Peer support specialists and perinatal opioid use disorder: Someone that's been there, lived it, seen it
Peer support specialists and perinatal opioid use disorder: Someone that's been there, lived it, seen it
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DOI：
10.1016/j.addbeh.2019.106204
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发表时间：
2020-03-01
影响因子：
4.4
通讯作者：
Ashford, Kristin
中科院分区：
文献类型：
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作者：
Fallin-Bennett, Amanda;Elswick, Alex;Ashford, Kristin
自2000年以来，围产期阿片类药物使用障碍(OUD)急剧增加，并与无数不良后果有关。物质滥用和精神健康服务管理局(SAMHSA)建议使用同伴支持服务来促进物质使用障碍(SUDS)的持续缓解。将同伴支持专家纳入围产期OUD治疗具有改善孕产妇和儿童健康的潜力。然而，关于孕妇和育儿妇女在SUD治疗期间与同伴支持专家一起经历的研究成果有限。本研究的目的是：(1)描述围产期妇女接受同伴支持专家治疗的经历；(2)描述改善或加强同伴支持服务的建议。在这项定性描述性研究中，我们在一家为5岁以下育儿的OUD(N=9)产后妇女提供服务的诊所的一个私密地点进行了两个焦点小组。焦点小组被录音、专业转录，并在MAXQDA中使用内容分析进行分析。从数据中发现了四个主题：感受到同伴支持专家的支持，理想的同伴支持专家的素质，改善与同伴支持专家互动的策略，以及围产期沟通的重要性。参与者报告称，PSS对他们的康复有强大而积极的影响。产后妇女报告说，她们在怀孕和产后期间接受同伴支持服务的总体积极经历。然而，与会者提出了改善他们与PSS的互动的建议，例如澄清同伴支持者和客户之间的界限。接受OUD治疗的孕妇和产后妇女在整个围产期都有可能受益于PSS。需要进一步的研究来确定PSS对围产期OUD妇女持续康复的影响。
Perinatal opioid use disorder (OUD) has increased drastically since 2000 and is associated with myriad adverse outcomes. The Substance Abuse and Mental Health Services Administration (SAMHSA) recommends using peer support services to promote sustained remission from substance use disorders (SUDs). Integrating peer support specialists into perinatal OUD treatment has the potential to improve maternal and child health. However, there is limited published research on the experiences of pregnant and parenting women with peer support specialists during SUD treatment. The purpose of this study was to: (1) describe experiences of perinatal women undergoing OUD treatment with peer support specialists; (2) describe recommendations for improving or enhancing peer support services. For this qualitative descriptive study, we conducted two focus groups in a private location in a clinic that serves postpartum women with OUD (N = 9) who were parenting a child under the age of 5. The focus groups were voice recorded, professionally transcribed, and analyzed in MAXQDA using content analysis. Four themes emerged from the data: Feeling Supported by Peer Support Specialists, Qualities of an 'Ideal' Peer Support Specialist, Strategies to Improve Interactions with Peer Support Specialists, and Importance of Communication Across the Perinatal Period Participants reported that PSSs had a strong, positive impact on their recovery. Postpartum women report overall positive experiences receiving peer support services during their pregnancy and postpartum period. However, participants offered suggestions to improve their interactions with PSSs, such as clarifying the boundaries between peer supporters and clients. Pregnant and postpartum women in OUD treatment have the potential to benefit from access to PSS throughout their perinatal period. Future research is needed to determine the impact of PSS on sustained recovery for perinatal women with OUD.