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Facilitating Treatment Entry and Family Planning in Substance-using Neonatal Intensive Care Unit (NICU) Mothers

17. november 2020 opdateret af: Angela L Stotts, The University of Texas Health Science Center, Houston

Facilitating Treatment Entry and Family Planning in Substance-using NICU Mothers

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).

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

64

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Forenede Stater
    • Texas
      • Houston, Texas, Forenede Stater, 77030
        • The University of Texas Health Science Center at Houston

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Kvinde

Beskrivelse

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.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: MI and ACT
Participants will receive behavioral therapy including Motivational Interviewing (MI) and Acceptance and Commitment Therapy (ACT).
Adfærdsmæssigt: Motivational Interviewing (MI) and Acceptance and Commitment Therapy (ACT)
Participants will receive Motivational Interviewing (MI) and Acceptance and Commitment Therapy (ACT).
Aktiv komparator: Conventional Care
Conventional care from the hospital for NICU mothers who test positive for drug use, which includes visits and resources from hospital social workers.
Adfærdsmæssigt: Conventional Care
Conventional care from the hospital for NICU mothers who test positive for drug use, which includes visits and resources from hospital social workers.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Treatment Entry
Tidsramme: 8 weeks
Number of participants having at least one treatment session at a licensed substance use facility or with a licensed counselor
8 weeks
Substance Exposed Pregnancy (SEP) risk as as assessed by a modified Time-Line Follow Back-SEP (TLFB-SEP)
Tidsramme: 2 months
Substance Exposed Pregnancy (SEP) risk as as assessed by a modified Time-Line Follow Back-SEP (TLFB-SEP)
2 months
Substance Exposed Pregnancy (SEP) risk as as assessed by a modified Time-Line Follow Back-SEP (TLFB-SEP)
Tidsramme: 6 months
Substance Exposed Pregnancy (SEP) risk as as assessed by a modified Time-Line Follow Back-SEP (TLFB-SEP)
6 months
HIV and HCV risk as assessed by Behavioral Risk Assessment for Infectious Disease (BRAID)
Tidsramme: 2 months
HIV and HCV risk as assessed by Behavioral Risk Assessment for Infectious Disease (BRAID)
2 months
HIV and HCV risk as assessed by Behavioral Risk Assessment for Infectious Disease (BRAID)
Tidsramme: 6 months
HIV and HCV risk as assessed by Behavioral Risk Assessment for Infectious Disease (BRAID)
6 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Depression as assessed by the Center for Epidemiologic Studies Depression Scale (CES-D)
Tidsramme: 2 months
Depression as assessed by the Center for Epidemiologic Studies Depression Scale (CES-D)
2 months
Depression as assessed by the Center for Epidemiologic Studies Depression Scale (CES-D)
Tidsramme: 6 months
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)
Tidsramme: 2 months
Current position regarding motivation for change as assessed by the University of Rhode Island Change Assessment (URICA)
2 months
Current position regarding motivation for change as assessed by the University of Rhode Island Change Assessment (URICA)
Tidsramme: 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)
Tidsramme: 2 months
This self-report measure of psychological flexibility will assess a participant's willingness to have undesirable thoughts and feelings related to drug use while still pursuing self-identified goals. This version of the AAQ was specifically developed for substance-abusing populations.
2 months
Psychological flexibility as assessed by the Acceptance and Action Questionnaire-Substance Abuse (AAQ-SA)
Tidsramme: 6 months
This self-report measure of psychological flexibility will assess a participant's willingness to have undesirable thoughts and feelings related to drug use while still pursuing self-identified goals. This version of the AAQ was specifically developed for substance-abusing populations.
6 months
Number of participants whose infant had routine follow-up pediatric appointments
Tidsramme: 6 months
Medical records will be used, with participant consent, to assess the number of participants whose infant had routine follow-up pediatric appointments.
6 months
Number of participants whose infant had acute care visits
Tidsramme: 6 months
Medical records will be used, with participant consent, to assess the number of participants whose infant had acute care visits.
6 months
Number of participants whose infant had emergency department visits
Tidsramme: 6 months
Medical records will be used, with participant consent, to assess the number of participants whose infant had emergency department visits.
6 months
Number of participants whose infant was re-hospitalized
Tidsramme: 6 months
Medical records will be used, with participant consent, to assess the number of participants whose infant was re-hospitalized.
6 months
Number of participants who lost custody of the infant
Tidsramme: 6 months
Medical records will be used, with participant consent, and additionally the research team will collaborate with the NICU social worker and the assigned child protective services (CPS) caseworker, with participant consent, to obtain information about the 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
Tidsramme: 6 months
Medical records will be used, with participant consent, and additionally the research team will collaborate with the NICU social worker and the assigned child protective services (CPS) caseworker, with participant consent, to obtain information about the number of participants for which any additional abuse or neglect complaints were filed after baseline.
6 months
Drug use
Tidsramme: 2 months
Number of participant who test positive for drug use as assessed by urine drug screen
2 months
Drug use
Tidsramme: 6 months
Number of participant who test positive for drug use as assessed by urine drug screen
6 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

The University of Texas Health Science Center, Houston

Samarbejdspartnere

National Institute on Drug Abuse (NIDA)

Efterforskere

  • Ledende efterforsker: Angela Stotts, PhD, The University of Texas Health Science Center, Houston

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

5. juli 2017

Primær færdiggørelse (Faktiske)

3. januar 2020

Studieafslutning (Faktiske)

3. januar 2020

Datoer for studieregistrering

Først indsendt

23. maj 2017

Først indsendt, der opfyldte QC-kriterier

23. maj 2017

Først opslået (Faktiske)

24. maj 2017

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

19. november 2020

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

17. november 2020

Sidst verificeret

1. november 2020

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • HSC-MS-15-0990
  • R34DA041465 (U.S. NIH-bevilling/kontrakt)

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

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Kliniske forsøg med Motivational Interviewing (MI) and Acceptance and Commitment Therapy (ACT)

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