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: 10602450
• 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/10602450
• 关键词: Acute; Address; Adopted; Age; Award; Behavioral; Caring; Cessation of life; Child; Child Custody; Child Rearing; Child Welfare; Chronic; Collaborations; Communities; 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; Process; Program Evaluation; Recovery; Recovery Support; Research; Research Methodology; Research Training; Resources; Rural; Self Care; Self Management; Site; Substance Use Disorder; Syphilis; Technology; Time; Training; Transportation; Vulnerable Populations; Woman; addiction; community based participatory research; cost; cost effective; design; digital; digital intervention; digital technology; drug abstinence; evidence base; feasibility testing; health care delivery; help-seeking behavior; improved; infant outcome; infection risk; intervention program; long term recovery; maternal outcome; 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：近三分之一的物质使用障碍患者是女性， 生育年龄母体阿片类药物使用障碍导致的危及生命的婴儿并发症 (OUD)包括新生儿戒断综合征、急性和慢性发育和行为 挑战、通过孕产妇传播（即艾滋病毒、梅毒）感染的风险增加，以及 死亡母亲与OUD必须谈判微观和宏观层面的挑战，影响 养育和康复管理，包括因担心法律的而不愿披露吸毒情况 问题，儿童监护权和家庭纠纷，耻辱，财政和交通障碍。 很少有经证实的干预措施支持长期的恢复管理和养育子女 在这个独特的背景下，为上瘾的新妈妈们提供帮助。使用基于社区的 参与式研究（CBPR）的方法，我们将确定的可行性和初步效果 定制的基于证据的数字技术自我管理恢复计划， 在怀孕和产后期间患有OUD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制的战略， 使用数字技术的循证计划可以提供给孕妇， 养育患有OUD的妇女，以扩大循证养育和康复的可及性 资源本研究的具体目标包括：（1）定制eRecovery技术 结合首选的育儿资源和恢复支持，与 社区咨询委员会（CAB）和新妈妈从药物使用中早期恢复 （2）评估使用定制的eRecovery技术的可行性， 孕妇和产后妇女从OUD早期恢复，以确定使用和有用性 基于参与者的看法，参与和保留护理，戒毒， 育儿成果。这项概念验证研究的结果将提供强有力的试点数据， 指导在该奖项的第四年进行未来RO1应用的全面试验。的 职业发展奖将为雷诺博士提供所需的指导和培训， 发展农村健康差距，CBPR方法，数字干预的知识和技能 发展和项目评估、人口健康干预和高级研究 训练在奖项结束时，她将被定位为设计，实施和评估 将显著改善孕妇和育儿妇女健康状况的研究 OUD和他们脆弱的新生儿生活在东南部的一个农村州。

项目成果

Care of Individuals Who Identify as Lesbian, Gay, Bisexual, Transgender, Questioning and/or Queer, Intersex, or Asexual: A Position Paper.

照顾女同性恋、男同性恋、双性恋、跨性别者、质疑者和/或酷儿、双性人或无性恋者：立场文件。

• DOI: 10.1097/jan.0000000000000433
• 发表时间: 2021
• 期刊: Journal of addictions nursing
• 影响因子: 1.5
• 作者: Kameg,Brayden;Raynor,Phyllis;Mitchell,AnnM
• 通讯作者: Mitchell,AnnM

Leveraging digital technology for social connectedness among adults with chronic conditions: A systematic review.

• DOI: 10.1177/20552076231204746
• 发表时间: 2023-01
• 期刊: DIGITAL HEALTH
• 影响因子: 3.9
• 作者: Wright, Pamela J.;Raynor, Phyllis A.;Bowers, Dana;Combs, Elizabeth M.;Corbett, Cynthia F.;Hardy, Hannah;Patel, Khushi
• 通讯作者: Patel, Khushi

Building Spiritual Care Competency in Undergraduate Psychiatric Mental Health Nursing Students: A Quality Improvement Project.

• DOI: 10.1177/08980101221103104
• 发表时间: 2023-09
• 期刊: Journal of holistic nursing : official journal of the American Holistic Nurses' Association

Shared Trauma: An evolutionary model concept analysis in light of COVID-19.

共同创伤：根据 COVID-19 进行的进化模型概念分析。

• DOI: 10.1111/inm.13326
• 发表时间: 2024
• 期刊: International journal of mental health nursing
• 影响因子: 5.6
• 作者: Hutto,April;Raynor,Phyllis;Baliko,Beverly
• 通讯作者: Baliko,Beverly

Developing Family Nurse Practitioner Student Competencies: A Two-Part Mental Health-Focused Telehealth Education Activity.

培养家庭护士从业人员学生能力：由两部分组成的以心理健康为重点的远程医疗教育活动。

• DOI: 10.1016/j.profnurs.2023.08.009
• 发表时间: 2023
• 期刊: Journal of professional nursing : official journal of the American Association of Colleges of Nursing
• 作者: Baliko,Beverly;Raynor,Phyllis;Cox,De'Anna;Tavakoli,Abbas
• 通讯作者: Tavakoli,Abbas