A Pilot Multisite Study of Patient Navigation for Pregnant Women with Opioid Use Disorder

Details

• Alternative Title:
  Contemp Clin Trials
• Personal Author:
  Cochran, Gerald ; Smid, Marcela ; Krans, Elizabeth E. ; Bryan, M. Aryana ; Gordon, Adam J. ; Lundahl, Brad ; Silipigni, John ; Haaland, Benjamin ; Tarter, Ralph
• Description:
  The opioid crisis continues to affect pregnant and postpartum women the United States, with the number of pregnant women diagnosed with opioid use disorder (OUD) quadrupling over the last decade. The associated increase in morbidity and mortality among mother and baby warrants prompt, targeted intervention efforts that improve engagement, linkage of care, and treatment retention. Patient navigation (PN) is a chronic care intervention that can directly address this need by helping women identify medical, behavioral, and psychosocial care goals. Moreover, PN can assist women in preparing for, engaging in, and maintaining patient participation in necessary services. Specifically, PN includes strengths-based case management, 1-1 clinical support, motivational interviewing, and addiction-relapse prevention programming. The objective of this article is to present the study protocol of a pilot multisite randomized clinical trial, entitled: Optimizing Pregnancy and Treatment Interventions for Moms 2.0 (OPTI-Mom 2.0; NCT03833245). In this study, we build upon a proof-of-concept study, employing evidence-informed frameworks for protocol and intervention expansion in order to construct a PN intervention tailored for pregnant women with OUD in central Utah and southwestern Pennsylvania. Our protocol provides an initial framework of a potentially impactful intervention and may guide development of future programs. Importantly, this study further establishes the evidence-base-with potential to ameliorate serious adverse opioid-related outcomes and improve health for women and their children.
• Subjects:
  Female Humans Motivational Interviewing Multicenter Studies As Topic Opiate Substitution Treatment Opioid-Related Disorders Patient Navigation Pilot Projects Pregnancy Pregnancy Complications Prenatal Care Randomized Controlled Trials As Topic Secondary Prevention Tertiary Care Centers United States

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• Keywords:
  Clinical Trial Multi-site Opioid Use Disorder Pregnancy
• Source:
  Contemp Clin Trials. 87:105888
• Pubmed ID:
  31731006
• Pubmed Central ID:
  PMC7201898
• Document Type:
  Journal Article
• Funding:
  R01 CE002996/CE/NCIPC CDC HHSUnited States/ ; R01CE002996/ACL/ACL HHSUnited States/ ; K12 HD085816/HD/NICHD NIH HHSUnited States/
• Volume:
  87
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:14a54ab7f94c3df3c36cf3851eb3b51058b0ea7716adae9bad52365190cf7337
• Download URL:
  https://stacks.cdc.gov/view/cdc/87767/cdc_87767_DS1.pdf
• File Type:
  [PDF - 719.06 KB ]