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Priorities for Well Child Care of Families Affected by Parental Opioid Use Disorder.
Goyal, Neera K; Sood, Erica; Gannon, Meghan A; Harris, Grace; Hand, Dennis J; Abatemarco, Diane J; Short, Vanessa L.
Afiliación
  • Goyal NK; From the Nemours Children's Health Philadelphia, Wilmington, DE (NKG, ES); Department of Pediatrics, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA (NKG, ES); College of Nursing, Thomas Jefferson University, Philadelphia, PA (MAG, DJH, DJA, VLS); and Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA (GH).
J Addict Med ; 18(1): 48-54, 2024.
Article en En | MEDLINE | ID: mdl-37994468
ABSTRACT
BACKGROUND AND

OBJECTIVES:

Parenting women in treatment for opioid use disorder (OUD) report a lack of family centeredness and anticipatory guidance within well child care (WCC), and WCC utilization is low among affected children. We explore priorities for WCC visit content to inform primary care recommendations for this population.

METHODS:

This study is a qualitative study of parenting women from one urban, academic OUD treatment program and pediatric primary care clinicians from a nearby affiliated pediatric practice. Eligible parent participants had a child ≤2 years old and were English speaking. Semistructured interviews elicited perspectives on WCC, with questions and prompts related to visit content. Inductive thematic analysis was led by 2 investigators using open coding procedures.

RESULTS:

Among 30 parent participants, the majority were White (83%) and unmarried (90%). Approximately 60% reported their child received pharmacotherapy for neonatal opioid withdrawal syndrome. Of 13 participating clinicians, 9 were attending pediatricians. Five themes emerged from parental and clinician interviews (1) improving knowledge and confidence related to child development, behavior, and nutrition; (2) mitigating safety concerns; (3) addressing complex health and subspecialty needs through care coordination; (4) acknowledging parental health and wellbeing in the pediatric encounter; and (5) supporting health education and care related to neonatal opioid withdrawal syndrome. Parents and clinicians expressed difficulty comprehensively addressing such issues due to time constraints, social determinants of health, and significant informational needs.

CONCLUSIONS:

Parenting women in treatment for OUD and pediatric clinicians share multiple priorities for anticipatory guidance within WCC visits and barriers to addressing them comprehensively.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Servicios de Salud del Niño / Trastornos Relacionados con Opioides Límite: Child / Child, preschool / Female / Humans / Newborn Idioma: En Revista: J Addict Med Año: 2024 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Servicios de Salud del Niño / Trastornos Relacionados con Opioides Límite: Child / Child, preschool / Female / Humans / Newborn Idioma: En Revista: J Addict Med Año: 2024 Tipo del documento: Article