SAFE4BOTH integration of mobile technologies with case management (CM) systems provide education, work flow among multiple stakeholders to implement Plan of Safe Care (POSC) for SUD mom and infants

SAFE4BOTH 将移动技术与案例管理 (CM) 系统集成，为多个利益相关者提供教育和工作流程，以实施 SUD 妈妈和婴儿的安全护理计划 (POSC)

• 批准号: 9908839
• 负责人: Tony Xuyen Ma
• 金额: $ 22.5万
• 依托单位: BENTEN TECHNOLOGIES, INC.
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-15 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9908839
• 关键词: Adherence; Adoption; Age Reporting; Alcohol consumption; Appointment; Back to Sleep; Behavioral; Birth; Calendar; Car Phone; Caregivers; Caring; Case Management; Case Manager; Cellular Phone; Centers for Disease Control and Prevention (U.S.); Child; Child Rearing; Child abuse prevention; Code; Collaborations; Communication; Coordination and Collaboration; Coping Skills; Delaware; Development; Diagnosis; Doctor of Philosophy; Drug usage; Education; Effectiveness; Emotional; Enrollment; Environment; Extended Family; Family; Family member; Female of child bearing age; Goals; Guidelines; Health Personnel; Health Services; Healthcare Systems; Hospital Administrators; Hospitals; Incentives; Infant; Infant Care; Infant Health; Information Management; Knowledge; Maintenance; Medical; Modeling; Mothers; Names; Neonatal Abstinence Syndrome; Pharmacotherapy; Phase; Postnatal Care; Postpartum Period; Postpartum Women; Pregnant Women; Principal Investigator; Prize; Provider; Reader; Recording of previous events; Recovery; Reporting; Research; Rewards; Risk; Safety; Schedule; Self Care; Services; Small Business Innovation Research Grant; Social Network; Social Work; Substance Use Disorder; Support System; System; Tablets; Technology; Testing; Text Messaging; Time; Transportation; Update; Visit; Woman; Work; animation; base; behavioral health; child services; cloud based; collaborative care; commercialization; contingency management; dashboard; design; driving force; expectation; facial recognition software; foster parent; handheld mobile device; illicit drug use; improved; innovation; mHealth; mobile computing; opioid use; patient engagement; postnatal; prototype; service providers; skills; treatment planning; usability; user centered design

Project Summary/Abstract It is crucial that parenting women with substance use disorder (SUD) receive support for maintaining their treatment goals and looking after their infants’ physical, emotional, and safety needs. Mothers recovering from SUD are at greater risk of not having the support of traditional extended families or social networks in their parenting, and many lack coping skills. A mobile health (mHealth) platform that engages the mothers with their case managers through mobile phones or wifi-connected tablets will make the case management more efficient and referrals more appropriate and timely. This electronic Plan of Safe Care (ePOSC) has the potential to be disseminated across the nation for better coordination and support for postpartum mothers with SUD and their substance-exposed infants and case managers. For this R43 SBIR Phase 1, we will develop an mHealth platform called “SAFE4BOTH.” SAFE4BOTH is designed to include microlearning parenting information and support materials, integrated short messaging service for appointment reminders and contact information updates, a one-stop calendar for infant and maternal appointments and contact lists for referrals. The SAFE4BOTH platform will build on a POSC, as model, developed by Christiana Hospital in Delaware (Christiana) in use in all of its hospitals, and will add in a customizable contingency management system with prize incentives. Input from other states will also be provided. Our expectation is that by establishing an ePOSC with a case management approach for both the mother and infant it will be possible to reduce issues of fragmented postnatal maternal and infant care, improve interactions with the Delaware Division of Family Services and other service providers, and improve the communication required for an effective POSC. Phase 1 Specific Aims: (1) Determine through formative research with case managers, caregivers, and relevant stakeholders the needs and requirements for a ePOSC for use with postpartum women with SUD and their infants; (2) Build the prototype SAFE4BOTH platform to compile information to facilitate collaborative care (CC) and case management for the mother-infant dyad; and (3) Pilot test the SAFE4BOTH for feasibility (usability and acceptance). The short term impact of SAFE4BOTH will be to improve the communication between providers and postpartum mothers to provide a quality POSC. The long-term impacts of SAFE4BOTH are expected to be increased attendance at medical and social work appointments, improved parenting skills for postpartum mothers and infant caretakers, and improved state-based collaborative care case management.

项目摘要/摘要 至关重要的是，患有药物使用障碍的育儿妇女（SUD）得到维护的支持 治疗目标并照顾婴儿的身体，情感和安全需求。母亲从中康复 SUD的风险更大，不受传统的大家庭或社交网络的支持 育儿，许多人缺乏应对技巧。一个移动健康（MHealth）平台，使母亲与母亲的联系 通过手机或与WiFi连接的平板电脑通过手机管理员的案例经理将使案件管理更多 有效，更适合和及时。这个安全护理的电子计划（EPOSC）具有 有可能在全国范围内传播的潜力，以更好地协调和支持产后母亲 SUD及其暴露于物质的婴儿和病例经理。 对于R43 SBIR第1阶段，我们将开发一个称为“ Safe4Both”的MHealth平台。 Safe4both是 旨在包括微读育儿信息和支持材料，集成的短消息传递 预约提醒和联系信息更新的服务，婴儿的一站式日历 孕产妇的约会和联系清单。 Safe4both平台将建立在POSC上，例如 模特，由特拉华州克里斯蒂安娜医院（Christiana）开发的所有医院，并将增加 具有奖励激励措施的可定制应急管理系统。来自其他州的输入也将是 假如。我们的期望是，通过建立具有案例管理方法的EPOSC 母亲和婴儿将有可能减少产后和婴儿护理分散的问题，改善 与特拉华州家庭服务部和其他服务提供商的互动，并改善 有效POSC所需的沟通。 第1阶段的具体目的：（1）通过与案例经理，看护人和 相关利益相关者与具有SUD的产后妇女一起使用的EPOSC的需求和要求 他们的婴儿； （2）构建原型Safe4Both平台以编译信息以促进协作护理 （CC）和母亲二元组的病例管理； （3）试点测试可行性的安全4 （可用性和接受）。 Safe4Both的短期影响将是改善提供商和 产后母亲提供优质的POSC。预计Safe4Both的长期影响将是 提高了参加医疗和社会工作约会的出席性，产后的育儿技能提高了 母亲和婴儿看护者，改善了基于州的协作护理案例管理。

项目成果

Neonatal Outcomes after Combined Opioid and Nicotine Exposure in Utero: A Scoping Review.

• DOI: 10.3390/ijerph181910215
• 发表时间: 2021-09-28
• 期刊: International journal of environmental research and public health
• 作者: Isaacs KR;Atreyapurapu S;Alyusuf AH;Ledgerwood DM;Finnegan LP;Chang KHK;Ma TX;Washio Y
• 通讯作者: Washio Y

Usability and acceptability testing of a Plan of Safe Care in a mobile health platform.

• DOI: 10.3389/fpsyt.2023.1182630
• 发表时间: 2023
• 期刊: FRONTIERS IN PSYCHIATRY
• 影响因子: 4.7
• 作者: Isaacs, Krystyna R. R.;Bajracharya, Elina;Taylor, Shantae;Chang, Katie;Washio, Yukiko;Parker, Trenee;Paul, David A. A.;Ma, Tony X. X.
• 通讯作者: Ma, Tony X. X.