This single arm pilot feasibility study will evaluate the implementation of overnight infant respite care and parenting skills to mothers with substance use disorders in the early postpartum period residing in residential substance use disorder treatment programs.
This single arm pilot feasibility study will evaluate the implementation of overnight infant respite care provided approximately 3 nights per week for 6 weeks (18 nights total) to each of 20 - 25 mothers with substance use disorders in the early postpartum period residing in residential substance use disorder treatment programs. Overnight respite care will last for eight hours, with one hour reserved each morning to provide teaching about infant-specific temperament and cues. The program is a unique public/private/academic partnership with the Massachusetts Department of Children and Families (DCF), Boston Baby Nurse and Nanny (BBNN), two residential treatment programs, and Massachusetts General Hospital. Partnering with BBNN, Newborn Care Experts interested in providing respite care to families impacted by SUD will be paired with postpartum families residing in two residential treatment programs in the Boston area. New Day in Somerville, MA and Entre Familia in Mattapan, MA will partner with MGH to recruit individuals to complete a screening and baseline intake, receive night respite care, and complete a follow up study visit at the completion of the intervention and at 3 months post intervention. This study will use mixed methods to understand the feasibility and acceptability of the pilot intervention including experiences of this pilot program through the perspectives of program participants, respite care givers, residential treatment overnight staff, and study staff. Respite caregivers and residential treatment program staff will be invited to participate in interviews after each dyad receives their allotted hours of respite care to reflect on this program participant's specific experience. BBNN, DCF, and residential treatment program leadership staff, will be invited to participate a focus group once at the completion of the study to understand the feasibility, acceptability, and implementation of this program through the lens of their organizations. They will also be invited to take a short survey aimed at assessing their perception of the intervention's appropriateness and feasibility.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
41
(see description above)
Entre Familia Residential Treatment Program
Mattapan, Massachusetts, United States
New Day Residential Treatment Program
Somerville, Massachusetts, United States
Recruitment and Enrollment
Total number of individuals approached, consented, and enrolled in the study
Time frame: Through study completion up to 3 months
Study Feasibility
Count of total number individuals completing intervention and retained through study follow up
Time frame: Through three months following intervention period
Study Acceptability
Feedback in semi-structured interviews with participants and key stakeholders
Time frame: Through three months following intervention period
Maternal sleep quantity
Measurement of total nightly sleep using actigraphy device
Time frame: Through three months following intervention
Ability to fall asleep
Insomnia Sleep Index (Measured on a scale of 0-28)
Time frame: Through three months following intervention
Sleep quality
Single Item Sleep Quality Scale;
Time frame: Through three months following intervention
Postpartum Sleep Quality
Postpartum Sleep Quality Scale
Time frame: Through three months following intervention
Maternal mental health - Depression
Patient Health Questionnaire-8
Time frame: Through three months following intervention
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Maternal mental health - Anxiety
General Anxiety Disorder-7
Time frame: Through three months following intervention
Medication for Addiction Treatment Retention
Continuation of medication for addiction treatment
Time frame: Through three months following intervention
Substance use treatment retention
Retention in residential treatment program
Time frame: Through three months following intervention
Recovery Capitol
Brief Assessment of Recovery Capitol (BARC-10)
Time frame: Through three months following intervention
Parental stress
Parenting Stress Index
Time frame: Through three months following intervention
Parental bonding
Postpartum Bonding Questionnaire;
Time frame: Through three months following intervention
Parental self-efficacy
Perceived Parenting Self-Efficacy Questionnaire
Time frame: Through three months following intervention
Social Support
Postpartum Social Support Scale
Time frame: Through three months following intervention
Unnecessary unscheduled healthcare utilization
ED and Urgent care visits attended
Time frame: Through three months following intervention
Filings for child abuse/neglect
51A-filings for child abuse or neglect to MA DCF
Time frame: Through three months following intervention