A socioecological framework for engaging substance-using pregnant persons in longitudinal research: Multi-stakeholder perspectives.
High-risk pregnancy
Maternal-infant research
Opioids
Recruitment
Retention
Substance use
Journal
Neurotoxicology and teratology
ISSN: 1872-9738
Titre abrégé: Neurotoxicol Teratol
Pays: United States
ID NLM: 8709538
Informations de publication
Date de publication:
Historique:
received:
02
12
2020
revised:
05
04
2021
accepted:
17
05
2021
pubmed:
24
5
2021
medline:
1
2
2022
entrez:
23
5
2021
Statut:
ppublish
Résumé
Understanding the impact of substance use during pregnancy on fetal development and child health is essential for designing effective approaches for reducing prenatal substance exposures and improving child outcomes. Research on the developmental impacts of prenatal substance exposure has been limited by legal, ethical, and practical challenges. This study examined approaches to engage substance-using (with an emphasis on opioids) pregnant persons in longitudinal research, from multi-stakeholder perspectives. The present study solicited the expertise of 1) an advisory group of community stakeholders, including people with lived experienced of opioid/substance use; and 2) an online survey with content experts. Qualitative analysis examined facilitators and barriers to recruiting and retaining substance-using pregnant persons through a socioecological lens at the individual, interpersonal, organizational, community, and policy levels. Stakeholders (N = 19) prioritized stigma, loss of confidentiality, legal consequences, and instability (e.g., homelessness and poverty) as important barriers that prevent substance-using persons from enrolling in research studies. Of 70 survey respondents, most self-identified as researchers (n = 37), followed by clinicians (n = 19), and 'others' (n = 14). Survey respondents focused on retention strategies that build trusting relationships with participants, including incentives (e.g., transportation and childcare support), participant-friendly study design, and team-related factors, (e.g., attitudes and practices). The stakeholder input and survey data offer key insights strengthening our understanding of facilitators and barriers to research participation, and ways to overcome barriers among substance-using pregnant persons. A socioecological framework can be used to identify and address these factors to increase recruitment and long-term retention of high-risk populations.
Identifiants
pubmed: 34023390
pii: S0892-0362(21)00051-9
doi: 10.1016/j.ntt.2021.106997
pmc: PMC8440364
mid: NIHMS1706854
pii:
doi:
Substances chimiques
Controlled Substances
0
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
106997Subventions
Organisme : NIDA NIH HHS
ID : R34 DA050254
Pays : United States
Organisme : NIDA NIH HHS
ID : U01 DA055359
Pays : United States
Organisme : NIDA NIH HHS
ID : R34 DA050270
Pays : United States
Organisme : NIDA NIH HHS
ID : R34 DA050263
Pays : United States
Organisme : NIAAA NIH HHS
ID : R01 AA021771
Pays : United States
Organisme : NIDA NIH HHS
ID : R34 DA050341
Pays : United States
Organisme : NIDA NIH HHS
ID : R34 DA050237
Pays : United States
Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.
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