Prenatal Practice Staff Perceptions of Three Substance Use Screening Tools for Pregnant Women
Prenatal Practice Staff Perceptions of Three Substance Use Screening Tools for Pregnant Women
复制标题
DOI：
10.1097/adm.0000000000000543
复制
发表时间：
2020-03-01
影响因子：
5.5
通讯作者：
Coleman-Cowger, Victoria H.
中科院分区：
文献类型：
--
作者：
Trocin, Kathleen E.;Weinstein, Nicole I.;Coleman-Cowger, Victoria H.
目的：有必要为美国的孕妇确定一种可接受的、全面的物质使用筛查工具。这项定性研究试图更好地了解产前实践工作人员对门诊环境中孕妇使用的三种现有物质使用筛查工具的看法。方法：对马里兰州2种不同产前检查方法的临床和管理人员进行了8个焦点小组共40人的调查，以确定3种药物使用筛查工具(4P‘s Plus、NIDA改良酒精、吸烟和物质参与筛查测试和药物使用风险概况-妊娠量表)的可接受性和可用性。对焦点小组进行数字记录、转录、编码，并使用主题分析进行分析。结果：参与者对筛查工具的认知取决于筛查工具的长度、语调、全面性、主观性、问题的时间框架、评分和临床医生的指导。大多数参与者更喜欢4P的Plus筛查工具，因为它简短、全面、患者易于理解，并排除了评判性语言和主观问题。结论：这些结果对产前实践人员在产前物质使用筛查方面的特定需求和偏好提供了有价值的洞察，并提供了证据表明4P‘s Plus可能是产前护理中标准化使用的首选筛查工具。
Objective: There is a need to identify an acceptable and comprehensive substance use screening tool for pregnant women in the United States. This qualitative study sought to better understand prenatal practice staff perceptions of three existing substance use screening tools for use among pregnant women in an outpatient practice setting. Methods: Eight focus groups with 40 total participants were conducted with clinical and administrative staff of 2 diverse Maryland prenatal practices to determine the acceptability and usability of 3 substance use screening tools (4P's Plus, NIDA-Modified Alcohol, Smoking and Substance Involvement Screening Test, and the Substance Use Risk Profile-Pregnancy scale). The focus groups were digitally recorded, transcribed, coded, and analyzed using thematic analysis. Results: Participant perceptions of screening tools were dependent upon screening tool length, tone, comprehensiveness, subjectivity, time frame of questions, and scoring and clinician instructions. Most participants preferred the 4P's Plus screening tool because it is brief, comprehensive, easy for the patient to understand, and excludes judgmental language and subjective questions. Conclusions: These results provide valuable insight into the specific needs and preferences of prenatal practice staff as it relates to prenatal substance use screening and provides evidence that the 4P's Plus may be a preferred screening tool for standardized use in prenatal care.