P.A.R.E.N.T.S.S Project - Parents Adopting Recovery-management through Enhanced New Technology for Self-care and Support (for Mothers)

P.A.R.E.N.T.S.S 项目 - 父母通过增强的自我护理和支持新技术采用恢复管理（针对母亲）

• 批准号: 10407593
• 负责人: Phyllis Ann Raynor
• 金额: $ 17.63万
• 依托单位: UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-06-01 至 2026-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10407593
• 关键词: Acute; Address; Adopted; Age; Award; Behavioral; Caring; Cessation of life; Child; Child Custody; Child Rearing; Child Welfare; Chronic; Collaborations; Communities; Custom; Data; Development; Disputes; Drug usage; Evidence based program; Female; Female of child bearing age; Fright; Future; Goals; HIV; Health; Health Services Accessibility; Healthcare; Hospital Costs; Imprisonment; Individual; Infant; Insurance; Intervention; K-Series Research Career Programs; Knowledge; Legal; Life; Location; Maternal complication; Mediation; Medicaid; Mental Health; Mentors; Mothers; Neonatal; Neonatal Abstinence Syndrome; Newborn Infant; Not Hispanic or Latino; Outcome; Outpatients; Participant; Patients; Perception; Pharmacotherapy; Population; Positioning Attribute; Postpartum Period; Postpartum Women; Pregnancy; Pregnant Women; Prevalence; Privatization; Program Evaluation; Recovery; Recovery Support; Research; Research Methodology; Research Training; Resources; Rural; Self Care; Self Management; Substance Use Disorder; Syphilis; Technology; Time; Training; Transportation; Vulnerable Populations; Woman; addiction; base; community based participatory research; cost; cost effective; design; digital; digital intervention; drug abstinence; evidence base; feasibility testing; health care delivery; help-seeking behavior; improved; infant outcome; infection risk; intervention program; member; new technology; opioid use; opioid use disorder; parent project; patient oriented; population health; pregnant; prescription opioid; programs; reproductive; rural health disparities; skills; smartphone Application; social stigma; substance use treatment; therapy development; transmission process; unborn child

K23 Abstract DESCRIPTION: Nearly one third of individuals with substance use disorders are women of childbearing age. Life-threatening infant complications from maternal opioid use disorders (OUD) include neonatal withdrawal syndrome, acute and chronic developmental and behavioral challenges, increased risks of infection through maternal transmission (i.e. HIV, Syphilis), and death. Mothers with OUD must negotiate micro and macro level challenges that impact parenting and recovery management, including reluctance to disclose drug use for fear of legal issues, child custody and domestic disputes, stigma, financial, and transportation barriers. There are few proven interventions that support long-term recovery management and parenting for addicted new mothers embedded within this unique context. Using a community based participatory research (CBPR) approach, we will determine the feasibility and preliminary effects of a customized evidence-based digital technology self-management recovery program for women with OUD during the pregnancy and postpartum period. Based on our preliminary data, our central hypothesis is that once tailored strategies are identified by primary stakeholders, an evidence-based program that uses digital technology can be delivered to pregnant and parenting women with OUD to expand accessibility to evidence-based parenting and recovery resources. The specific aims of this study include: (1) Customize eRecovery technology integrating preferred parenting resources and recovery supports in collaboration with a community advisory board (CAB) and new mothers in early recovery from substance use disorders; (2) Evaluate the feasibility of using the customized eRecovery technology for pregnant and postpartum women in early recovery from OUD to determine use and usefulness based on participant perceptions, engagement and retention in care, drug abstinence, and parenting outcomes. The results from this proof-of-concept study will provide strong pilot data to guide development of a full-scale trial in a future RO1 application in Year 4 of this award. The career development award will provide Dr. Raynor the mentoring and training needed to develop knowledge and skills in rural health disparities, CBPR methods, digital intervention development and program evaluation, population health interventions and advanced research training. At the close of the award, she will be positioned to design, implement, and evaluate research that will significantly improve the health outcomes of pregnant and parenting women with OUD and their vulnerable newborn infants living in a rural Southeastern state.

K23摘要 描述：近三分之一的物质使用障碍的人是 生育年龄。孕产妇阿片类药物使用障碍危及生命的婴儿并发症 （OUD）包括新生儿戒断综合征，急性和慢性发育和行为 挑战，通过母体传播（即艾滋病毒，梅毒）增加感染风险，以及 死亡。 OUD的母亲必须协商影响的微观和宏观水平挑战 育儿和恢复管理，包括不愿披露药物使用而担心合法 问题，儿童监护权和国内纠纷，污名，财务和运输障碍。 很少有经过验证的干预措施支持长期恢复管理和育儿 对于上瘾的新妈妈，嵌入了这种独特的环境中。使用基于社区的 参与性研究（CBPR）方法，我们将确定可行性和初步效果 定制的基于证据的数字技术自我管理恢复计划 怀孕期间和产后期间患有OUD的妇女。根据我们的初步数据 我们的核心假设是，一旦裁缝策略被主要利益相关者确定 使用数字技术的基于证据的计划可以交付给怀孕， 具有OUD的育儿妇女，以扩大循证育儿和恢复的可及性 资源。这项研究的具体目的包括：（1）自定义ERECOVERY技术 集成首选的育儿资源和恢复支持与 社区顾问委员会（CAB）和新妈妈早期从药物使用中恢复 疾病； （2）评估使用自定义的ERECOVEY技术的可行性 孕妇和产后妇女在早期从OUD康复中以确定使用和有用性 基于参与者的看法，参与和保留护理，戒毒和 育儿结果。这项概念验证研究的结果将提供强大的试点数据 在本奖项第4年的未来RO1应用程序中指导全面试验的开发。这 职业发展奖将为Raynor博士提供所需的指导和培训 发展农村健康差异，CBPR方法，数字干预方面的知识和技能 发展和计划评估，人口健康干预和高级研究 训练。奖项结束时，她将被定位为设计，实施和评估 研究将大大改善孕妇和育儿妇女的健康结果 Oud及其脆弱的新生婴儿居住在东南农村国家。