mHealth to help pregnant and postpartum women in recovery for opioid use disorder

移动医疗帮助孕妇和产后妇女恢复阿片类药物使用障碍

• 批准号: 9916133
• 负责人: Patricia A Cavazos-Rehg
• 金额: $ 23.56万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-30 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9916133
• 关键词: Adult; African American; Area; Attitude; Behavior; Caring; Characteristics; Clinic; Clinical; Control Groups; Data; Education; Effectiveness; Feedback; Focus Groups; Grant; Health Technology; High Risk Woman; Hospitals; Individual; Infant Care; International; Intervention; Interview; Intuition; Life; Measures; Methods; Minority Groups; Missouri; Names; Opioid; Outcome; Participant; Perinatal; Persons; Pharmaceutical Preparations; Physicians; Postpartum Women; Poverty; Pregnancy; Pregnant Women; Prevalence; Provider; Public Health; Randomized; Randomized Controlled Trials; Recovery; Reporting; Research Project Grants; Signal Transduction; Site; Standardization; Suggestion; Testing; Therapeutic; Time; United States Substance Abuse and Mental Health Services Administration; Universities; Visit; Vulnerable Populations; Washington; Woman; Work; base; clinical care; control trial; design; digital; empowerment; follow up assessment; follower of religion Jewish; high risk; high school; improved; mHealth; medical schools; medication-assisted treatment; mobile application; new technology; opioid abuse; opioid epidemic; opioid mortality; opioid use disorder; racial and ethnic; recruit; response; satisfaction; sobriety; standard of care; theories; tool; treatment adherence; treatment as usual; treatment planning; treatment risk; trend; usability

The opioid epidemic has resulted in widespread detrimental consequences among vulnerable populations in Missouri, especially among pregnant and postpartum women (PPW) with opioid use disorder (OUD). Perinatal use of medication-assisted treatment (MAT) within a comprehensive treatment plan is the current standard of care, however PPW struggling with OUD may underestimate or misjudge its benefits. At the same time, emerging findings signal that mobile health (mHealth) technologies have the potential to support healthier behaviors among individuals with OUD. In this project, we will test the utility of a theoretically-based digital therapeutics tool (uMAT-R) to encourage MAT adherence and treatment retention while considering the unique needs of PPW. In Aim #1, we will conduct four focus groups with PPW with OUD (target users) on the intervention components of uMAT-R, gathering feedback on theory-driven components that are candidates for inclusion in the tool and eliciting suggestions for additional intervention components. In Aim #2, the tool will be beta-tested for technical/navigational issues among 20 participants. In Aim #3, we will conduct a pilot randomized controlled trial (RCT) among adult PPW with OUD (n=60). This RCT is designed to test the feasibility, acceptability, and preliminary efficacy of uMAT-R (n=40) versus a control group (n=20 who receive treatment-as-usual) regarding participants’ treatment adherence, sobriety, and improved MAT attitudes, norms, and perceived control. Recruitment for all Aims will occur at a clinic in St. Louis, Missouri that provides perinatal medication-assisted treatment (MAT) and high-risk maternity care to PPW struggling with OUD. Clinically meaningful effect size and attrition estimates will aid in the planning of a larger RCT in which we will test uMAT-R on a larger scale and expand our recruitment to other clinics across Missouri and other states. This novel technology could be an invaluable tool to assist physicians in the treatment of OUD among PPW.

类阿片流行病在弱势群体中造成了广泛的有害后果