Evidence map›Paper›PMID 33691677›Full record

ArticleBMC health services research2021

Opioid use disorder in pregnancy: leveraging provider perceptions to inform comprehensive treatment.

Doris Titus-Glover, Fadia T Shaya, Christopher Welsh, Danya M Qato, Savyasachi Shah, Laura E Gresssler, Rebecca Vivrette

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
5.3field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 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

7 authors at 1 institution in 1 country.

Doris Titus-GloverDepartment of Pharmaceutical Health Services Research (PHSR), School of Pharmacy, University of Maryland, Baltimore, USA. dtitus-glover@umaryland.edu.ORCID http://orcid.org/0000-0002-1812-8868
Fadia T ShayaDepartment of Pharmaceutical Health Services Research (PHSR), School of Pharmacy, University of Maryland, Baltimore, USA.
Christopher WelshDepartment of Psychiatry, School of Medicine, University of Maryland, Baltimore, USA.
Danya M QatoDepartment of Pharmaceutical Health Services Research (PHSR), School of Pharmacy, University of Maryland, Baltimore, USA.
Savyasachi ShahDepartment of Pharmaceutical Health Services Research (PHSR), School of Pharmacy, University of Maryland, Baltimore, USA.
Laura E GressslerDepartment of Pharmaceutical Health Services Research (PHSR), School of Pharmacy, University of Maryland, Baltimore, USA.
Rebecca VivretteDepartment of Psychiatry, School of Medicine, University of Maryland, Baltimore, USA.
University of Maryland, Baltimore · US

Funding

Agency for Healthcare Research and Quality 100207015 (Patient-Centered Involvement in Evaluating the Effectiveness of Treatments (PATIENT) and Patient-Centered Outcomes Research (PCOR) projects. Parent Project PI: C. Daniel Mullins, PhD.
6 · The paper itself

Abstract

backgroundMedications for opioid use disorder (MOUD) are recommended with adjuvant behavioral therapies, counseling, and other services for comprehensive treatment of maternal opioid use disorder. Inadequate access to treatment, lack of prescribing providers and complex delivery models are among known barriers to care. Multi-disciplinary provider input can be leveraged to comprehend factors that facilitate or inhibit treatment. The objective of this study is to explore provider perceptions of MOUD and factors critical to comprehensive treatment delivery to improve the care of pregnant women with opioid use disorder.

methodsA qualitative research approach was used to gather data from individual provider and group semi-structured interviews. Providers (n = 12) responded to questions in several domains related to perceptions of MOUD, treatment delivery, access to resources, and challenges/barriers. Data were collected, transcribed, coded (by consensus) and emerging themes were analyzed using grounded theory methodology.

resultsEmerging themes revealed persistent gaps in treatment and challenges in provider, health systems and patient factors. Providers perceived MOUD to be a "lifeline" to women.

conclusionsInconsistencies in treatment provision, access and uptake can be improved by leveraging provider perceptions, direct experiences and recommendations for an integrated team-based, patient-centered approach to guide the care of pregnant women with opioid use disorder.

Indexed as

Opioid-Related DisordersFemaleHumansOpiate Substitution TreatmentPerceptionPregnancyPregnant PeopleQualitative ResearchMedications for opioid use disorder, medication-assisted treatmentOpioid use disorderPregnancy and healthcare providerPregnant womenQualitative pilot study

Identifiers

PMID33691677
PMCPMC7945667
OpenAlexW3125410251

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.