Evidence map›Paper›PMID 31992649›Full record

ArticlePediatrics2020

Engagement in Early Intervention Services Among Mothers in Recovery From Opioid Use Disorders.

Elizabeth Peacock-Chambers, Emily Feinberg, Molly Senn-McNally, Maria Carolina Clark, Briana Jurkowski, Nancy E Suchman, Nancy Byatt, Peter D Friedmann

Open access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 30 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Elizabeth Peacock-ChambersInstitute for Healthcare Delivery and Population Science, elizabeth.peacock-chambersMD@baystatehealth.org.
Emily FeinbergDepartment of Pediatrics, Boston University School of Medicine, Boston, Massachusetts.
Molly Senn-McNallyUniversity of Massachusetts Medical School-Baystate, Springfield, Massachusetts.
Maria Carolina ClarkUniversity of Massachusetts Medical School-Baystate, Springfield, Massachusetts.
Briana JurkowskiInstitute for Healthcare Delivery and Population Science.
Nancy E SuchmanDepartment of Psychiatry, Yale School of Medicine, Yale University, New Haven, Connecticut; and.
Nancy ByattDepartment of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts.
Peter D FriedmannUniversity of Massachusetts Medical School-Baystate, Springfield, Massachusetts.
University of Massachusetts Chan Medical School · USBaystate Health · USBaystate Medical Center · USBoston University · USUniversity of Massachusetts Amherst · USYale University · US

Funding

Fostering Mothers'Emotionally-Responsive ParentingR01DA017294 · NIDA · YALE UNIVERSITY · PI MCMAHON, THOMAS J · 2004 to 2019
$6.0M
CTSA Institutional Mentored Career Development Program (KL2)KL2TR002545 · NCATS · TUFTS UNIVERSITY BOSTON · PI FREUND, KAREN · 2018 to 2022
$5.0M
NCATS NIH HHS KL2 TR002545NIDA NIH HHS R01 DA017294
6 · The paper itself

Abstract

BACKGROUND AND

objectivesOpioid-exposed infants frequently qualify for early intervention (EI). However, many eligible families choose not to enroll in this voluntary service. This study aims to understand the perceptions and experiences that may impact engagement with, and the potential benefits of, EI services among mothers in recovery from opioid use disorders (OUDs).

methodsWe conducted semistructured qualitative interviews (

resultsThe mean participant age was 32 years, and 13 had a high school degree or less. Five major themes emerged revealing mothers' development through stages of engagement in EI services: (1) fear, guilt, and shame related to drug use (emotions acting as barriers to enrollment); (2) the question of whether it is "needed" (deciding whether there is value in EI for opioid-exposed infants); (3) starting with "judgment" (baseline level of perceived stigma that parents in recovery associate with EI); (4) breaking down the "wall" (how parents overcome the fear and perceived judgment to build partnerships with providers); and (5) "above and beyond" (need for a personal connection with mothers and concrete supports through EI in addition to the child-focused services provided).

conclusionsBarriers to engagement in EI among mothers in recovery from OUDs include a range of emotions, perceived stigma, and ambivalence. An effort to purposefully listen to and care for mothers through a strengths-based, bigenerational approach may help establish greater connections and foster stronger EI engagement among families affected by OUDs.

Indexed as

Early Medical InterventionHealth Services AccessibilityAdolescentAdultChildChild, PreschoolFearFemaleFocus GroupsGuiltHumansInfantInfant, NewbornJudgmentMassachusettsMiddle Aged

Identifiers

PMID31992649
PMCPMC6993421
OpenAlexW3172659415

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.