Optimizing Pregnancy Treatment Interventions for Moms (OPTI-Mom): A Pilot Study

Optimizing Pregnancy Treatment Interventions for Moms (OPTI-Mom): A Pilot Study Objectives:The public health burden of opioid use disorder (OUD) among pregnant women has significantly increased in recent years. The Optimizing Pregnancy Treatment Interventions for Moms study was a pilot project that examined the feasibility of a patient navigation (PN) intervention model to reduce substance use and improve mental health, quality of life, and to increase engagement with treatment services among pregnant women with OUD.Methods:A 1-group repeated-measures pilot study was conducted with treatment-seeking pregnant women with opioid dependence initiating buprenorphine maintenance treatment. Participants received the PN intervention delivered as 10 sessions before delivery and 4 sessions postpartum. Participants completed assessments at baseline and after the prenatal and postnatal portions of the intervention. Demographics were assessed using descriptive statistics, and general estimating equation analyses were employed to examine changes in health and service engagement across time.Results:in all, 21 women were enrolled and completed the PN intervention and follow-up assessments. Participants reported improvements in abstinence from illicit opioids (B = 0.15, 95% confidence interval [CI] 0.1–0.2), drug use (odds ratio [OR] 5.25, 95% CI 2.1–13.0), and depression (OR 7.70, 95% CI 2.4–25.1). Results also showed nonsignificant trends suggesting enhancements in general health (B = 0.17, 95% CI 0.0–0.3, P = 0.06) and increases in substance use treatment attendance (B = 2.15, 95% CI −0.2 to 4.5, P = 0.07). Most study participants achieved adequate or better prenatal care.Conclusions:These findings provide support that PN is a feasible adjunctive intervention that shows promise for health improvements and service engagement among treatment-seeking pregnant women with opioid dependence initiating buprenorphine. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Addiction Medicine Wolters Kluwer Health

Optimizing Pregnancy Treatment Interventions for Moms (OPTI-Mom): A Pilot Study

Loading next page...
 
/lp/wolters_kluwer/optimizing-pregnancy-treatment-interventions-for-moms-opti-mom-a-pilot-mE923qDpe9
Publisher
Wolters Kluwer Health
Copyright
Copyright © 2017 American Society of Addiction Medicine
ISSN
1932-0620
eISSN
1935-3227
D.O.I.
10.1097/ADM.0000000000000370
Publisher site
See Article on Publisher Site

Abstract

Objectives:The public health burden of opioid use disorder (OUD) among pregnant women has significantly increased in recent years. The Optimizing Pregnancy Treatment Interventions for Moms study was a pilot project that examined the feasibility of a patient navigation (PN) intervention model to reduce substance use and improve mental health, quality of life, and to increase engagement with treatment services among pregnant women with OUD.Methods:A 1-group repeated-measures pilot study was conducted with treatment-seeking pregnant women with opioid dependence initiating buprenorphine maintenance treatment. Participants received the PN intervention delivered as 10 sessions before delivery and 4 sessions postpartum. Participants completed assessments at baseline and after the prenatal and postnatal portions of the intervention. Demographics were assessed using descriptive statistics, and general estimating equation analyses were employed to examine changes in health and service engagement across time.Results:in all, 21 women were enrolled and completed the PN intervention and follow-up assessments. Participants reported improvements in abstinence from illicit opioids (B = 0.15, 95% confidence interval [CI] 0.1–0.2), drug use (odds ratio [OR] 5.25, 95% CI 2.1–13.0), and depression (OR 7.70, 95% CI 2.4–25.1). Results also showed nonsignificant trends suggesting enhancements in general health (B = 0.17, 95% CI 0.0–0.3, P = 0.06) and increases in substance use treatment attendance (B = 2.15, 95% CI −0.2 to 4.5, P = 0.07). Most study participants achieved adequate or better prenatal care.Conclusions:These findings provide support that PN is a feasible adjunctive intervention that shows promise for health improvements and service engagement among treatment-seeking pregnant women with opioid dependence initiating buprenorphine.

Journal

Journal of Addiction MedicineWolters Kluwer Health

Published: Jan 1, 2018

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off