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Promoting positive parenting among pregnant women with opioid use disorder

促进阿片类药物使用障碍孕妇的积极养育

基本信息

批准号：
10589108
负责人：
Katherine Guyon-Harris
金额：
$ 15.35万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-04-01 至 2027-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10589108
关键词：
Address Affect Age Anxiety Birth Caregivers Child Child Rearing Child Welfare Clinical Clinical Research Clinical Trials Communities Complex Data Dedications Development Discipline of obstetrics Drug usage Ensure Evidence based intervention Family Fostering Goals Gynecologist Health Personnel Infant Care Interpersonal Relations Intervention Interview Knowledge Learning Link Mental Depression Mental Health Mentored Patient-Oriented Research Career Development Award Mentors Methods Modeling Modification Mothers Motivation Outcome Parent-Child Relations Parenting Education Parents Participant Pediatrics Perinatal Pilot Projects Population Population Intervention Positioning Attribute Postpartum Period Pregnancy Pregnant Women Prevention Preventive Preventive service Primary Care Psychologist Psychology Qualitative Research Recording of previous events Recovery Research Research Methodology Research Personnel Science Second Pregnancy Trimester Self Efficacy Site Social support Stress Symptoms Testing Thinking Third Pregnancy Trimester Training Trauma Trust Woman Women&apos s Health Work caregiver functioning caregiving checkup examination design evidence base experience family support feasibility testing feeding flexibility improved infancy motivational enhancement therapy opioid use opioid use disorder perinatal mental health perinatal period pilot test postnatal prenatal prenatal intervention prevent preventive intervention primary care setting programs psychosocial recruit skills substance use substance use treatment treatment services

项目摘要

PROJECT SUMMARY The overarching goal of my program of research is to develop and inform preventive interventions to improve parent–child outcomes for families affected by substance use. The focus of this K23 award is to inform and adapt an evidenced-based preventive parenting intervention, the Family Check-Up (FCU), to improve parent– child outcomes among pregnant women with opioid use disorder (OUD). OUD is often accompanied by co- occurring psychosocial challenges (e.g., mental health, compromised interpersonal relationships) that impact caregiving quality. Existing parenting interventions for women with OUD largely begin postnatally, with the few extant prenatal interventions narrowly focused on parenting education and skills and ending at or shortly after birth. Further, existing interventions are often ill-equipped to address the common and complex psychosocial challenges of women with OUD. As such, existing parenting interventions miss opportunities to intervene to prevent the development of parenting challenges before the child’s birth and to intervene during pregnancy, which is a peak window of engagement in OUD treatment services and enhanced motivation to engage in recovery. This proposal addresses the need for parenting interventions for pregnant women with OUD that begin during pregnancy and address co-occurring psychosocial challenges. Accordingly, the proposed project will use qualitative and quantitative research methods to adapt and pilot the FCU for delivery during pregnancy within a prenatal primary care setting for women with OUD. Aim 1 will qualitatively characterize the parenting needs of women with OUD across the perinatal period, barriers to engagement in parenting interventions, and desired outcomes of intervention. Aim 2 will adapt the FCU intervention for pregnancy using the ADAPT-ITT framework and data collected during Aim 1. Aim 3 will conduct a pilot study of the prenatal FCU assessing engagement and short-term outcomes including maternal psychosocial functioning (mental health and interpersonal functioning) and parent–child relationship quality and self-efficacy. To achieve the proposed goals and transition to independence, I require training in perinatal opioid use, applied qualitative and mixed-methods research, and methods for developing and testing preventive interventions. An experienced team will guide my training. Dr. Shaw (co-primary mentor) is a clinical and developmental psychologist and co-developer of the postpartum FCU with expertise in parenting interventions and prevention science. Dr. Krans (co-primary mentor) is an obstetrician-gynecologist and substance use treatment provider with expertise in perinatal OUD and women’s health. Dr. Chang (co-mentor) is an obstetrician-gynecologist with expertise in qualitative research methods and women’s health. The training and research plan will form the basis to support an R-level proposal with the goal of bridging pre- and postnatal parenting interventions to optimize support for families and young children affected by substance use.

项目总结