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Erschienen in:

Open Access 29.07.2023

Group Well Child Care for Mothers with Opioid Use Disorder: Framework for Implementation

verfasst von: Neera Goyal, Meghan Gannon, Erica Sood, Grace Harris, Elizabeth Franko, Diane J. Abatemarco, Dennis J. Hand, Susan Leib, Vanessa L. Short

Erschienen in: Maternal and Child Health Journal | Sonderheft 1/2023

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Abstract

Objective

For parents with opioid use disorder (OUD) and their children, group well child care (WCC) is an under-studied intervention that may reduce stigma, increase quality of care, and improve clinical outcomes. We explored barriers and facilitators to this intervention using an implementation science framework.

Methods

A qualitative study was conducted from October 2020–March 2021 as part of the planning phase of a cluster-randomized trial of group WCC. Parent participants were recruited from one urban, university-affiliated OUD treatment center to participate in semi-structured telephone interviews. Eligible parents had a child under two years old and were English speaking. Clinician participants were recruited from a nearby pediatric primary care practice. Inductive thematic analysis of interview responses was led by two investigators using open coding procedures.

Results

Thirty-one parents and thirteen pediatric clinicians participated in the interviews. Most parents (68%) reported that they would be likely or very likely to bring their child to the OUD treatment center for WCC. Six themes emerged describing perceived implementation barriers, including intervention difficulty, complexity, and potential negative outcomes such as loss of privacy. Six themes emerged as implementation facilitators: (1) focus on parental OUD and recovery, (2) peer support, (3) accessibility and coordination of care, (4) clinician skill and expertise in parental OUD, (5) increased time for patient care, and (6) continuity of care.

Conclusions for Practice

Parents and clinicians expressed multiple perceived benefits of this intervention. Identified barriers and facilitators will inform implementation and evaluation of group WCC within one OUD treatment program.

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Titel: Group Well Child Care for Mothers with Opioid Use Disorder: Framework for Implementation
verfasst von: Neera Goyal
Meghan Gannon
Erica Sood
Grace Harris
Elizabeth Franko
Diane J. Abatemarco
Dennis J. Hand
Susan Leib
Vanessa L. Short
Publikationsdatum: 29.07.2023
Verlag: Springer US
Erschienen in: Maternal and Child Health Journal / Ausgabe Sonderheft 1/2023
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-023-03762-w

Springer Medizin

Abstract

Objective

Methods

Results

Conclusions for Practice

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