Accelerating the Pace of Science: Improving Parenting Practices in Parents with Opioid Use Disorder
Accelerating the Pace of Science: Improving Parenting Practices in Parents with Opioid Use Disorder
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DOI：
10.1080/15295192.2019.1615801
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发表时间：
2019-07-03
影响因子：
2.2
通讯作者：
Seeley, John R.
中科院分区：
文献类型：
--
作者：
Cioffi, Camille C.;Leve, Leslie D.;Seeley, John R.
由于与阿片类药物使用障碍（OUD）相关的过量死亡人数上升，美国存在一种突发公共卫生事件。随着OUD的增加，与患有OUD的父母接触的儿童数量也在增加。迫切需要对患有OUD的个人采取育儿干预措施，为面临这种流行病的儿童提供安全的环境。对自闭症儿童养育的研究很少，但考虑到干预的迫切需要，从基础研究到项目开发和实施的线性移动是不切实际的——之前的研究已经建立了大约17年的轨迹。我们已经创建了一个策略大纲，可以用来加快科学的步伐，以便更迅速地改善这一人群的育儿实践。首先，我们总结了关于OUD和养育的已知信息，以描述现有干预措施的目标机制和可实施干预措施广泛传播的最佳环境。接下来，我们确定了现有的干预措施，或者专门针对患有OUD的父母，或者针对患有OUD的父母的机制。我们描述了四种不同的方法来加快科学的步伐，以改善患有OUD的父母和他们的孩子的生活。通过这样做，我们希望为未来的研究人员和从业者提供一个路线图，以提供更及时的循证干预措施，以解决由于美国OUD发病率上升而给家庭和社区带来的额外负担。
SYNOPSISA public health emergency exists in the United States as a result of rising overdose deaths related to Opioid Use Disorder (OUD). With the rise of OUD has also come an increase in the number of children exposed to parents who suffer from an OUD. There is a pressing need for parenting interventions for individuals with OUD to provide safe environments for the children being reared in the face of this epidemic. Research on parenting with an OUD is sparse, but it is impractical to move linearly from basic research to program development and implementation given the urgent need for intervention - a trajectory that prior research has established takes approximately 17years. We have created an outline of strategies that can be used to accelerate the pace of science so that parenting practices are more immediately improved for this population. First, we summarize what is already known about OUD and parenting to characterize mechanisms that existing interventions have targeted and optimal settings for the wide dissemination of implementable interventions. Next, we identify existing interventions that either specifically target parents with OUD or mechanisms specific to parents with OUD. We describe four different approaches for accelerating the pace of science to improve the lives of parents with OUD and their children. By doing so, we hope to provide a roadmap for future researchers and practitioners to deliver more timely evidence-based interventions to address the additional burden placed on families and communities due to the rise in OUD in the United States.