Facilitating Treatment Entry and Family Planning in Substance-using NICU Mothers
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Substance Use Disorders
- Sponsor
- The University of Texas Health Science Center, Houston
- Enrollment
- 64
- Locations
- 1
- Primary Endpoint
- Treatment Entry
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The purpose of this pilot study is to assess whether the hospital-based, adaptive behavioral intervention strategy promotes treatment entry and reduces risk of additional substance-exposed pregnancies (SEPs), as well as HIV and Hepatitis C Virus (HCV) risks among substance-using NICU mothers. Additionally, to assess whether the intervention increases use of professional obstetrical/gynecological resources for contraception to reduce substance-exposed pregnancies (SEPs).
Investigators
Angela L Stotts
Professor
The University of Texas Health Science Center, Houston
Eligibility Criteria
Inclusion Criteria
- •have an infant in the NICU at Children's Memorial Hermann Hospital (CMHH)
- •have a positive urine drug screen at delivery or have an infant with a positive urine or meconium drug screen or self-reported drug use to a healthcare provider or had a documented positive drug screen during pregnancy
- •have access to a telephone.
Exclusion Criteria
- •currently attending substance abuse treatment
- •severe cognitive, and/or psychiatric impairment, per judgment of NICU and research staff, that precludes cooperation with study protocol
- •inability to read, write, speak English or Spanish
- •inability or unwillingness to provide signed consent for participation; (5) inability or unwillingness to meet study requirements.
Outcomes
Primary Outcomes
Treatment Entry
Time Frame: 8 weeks
Number of participants having at least one treatment session at a licensed substance use facility or with a licensed counselor
Substance Exposed Pregnancy (SEP) risk as as assessed by a modified Time-Line Follow Back-SEP (TLFB-SEP)
Time Frame: 6 months
Substance Exposed Pregnancy (SEP) risk as as assessed by a modified Time-Line Follow Back-SEP (TLFB-SEP)
HIV and HCV risk as assessed by Behavioral Risk Assessment for Infectious Disease (BRAID)
Time Frame: 6 months
HIV and HCV risk as assessed by Behavioral Risk Assessment for Infectious Disease (BRAID)
Secondary Outcomes
- Depression as assessed by the Center for Epidemiologic Studies Depression Scale (CES-D)(6 months)
- Current position regarding motivation for change as assessed by the University of Rhode Island Change Assessment (URICA)(6 months)
- Psychological flexibility as assessed by the Acceptance and Action Questionnaire-Substance Abuse (AAQ-SA)(6 months)
- Number of participants whose infant had routine follow-up pediatric appointments(6 months)
- Number of participants whose infant had acute care visits(6 months)
- Number of participants whose infant had emergency department visits(6 months)
- Number of participants whose infant was re-hospitalized(6 months)
- Number of participants who lost custody of the infant(6 months)
- Number of participants for which any additional abuse or neglect complaints were filed after baseline(6 months)
- Drug use(6 months)