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).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
64
Participants will receive Motivational Interviewing (MI) and Acceptance and Commitment Therapy (ACT).
Conventional care from the hospital for NICU mothers who test positive for drug use, which includes visits and resources from hospital social workers.
The University of Texas Health Science Center at Houston
Houston, Texas, United States
Treatment Entry
Number of participants having at least one treatment session at a licensed substance use facility or with a licensed counselor
Time frame: 8 weeks
Substance Exposed Pregnancy (SEP) risk as as assessed by a modified Time-Line Follow Back-SEP (TLFB-SEP)
Substance Exposed Pregnancy (SEP) risk as as assessed by a modified Time-Line Follow Back-SEP (TLFB-SEP)
Time frame: 2 months
Substance Exposed Pregnancy (SEP) risk as as assessed by a modified Time-Line Follow Back-SEP (TLFB-SEP)
Substance Exposed Pregnancy (SEP) risk as as assessed by a modified Time-Line Follow Back-SEP (TLFB-SEP)
Time frame: 6 months
HIV and HCV risk as assessed by Behavioral Risk Assessment for Infectious Disease (BRAID)
HIV and HCV risk as assessed by Behavioral Risk Assessment for Infectious Disease (BRAID)
Time frame: 2 months
HIV and HCV risk as assessed by Behavioral Risk Assessment for Infectious Disease (BRAID)
HIV and HCV risk as assessed by Behavioral Risk Assessment for Infectious Disease (BRAID)
Time frame: 6 months
Depression as assessed by the Center for Epidemiologic Studies Depression Scale (CES-D)
Depression as assessed by the Center for Epidemiologic Studies Depression Scale (CES-D)
Time frame: 2 months
Depression as assessed by the Center for Epidemiologic Studies Depression Scale (CES-D)
Depression as assessed by the Center for Epidemiologic Studies Depression Scale (CES-D)
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Time frame: 6 months
Current position regarding motivation for change as assessed by the University of Rhode Island Change Assessment (URICA)
Current position regarding motivation for change as assessed by the University of Rhode Island Change Assessment (URICA)
Time frame: 2 months
Current position regarding motivation for change as assessed by the University of Rhode Island Change Assessment (URICA)
Current position regarding motivation for change as assessed by the University of Rhode Island Change Assessment (URICA)
Time frame: 6 months
Psychological flexibility as assessed by the Acceptance and Action Questionnaire-Substance Abuse (AAQ-SA)
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.
Time frame: 2 months
Psychological flexibility as assessed by the Acceptance and Action Questionnaire-Substance Abuse (AAQ-SA)
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.
Time frame: 6 months
Number of participants whose infant had routine follow-up pediatric appointments
Medical records will be used, with participant consent, to assess the number of participants whose infant had routine follow-up pediatric appointments.
Time frame: 6 months
Number of participants whose infant had acute care visits
Medical records will be used, with participant consent, to assess the number of participants whose infant had acute care visits.
Time frame: 6 months
Number of participants whose infant had emergency department visits
Medical records will be used, with participant consent, to assess the number of participants whose infant had emergency department visits.
Time frame: 6 months
Number of participants whose infant was re-hospitalized
Medical records will be used, with participant consent, to assess the number of participants whose infant was re-hospitalized.
Time frame: 6 months
Number of participants who lost custody of the infant
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.
Time frame: 6 months
Number of participants for which any additional abuse or neglect complaints were filed after baseline
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.
Time frame: 6 months
Drug use
Number of participant who test positive for drug use as assessed by urine drug screen
Time frame: 2 months
Drug use
Number of participant who test positive for drug use as assessed by urine drug screen
Time frame: 6 months