Promoting positive parenting among pregnant women with opioid use disorder

促进阿片类药物使用障碍孕妇的积极养育

基本信息

批准号：
10350937
负责人：
Katherine Guyon-Harris
金额：
$ 15.35万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-04-01 至 2027-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10350937
关键词：
Address Affect Age Anxiety Birth Caregivers Child Child Rearing Child Welfare Childbirth Clinical Clinical Research Clinical Trials Communities Complex Data Development Discipline of obstetrics Drug usage Ensure Evidence based intervention Family Fostering Goals Gynecologist Health Personnel Infant Care Interpersonal Relations Intervention Interview Knowledge Learning Link Logistics Mental Depression Mental Health Mentored Patient-Oriented Research Career Development Award Mentors Modeling Modification Mothers Motivation Outcome Parent-Child Relations Parenting Education Parents Participant Pediatrics Perinatal Pilot Projects Population Population Intervention Positioning Attribute Postpartum Period Pregnancy Pregnant Women Prevention Preventive Preventive service Primary Health Care Psychologist Psychology Qualitative Research Recording of previous events Recovery Research Research Methodology Research Personnel Science Second Pregnancy Trimester Self Efficacy Site Social support Stress Symptoms Testing Thinking Third Pregnancy Trimester Training Trauma Trust Woman Women&apos s Health Work caregiver functioning caregiving checkup examination design evidence base experience family support feasibility testing feeding flexibility improved infancy motivational enhancement therapy opioid use opioid use disorder perinatal mental health perinatal period pilot test postnatal prenatal prenatal intervention prevent preventive intervention primary care setting programs psychosocial recruit skills substance use substance use treatment treatment services

项目摘要

PROJECT SUMMARY The overarching goal of my program of research is to develop and inform preventive interventions to improve parent–child outcomes for families affected by substance use. The focus of this K23 award is to inform and adapt an evidenced-based preventive parenting intervention, the Family Check-Up (FCU), to improve parent– child outcomes among pregnant women with opioid use disorder (OUD). OUD is often accompanied by co- occurring psychosocial challenges (e.g., mental health, compromised interpersonal relationships) that impact caregiving quality. Existing parenting interventions for women with OUD largely begin postnatally, with the few extant prenatal interventions narrowly focused on parenting education and skills and ending at or shortly after birth. Further, existing interventions are often ill-equipped to address the common and complex psychosocial challenges of women with OUD. As such, existing parenting interventions miss opportunities to intervene to prevent the development of parenting challenges before the child’s birth and to intervene during pregnancy, which is a peak window of engagement in OUD treatment services and enhanced motivation to engage in recovery. This proposal addresses the need for parenting interventions for pregnant women with OUD that begin during pregnancy and address co-occurring psychosocial challenges. Accordingly, the proposed project will use qualitative and quantitative research methods to adapt and pilot the FCU for delivery during pregnancy within a prenatal primary care setting for women with OUD. Aim 1 will qualitatively characterize the parenting needs of women with OUD across the perinatal period, barriers to engagement in parenting interventions, and desired outcomes of intervention. Aim 2 will adapt the FCU intervention for pregnancy using the ADAPT-ITT framework and data collected during Aim 1. Aim 3 will conduct a pilot study of the prenatal FCU assessing engagement and short-term outcomes including maternal psychosocial functioning (mental health and interpersonal functioning) and parent–child relationship quality and self-efficacy. To achieve the proposed goals and transition to independence, I require training in perinatal opioid use, applied qualitative and mixed-methods research, and methods for developing and testing preventive interventions. An experienced team will guide my training. Dr. Shaw (co-primary mentor) is a clinical and developmental psychologist and co-developer of the postpartum FCU with expertise in parenting interventions and prevention science. Dr. Krans (co-primary mentor) is an obstetrician-gynecologist and substance use treatment provider with expertise in perinatal OUD and women’s health. Dr. Chang (co-mentor) is an obstetrician-gynecologist with expertise in qualitative research methods and women’s health. The training and research plan will form the basis to support an R-level proposal with the goal of bridging pre- and postnatal parenting interventions to optimize support for families and young children affected by substance use.

项目概要我的研究计划的总体目标是开发预防性干预措施并为其提供信息，以改善该 K23 奖项的重点是为受药物使用影响的家庭提供信息和指导。采用基于证据的预防性育儿干预措施，即家庭检查（FCU），以改善父母 – 患有阿片类药物使用障碍 (OUD) 的孕妇的儿童结局通常伴有以下情况。影响的心理社会挑战（例如心理健康、人际关系受损）现有针对 OUD 女性的育儿干预措施大多是在产后开始的，但很少有干预措施。现有的产前干预措施主要集中于育儿教育和技能，并在结束时或之后不久结束此外，现有的干预措施往往不足以解决常见且复杂的社会心理问题。因此，现有的育儿干预措施错过了干预 OUD 的机会。防止在孩子出生前出现养育问题，并在怀孕期间进行干预，这是参与 OUD 治疗服务的高峰期，并增强了参与的动力该提案解决了对 OUD 孕妇进行育儿干预的需要。因此，拟议的项目从怀孕期间开始并解决同时发生的社会挑战。将使用定性和定量研究方法来调整和试点 FCU 在妊娠期间的分娩目标 1 将定性描述患有 OUD 的妇女的产前初级保健环境中的养育特征。患有 OUD 的妇女在整个围产期的需求、参与育儿干预的障碍，以及目标 2 将使用 ADAPT-ITT 调整 FCU 干预以适应妊娠。目标 1 期间收集的框架和数据。目标 3 将开展产前 FCU 评估的试点研究参与和短期结果，包括孕产妇心理社会功能（心理健康和人际功能）以及亲子关系质量和自我效能。为了实现拟议的目标并过渡到独立，我需要接受围产期阿片类药物使用方面的培训，应用定性和混合方法研究以及开发和测试预防措施的方法经验丰富的团队将指导我的培训。发展心理学家和产后 FCU 的共同开发者，拥有育儿干预方面的专业知识克兰斯博士（联合主要导师）是一名妇产科医生和药物滥用专家。张博士（共同导师）是一位在围产期 OUD 和女性健康方面拥有专业知识的治疗提供者。具有定性研究方法和妇女健康方面专业知识的妇产科医生。研究计划将构成支持 R 级提案的基础，其目标是弥合产前和产后育儿干预措施，以优化对受药物使用影响的家庭和幼儿的支持。