Lessons Learned From the Implementation of an Integrated Prenatal Opioid Use Disorder Program

Anderson, C. H.; Braverman, Alexis; Maes, Phillip; Reising, Virginia

doi:10.1016/j.nwh.2022.03.007

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…One study developed a NAS education program that targeted breastfeeding rates [ 8 ]. Another study created an integrated program that involved the distribution of patient education materials to community partners, as well as the patients [ 9 ]. For community partners, referral workflow guides were given to improve the referral process and reduce errors.…”

Section: Introductionmentioning

confidence: 99%

“…For community partners, referral workflow guides were given to improve the referral process and reduce errors. For the patients, a program information card was used to advertise this clinic’s integrated program and provide general harm reduction tips to promote a positive attitude towards treatment during pregnancy and reducing use [ 9 ]. While helpful, these tools do not provide sufficient information women need to make well-informed decisions about treatment.…”

Section: Introductionmentioning

confidence: 99%

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Development of an Educational Brochure about Treatment Options for Pregnant Women with Opioid Use Disorders

Jeminiwa,

Park,

Popielaski

et al. 2024

Pharmacy

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The goal of this study was to describe the development of an educational brochure for pregnant women with opioid use disorders (OUDs) about treatment options. Based on findings from a preliminary review of the literature, we drafted a brochure that addressed the following questions: (1) What are your options (Medication-Assisted Treatment (MAT) versus no treatment)? (2) What are the benefits of MAT? (3) What are the risks of MAT? (4) Can I take buprenorphine or methadone while breastfeeding? (5) Which medication should I choose? Clinicians and doulas (n = 19) who provide care to pregnant women with OUDs were recruited. Semi-structured interviews elicited participants’ feedback on brochure content and their perceptions about brochure use for patient education. Thematic data analyses were performed. Three emergent themes were identified (suggested uses and settings of use, content revisions, and perceptions about the brochure) and used to refine the final brochure. This study provides valuable insights into the desired content of an educational brochure describing treatment options for pregnant women with OUDs from the provider’s standpoint. Research is needed to assess the use of the brochure in shared decision-making conversations with providers about treatment.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Development of an Educational Brochure about Treatment Options for Pregnant Women with Opioid Use Disorders

Jeminiwa,

Park,

Popielaski

et al. 2024

Pharmacy

View full text Add to dashboard Cite

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Challenges for Antepartum Care of the Individual with Perinatal Substance Use: An Empirical Integrative Review of Novel Approaches to Improve Care

Narbey,

Cline

2024

J Midwife Womens Health

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IntroductionPerinatal substance use continues to rise across the United States presenting unique challenges to providing antepartum care. Polysubstance use, limited and late engagement in health care, co‐occurring mood disorders, and several social barriers are well documented. This review seeks to summarize these barriers and present novel approaches to caring for this high‐risk population.MethodsInclusion criteria for this study focused on peer‐reviewed articles that explicitly detailed a direct impact on the provision or receipt of antenatal care in the setting of substance use within the United States that were published in the last 5 years. PubMed and Web of Science were used to find applicable articles. Of the 156 articles found, 10 relevant articles were selected for the final empirical integrative review that entailed data evaluation using the Mixed Methods Appraisal Tool (MMAT) and thematic analysis.Results10 review articles met inclusion; 3 were qualitative, 6 were quantitative and nonrandomized, and one was quantitative descriptive. Six articles met MMAT quality criteria, and there were significant limitations in every article. Topics included opioid use disorder (n = 6), general substance use (n = 3), and tobacco use (n = 1). Themes included integrated models of prenatal care, colocated care, resource coordination, and peer support along with the role of the perinatal health care professional and consistent use of a substance use screening tool.DiscussionA comprehensive and multidisciplinary care model is necessary to meet the complex and urgent needs of individuals with perinatal substance use that not only meets recommendations for opioid maintenance therapy or substance use cessation but the important areas of accessibility and interpersonal support. Future research should focus on the development, implementation, and evaluation of new models of care for this vulnerable population.

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Lessons Learned From the Implementation of an Integrated Prenatal Opioid Use Disorder Program

Cited by 2 publications

References 15 publications

Development of an Educational Brochure about Treatment Options for Pregnant Women with Opioid Use Disorders

Development of an Educational Brochure about Treatment Options for Pregnant Women with Opioid Use Disorders

Challenges for Antepartum Care of the Individual with Perinatal Substance Use: An Empirical Integrative Review of Novel Approaches to Improve Care

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