SAFE4BOTH integration of mobile technologies with case management (CM) systems provide education, work flow among multiple stakeholders to implement Plan of Safe Care (POSC) for SUD mom and infants

SAFE4BOTH 将移动技术与案例管理 (CM) 系统集成，为多个利益相关者提供教育和工作流程，以实施 SUD 妈妈和婴儿的安全护理计划 (POSC)

• 批准号: 9908839
• 负责人: Tony Xuyen Ma
• 金额: $ 22.5万
• 依托单位: BENTEN TECHNOLOGIES, INC.
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-15 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9908839
• 关键词: Adherence; Adoption; Age Reporting; Alcohol consumption; Appointment; Back to Sleep; Behavioral; Birth; Calendar; Car Phone; Caregivers; Caring; Case Management; Case Manager; Cellular Phone; Centers for Disease Control and Prevention (U.S.); Child; Child Rearing; Child abuse prevention; Code; Collaborations; Communication; Coordination and Collaboration; Coping Skills; Delaware; Development; Diagnosis; Doctor of Philosophy; Drug usage; Education; Effectiveness; Emotional; Enrollment; Environment; Extended Family; Family; Family member; Female of child bearing age; Goals; Guidelines; Health Personnel; Health Services; Healthcare Systems; Hospital Administrators; Hospitals; Incentives; Infant; Infant Care; Infant Health; Information Management; Knowledge; Maintenance; Medical; Modeling; Mothers; Names; Neonatal Abstinence Syndrome; Pharmacotherapy; Phase; Postnatal Care; Postpartum Period; Postpartum Women; Pregnant Women; Principal Investigator; Prize; Provider; Reader; Recording of previous events; Recovery; Reporting; Research; Rewards; Risk; Safety; Schedule; Self Care; Services; Small Business Innovation Research Grant; Social Network; Social Work; Substance Use Disorder; Support System; System; Tablets; Technology; Testing; Text Messaging; Time; Transportation; Update; Visit; Woman; Work; animation; base; behavioral health; child services; cloud based; collaborative care; commercialization; contingency management; dashboard; design; driving force; expectation; facial recognition software; foster parent; handheld mobile device; illicit drug use; improved; innovation; mHealth; mobile computing; opioid use; patient engagement; postnatal; prototype; service providers; skills; treatment planning; usability; user centered design

Project Summary/Abstract It is crucial that parenting women with substance use disorder (SUD) receive support for maintaining their treatment goals and looking after their infants’ physical, emotional, and safety needs. Mothers recovering from SUD are at greater risk of not having the support of traditional extended families or social networks in their parenting, and many lack coping skills. A mobile health (mHealth) platform that engages the mothers with their case managers through mobile phones or wifi-connected tablets will make the case management more efficient and referrals more appropriate and timely. This electronic Plan of Safe Care (ePOSC) has the potential to be disseminated across the nation for better coordination and support for postpartum mothers with SUD and their substance-exposed infants and case managers. For this R43 SBIR Phase 1, we will develop an mHealth platform called “SAFE4BOTH.” SAFE4BOTH is designed to include microlearning parenting information and support materials, integrated short messaging service for appointment reminders and contact information updates, a one-stop calendar for infant and maternal appointments and contact lists for referrals. The SAFE4BOTH platform will build on a POSC, as model, developed by Christiana Hospital in Delaware (Christiana) in use in all of its hospitals, and will add in a customizable contingency management system with prize incentives. Input from other states will also be provided. Our expectation is that by establishing an ePOSC with a case management approach for both the mother and infant it will be possible to reduce issues of fragmented postnatal maternal and infant care, improve interactions with the Delaware Division of Family Services and other service providers, and improve the communication required for an effective POSC. Phase 1 Specific Aims: (1) Determine through formative research with case managers, caregivers, and relevant stakeholders the needs and requirements for a ePOSC for use with postpartum women with SUD and their infants; (2) Build the prototype SAFE4BOTH platform to compile information to facilitate collaborative care (CC) and case management for the mother-infant dyad; and (3) Pilot test the SAFE4BOTH for feasibility (usability and acceptance). The short term impact of SAFE4BOTH will be to improve the communication between providers and postpartum mothers to provide a quality POSC. The long-term impacts of SAFE4BOTH are expected to be increased attendance at medical and social work appointments, improved parenting skills for postpartum mothers and infant caretakers, and improved state-based collaborative care case management.

项目总结/摘要 这是至关重要的，养育妇女与物质使用障碍（SUD）获得支持，以维持其 治疗目标和照顾婴儿的身体，情感和安全需要。母亲们从 SUD更有可能得不到传统大家庭或社交网络的支持， 父母，许多人缺乏应对技能。一个移动的健康（mHealth）平台，让母亲们参与到他们的 通过移动的电话或WiFi连接的平板电脑进行案例管理， 提高效率，使转诊更加适当和及时。此电子安全护理计划（ePOSC）具有 有可能在全国范围内传播，以便更好地协调和支持产后母亲， SUD和他们的物质暴露的婴儿和个案管理人员。 对于R43 SBIR第1阶段，我们将开发一个名为“SAFE 4 BOTH”的移动健康平台。safe 4 both是 旨在包括微型学习育儿信息和支持材料， 预约提醒和联系信息更新服务，婴儿一站式日历， 产妇预约和转诊联系人名单。SAFE 4 BOTH平台将建立在POSC基础上， 该模型由特拉华州的克里斯蒂娜医院（Christiana）开发，在其所有医院中使用，并将添加一个 可定制的应急管理系统与奖励。来自其他国家的投入也将 提供了我们的期望是，通过建立一个具有案件管理方法的ePOSC， 将有可能减少零散的产后母婴护理问题， 与家庭服务的特拉华州分部和其他服务提供者的互动，并改善 有效的POSC所需的沟通。 第1阶段具体目标：（1）通过与病例管理者、护理人员和 相关利益相关者对用于产后SUD女性的ePOSC的需求和要求， （2）建立SAFE 4 BOTH原型平台，以收集信息，促进合作护理 (CC)母婴二人组的病例管理;（3）对SAFE 4 BOTH进行可行性试验 （可用性和接受度）。 SAFE 4 BOTH的短期影响将是改善供应商之间的沟通， 产后妈妈提供优质POSC。预计SAFE 4 BOTH的长期影响将是 增加医疗和社会工作预约，改善产后育儿技能 母亲和婴儿护理人员，并改善了基于国家的协作护理案例管理。

项目成果

Neonatal Outcomes after Combined Opioid and Nicotine Exposure in Utero: A Scoping Review.

• DOI: 10.3390/ijerph181910215
• 发表时间: 2021-09-28
• 期刊: International journal of environmental research and public health
• 作者: Isaacs KR;Atreyapurapu S;Alyusuf AH;Ledgerwood DM;Finnegan LP;Chang KHK;Ma TX;Washio Y
• 通讯作者: Washio Y

Usability and acceptability testing of a Plan of Safe Care in a mobile health platform.

• DOI: 10.3389/fpsyt.2023.1182630
• 发表时间: 2023
• 期刊: FRONTIERS IN PSYCHIATRY
• 影响因子: 4.7
• 作者: Isaacs, Krystyna R. R.;Bajracharya, Elina;Taylor, Shantae;Chang, Katie;Washio, Yukiko;Parker, Trenee;Paul, David A. A.;Ma, Tony X. X.
• 通讯作者: Ma, Tony X. X.