怀孕应用程序用于物质使用筛查和教育的可用性和可接受性:一项混合方法探索性试点研究。

IF 2.1 Q2 PEDIATRICS
Haley Fitzgerald, Madison Frank, Katelyn Kasula, Elizabeth E Krans, Tamar Krishnamurti
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引用次数: 0

摘要

背景:越来越多的阿片类药物和其他药物的使用导致了一场流行病的危机,药物使用现在被认为是美国孕产妇发病和死亡的主要原因。只有及早发现受益人群并将其与护理联系起来,干预措施才会有效。应用程序是一个无处不在的怀孕信息来源,但它们作为评估怀孕期间药物使用情况的平台的效用尚不清楚。目的:本研究旨在探讨一款用于阿片类药物和其他物质使用筛查和教育的妊娠应用程序的可用性和可接受性。方法:这项混合方法的探索性初步研究调查了从三级产科医院门诊和住院环境中招募的有药物使用史的成年孕妇。在完成了一项收集人口统计、物质使用和技术使用的基线调查后,参与者使用了一个现有的怀孕支持应用程序4周。定性方法用于测量嵌入物质使用筛选,教育和信息在工具中的可接受性。应用程序的使用频率和获取物质使用教育内容和治疗转诊信息进行评估。结果:28名女性参与者的平均(SD)年龄为31岁(0.46)岁;大多数是白人(21/ 28,75%)和医疗补助保险(26/ 28,93%),家庭年收入为:结论:在使用物质的人群中,将物质使用支持纳入怀孕应用程序是可以接受的。参与者报告了产前应用程序的频繁基线使用,在研究期间对怀孕应用程序的参与度很高,并表现出对扩大该应用程序的物质使用支持元素的兴趣。在怀孕期间广泛使用的工具中嵌入物质使用筛查、信息和与护理的联系,有可能识别出在常规产前护理中可能无法识别的高危个体。它也有可能将个人联系起来,否则他们可能会犹豫是否透露他们的物质使用情况,以恢复或减少伤害的资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Usability and Acceptability of a Pregnancy App for Substance Use Screening and Education: A Mixed Methods Exploratory Pilot Study.

Background: Increasing opioid and other substance use has led to a crisis of epidemic proportions, with substance use now recognized as a leading cause of maternal morbidity and mortality in the United States. Interventions will only be effective if those who would benefit are identified early and connected to care. Apps are a ubiquitous source of pregnancy information, but their utility as a platform for evaluating substance use during pregnancy is unknown.

Objective: This study aims to explore the usability and acceptability of a pregnancy app for opioid and other substance use screening and education.

Methods: This mixed methods, exploratory pilot study examined adult pregnant people with a history of substance use who were recruited from outpatient and inpatient settings at a tertiary care obstetric hospital. After completing a baseline survey collecting demographics, substance use, and technology use, participants accessed an existing pregnancy support app for 4 weeks. Qualitative methods were used to measure the acceptability of embedding substance use screening, education, and information within the tool. App use frequency and access to substance use educational content and treatment referral information were evaluated.

Results: The 28 female participants had a mean (SD) age of 31 (0.46) years; most were White (21/28, 75%) and Medicaid insured (26/28, 93%), with an annual household income of

Conclusions: Incorporating substance use supports into a pregnancy app was found to be acceptable among those using substances. Participants reported frequent baseline use of prenatal apps, showed a high level of engagement with the pregnancy app during the study, and demonstrated interest in expanding the substance use support elements of this app. Embedding substance use screening, information, and connection to care into a tool with wide-scale use during pregnancy has the potential to identify at-risk individuals who may otherwise not be identified during routine prenatal care. It also has the potential to connect individuals, who might otherwise be hesitant to disclose their substance use, to recovery or harm reduction resources.

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来源期刊
JMIR Pediatrics and Parenting
JMIR Pediatrics and Parenting Medicine-Pediatrics, Perinatology and Child Health
CiteScore
5.00
自引率
5.40%
发文量
62
审稿时长
12 weeks
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