P.A.R.E.N.T.S.S Project - Parents Adopting Recovery-management through Enhanced New Technology for Self-care and Support (for Mothers)

P.A.R.E.N.T.S.S 项目 - 父母通过增强的自我护理和支持新技术采用恢复管理（针对母亲）

• 批准号: 10407593
• 负责人: Phyllis Ann Raynor
• 金额: $ 17.63万
• 依托单位: UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-06-01 至 2026-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10407593
• 关键词: Acute; Address; Adopted; Age; Award; Behavioral; Caring; Cessation of life; Child; Child Custody; Child Rearing; Child Welfare; Chronic; Collaborations; Communities; Custom; Data; Development; Disputes; Drug usage; Evidence based program; Female; Female of child bearing age; Fright; Future; Goals; HIV; Health; Health Services Accessibility; Healthcare; Hospital Costs; Imprisonment; Individual; Infant; Insurance; Intervention; K-Series Research Career Programs; Knowledge; Legal; Life; Location; Maternal complication; Mediation; Medicaid; Mental Health; Mentors; Mothers; Neonatal; Neonatal Abstinence Syndrome; Newborn Infant; Not Hispanic or Latino; Outcome; Outpatients; Participant; Patients; Perception; Pharmacotherapy; Population; Positioning Attribute; Postpartum Period; Postpartum Women; Pregnancy; Pregnant Women; Prevalence; Privatization; Program Evaluation; Recovery; Recovery Support; Research; Research Methodology; Research Training; Resources; Rural; Self Care; Self Management; Substance Use Disorder; Syphilis; Technology; Time; Training; Transportation; Vulnerable Populations; Woman; addiction; base; community based participatory research; cost; cost effective; design; digital; digital intervention; drug abstinence; evidence base; feasibility testing; health care delivery; help-seeking behavior; improved; infant outcome; infection risk; intervention program; member; new technology; opioid use; opioid use disorder; parent project; patient oriented; population health; pregnant; prescription opioid; programs; reproductive; rural health disparities; skills; smartphone Application; social stigma; substance use treatment; therapy development; transmission process; unborn child

K23 Abstract DESCRIPTION: Nearly one third of individuals with substance use disorders are women of childbearing age. Life-threatening infant complications from maternal opioid use disorders (OUD) include neonatal withdrawal syndrome, acute and chronic developmental and behavioral challenges, increased risks of infection through maternal transmission (i.e. HIV, Syphilis), and death. Mothers with OUD must negotiate micro and macro level challenges that impact parenting and recovery management, including reluctance to disclose drug use for fear of legal issues, child custody and domestic disputes, stigma, financial, and transportation barriers. There are few proven interventions that support long-term recovery management and parenting for addicted new mothers embedded within this unique context. Using a community based participatory research (CBPR) approach, we will determine the feasibility and preliminary effects of a customized evidence-based digital technology self-management recovery program for women with OUD during the pregnancy and postpartum period. Based on our preliminary data, our central hypothesis is that once tailored strategies are identified by primary stakeholders, an evidence-based program that uses digital technology can be delivered to pregnant and parenting women with OUD to expand accessibility to evidence-based parenting and recovery resources. The specific aims of this study include: (1) Customize eRecovery technology integrating preferred parenting resources and recovery supports in collaboration with a community advisory board (CAB) and new mothers in early recovery from substance use disorders; (2) Evaluate the feasibility of using the customized eRecovery technology for pregnant and postpartum women in early recovery from OUD to determine use and usefulness based on participant perceptions, engagement and retention in care, drug abstinence, and parenting outcomes. The results from this proof-of-concept study will provide strong pilot data to guide development of a full-scale trial in a future RO1 application in Year 4 of this award. The career development award will provide Dr. Raynor the mentoring and training needed to develop knowledge and skills in rural health disparities, CBPR methods, digital intervention development and program evaluation, population health interventions and advanced research training. At the close of the award, she will be positioned to design, implement, and evaluate research that will significantly improve the health outcomes of pregnant and parenting women with OUD and their vulnerable newborn infants living in a rural Southeastern state.

K23摘要 描述：近三分之一的药物使用障碍患者是 生育年龄。母体阿片类药物使用障碍引起的危及生命的婴儿并发症 包括新生儿戒断综合症、急性和慢性发育和行为 挑战，通过产妇传播(即艾滋病毒、梅毒)感染的风险增加，以及 死亡。患有先天性巨结肠的母亲必须应对微观和宏观层面的挑战 养育子女和康复管理，包括不愿披露药物使用情况，以免触犯法律 问题、儿童监护权和家庭纠纷、耻辱、经济和交通障碍。 很少有经过验证的干预措施支持长期康复管理和育儿 为沉迷于这一独特背景下的新妈妈们准备的。使用基于社区的 参与式研究(CBPR)的方法，我们将确定其可行性和初步效果 定制的循证数字技术自我管理恢复计划 妊娠期和产后期有尿路障碍的妇女。根据我们的初步数据， 我们的中心假设是，一旦主要利益相关者确定了量身定做的战略， 使用数字技术的循证程序可以交付给孕妇和 用OUD育儿妇女，扩大循证育儿和康复的可及性 资源。本研究的具体目的包括：(1)定制电子恢复技术 将首选的育儿资源和恢复支持与 社区咨询委员会(CAB)和早期戒毒的新妈妈 评估定制的eRecovery技术用于 孕妇和产后妇女早期恢复使用OUD以确定其用法和有用性 基于参与者的认知、对护理的参与度和保持、药物禁欲以及 养育子女的结果。此概念验证研究的结果将为以下项目提供强有力的试点数据 指导在本奖项的第4年开发未来RO1应用程序的全面试验。这个 职业发展奖将为雷纳博士提供所需的指导和培训 发展农村卫生差距、CBPR方法、数字干预方面的知识和技能 发展和方案评估、人口健康干预和高级研究 训练。在颁奖结束时，她将负责设计、实施和评估 将显著改善孕妇和育儿妇女健康状况的研究 乌德和他们脆弱的新生儿生活在东南部的一个农村州。