Communication on Illicit Drug and/or Alcohol Use in Obstetrics

关于产科中非法药物和/或酒精使用的沟通

• 批准号: 8511594
• 负责人: JUDY C CHANG
• 金额: $ 42.75万
• 依托单位: MAGEE-WOMEN'S RES INST AND FOUNDATION
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8511594
• 关键词: Address; Affect; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Attitude; Behavior; Behavioral; Belief; Caring; Communication; Conflict (Psychology); Counseling; Discipline of obstetrics; Disclosure; Drug usage; Educational Intervention; Elements; Ethics; Fetal Alcohol Spectrum Disorder; Goals; Health; Health Services; Illicit Drugs; Intervention; Interview; Legal; Maternal Behavior; Methods; Motivation; Newborn Infant; Patients; Pattern; Pharmaceutical Preparations; Pregnancy; Pregnancy Complications; Pregnant Women; Process; Provider; Reaction; Reporting; Research; Research Personnel; Risk; Safety; Services; Smoking; Social Work; Tobacco; Tobacco use; Transcript; United States; Visit; Woman; Work; alcohol services; behavior change; behavior influence; behavioral health; design; experience; fetal; improved; intervention effect; pregnant; prenatal; prevent; public health relevance; reduced substance use; screening; smoking cessation; therapy design; willingness

DESCRIPTION (provided by applicant): Preventing the complications of pregnancy that result from substance use (i.e., use of alcohol, illicit drugs and tobacco) during pregnancy remains a challenge. Each year in the United States, approximately 40,000 newborns are affected by fetal alcohol spectrum disorders. The United States also spends over $13 billion to address various needs of drug-exposed babies and approximately $300 million a year addressing pregnancy complications associated with smoking. Although most obstetric care providers report inquiring about alcohol and illicit drug use with their pregnant patients, a significant proportion of patients who use alcohol and/or illicit drugs do not admit this use. As this screening conversation may be the primary, and potentially only, method of identifying pregnant patients in need of additional intervention and support services for alcohol and/or illicit drug use, it is essential to understand how these conversations are occurring and whether certain communication styles are more likely to elicit disclosure and/or inspire positive maternal behavior change. The goal of the current proposal is to identify communication styles and processes that encourage pregnant, substance-using women to disclose this substance use and consider behavior change. This study seeks to both describe and begin to understand the associations between communication and substance use disclosure in obstetrics visits. First obstetric visits will be audio-recorded and transcripts examined to describe communication content, style, and processes used in discussions about substance use. Subjects who use alcohol, drugs and/or tobacco will return for qualitative interviews during which they will review their audio- taped conversation and describe their reactions. A particular focus will be on how the interaction influenced their willingness to disclose alcohol and/or drug use and impacted their motivation and ability to change their behavior. Obstetric care provider will also return for qualitative interviews explain their methods of addressing alcohol and/or illicit drug use during the first obstetric visit. Quantitative analysis will be used to explore associations between communication content, style and process in discussions of alcohol and drug use during pregnancy with women's disclosure of such use.

描述（由申请人提供）：预防由物质使用引起的妊娠并发症（即，在怀孕期间使用酒精、非法药物和烟草）仍然是一个挑战。在美国，每年约有40，000名新生儿受到胎儿酒精谱系障碍的影响。美国还花费130多亿美元来满足接触毒品的婴儿的各种需要，每年花费约3亿美元来解决与吸烟有关的妊娠并发症。虽然大多数产科护理提供者报告询问酒精和非法药物的使用与他们的怀孕病人，使用酒精和/或非法药物的病人有很大比例不承认这种使用。由于这种筛查对话可能是识别需要额外干预和支持服务的酒精和/或非法药物使用的怀孕患者的主要方法，也可能是唯一的方法，因此必须了解这些对话是如何发生的，以及某些沟通方式是否更有可能引起披露和/或激发积极的母亲行为改变。目前提案的目标是确定鼓励怀孕、使用药物的妇女披露这种药物使用情况并考虑改变行为的沟通方式和过程。本研究旨在描述和开始了解产科访问中的沟通和物质使用披露之间的关联。第一次产科访问将进行录音和文字记录检查，以描述有关物质使用的讨论中使用的通信内容，风格和过程。使用酒精、毒品和/或烟草的受试者将返回进行定性访谈，在此期间，他们将回顾他们的录音对话并描述他们的反应。一个特别的重点将是如何相互作用影响他们愿意透露酒精和/或药物使用，并影响他们的动机和能力，改变他们的行为。产科护理提供者也将返回定性访谈解释他们的方法，解决酒精和/或非法药物的使用在第一次产科访问。定量分析将被用来探讨沟通内容之间的关联，风格和过程中的讨论酒精和药物的使用在怀孕期间与妇女的披露，这样的使用。