports for patients and their families to improve the acceptance and utilization of MOUD among PPWP.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Attitudes Toward Medication for Opioid Use Disorder Among Pregnant and Postpartum Women and People Seeking Treatment

Banks

Fentem

et al. 2022

J Addict Med

View full text Add to dashboard Cite

show abstract

“…As a result, it is unlikely we could ever conclude that a certain PRC strategy is more effective than another. One research group developed a broader continuum of care model that includes peer recovery support services but it does not provide detail regarding specific peer strategies [75].…”

Section: Discussionmentioning

confidence: 99%

A Pilot Randomized Controlled Trial Evaluating Peer Recovery Coaches for Addiction Recovery among Indigenous Americans

Guenzel,

2024

Curr Res Psychol Behav Sc

View full text Add to dashboard Cite

Addiction is a common and devastating problem among many Indigenous American (IA) groups around the United States. Too few IA health care providers are available to deliver care in a way that leverages IA values and traditions to support addiction recovery. Peer Recovery Coaches (PRCs) are individuals who have lived experience of addiction and have received specialized training in helping others in recovery. IA PRCs hold significant potential in helping to fill the gap of culturally-specific support in addiction. In this feasibility trial, we recruited a total of 120 adult (≥19 years) IAs with a substance use disorder through Facebook advertisements. Ninety participants were randomized to the PRC (experimental) group which received support from PRC and 30 to the Attention-Control (AC) group which received support from research nurse. Both groups received weekly support for 12 weeks. Participants completed weekly surveys during the 12-week intervention and monthly surveys during a three-month follow-up phase. The two groups had similar quantities of alcohol consumed, days of alcohol use, and days of drug use except that the PRC group had fewer days of alcohol use in the first three weeks of the intervention phase (2.05 days v. 3.5 days, p=0.04). We found that “support and advocacy” was the most common intervention provided by the PRC. The PRC intervention was widely accepted and appreciated by individuals who completed the program with 79% of individuals giving positive feedback regarding the PRCs and the remaining 21% giving neutral feedback. This trial provides some insights upon which future trials can draw to further evaluate the potential of PRCs in this hard-to-reach population with a high level of need. Trials or programs that rely on national recruitment may be successful in reaching a sufficient number of individuals but they may lack the more intensive in-person capacity that will likely help with retention. Despite this limitation, the current pilot demonstrated that racially-concordant PRC services likely have a high degree of acceptability among IA populations. Future studies may draw on these findings by having trained IA coaches recruit and work with individuals in-person to assist with higher levels of retention.

show abstract

Averting neonatal abstinence syndrome and treating addiction among rural, opioid‐using young women

Cited by 2 publications

References 24 publications

Attitudes Toward Medication for Opioid Use Disorder Among Pregnant and Postpartum Women and People Seeking Treatment

Attitudes Toward Medication for Opioid Use Disorder Among Pregnant and Postpartum Women and People Seeking Treatment

A Pilot Randomized Controlled Trial Evaluating Peer Recovery Coaches for Addiction Recovery among Indigenous Americans

Contact Info

Product

Resources

About