Evidence map›Paper›PMID 33901729›Full record

ArticleAcademic pediatrics

Caring for Families Impacted by Opioid Use: A Qualitative Analysis of Integrated Program Designs.

Davida M Schiff, Shayla Partridge, Nina H Gummadi, Jessica R Gray, Sara Stulac, Eileen Costello, Elisha M Wachman, Hendrée E Jones, Shelly F Greenfield, Elsie M Taveras and 1 more

Open access · greenAbstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Improving health and well-being for infants with prenatal substance exposure.Current problems in pediatric and adolescent health care · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
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

11 authors at 4 institutions in 1 country.

Davida M SchiffDivision of General Academic Pediatrics, Massachusetts General Hospital for Children (DM Schiff, S Patridge, and EM Taveras), Boston, Mass. Electronic address: Davida.schiff@mgh.harvard.edu.
Shayla PartridgeDivision of General Academic Pediatrics, Massachusetts General Hospital for Children (DM Schiff, S Patridge, and EM Taveras), Boston, Mass.
Nina H GummadiBoston University School of Medicine (NH Gummadi, S Stulac, and E Costello), Boston, Mass.
Jessica R GrayDepartment of Medicine and Pediatrics, Massachusetts General Hospital (JR Gray), Boston, Mass.
Sara StulacBoston University School of Medicine (NH Gummadi, S Stulac, and E Costello), Boston, Mass; Department of Pediatrics, Boston Medical Center (S Stulac, E Costello, and EM Wachman), Boston, Mass.
Eileen CostelloBoston University School of Medicine (NH Gummadi, S Stulac, and E Costello), Boston, Mass; Department of Pediatrics, Boston Medical Center (S Stulac, E Costello, and EM Wachman), Boston, Mass.
Elisha M WachmanDepartment of Pediatrics, Boston Medical Center (S Stulac, E Costello, and EM Wachman), Boston, Mass.
Hendrée E JonesUNC Horizons and Department of Obstetrics and Gynecology, University of North Carolina Chapel Hill (HE Jones), Carrboro, NC.
Shelly F GreenfieldDivision of Women's Mental Health and Division of Alcohol, Drugs, and Addiction, McLean Hospital (SF Greenfield), Belmont, Mass; Harvard Medical School (SF Greenfield), Boston, Mass.
Elsie M TaverasDivision of General Academic Pediatrics, Massachusetts General Hospital for Children (DM Schiff, S Patridge, and EM Taveras), Boston, Mass.
Judith A BernsteinDivision of Community Health Sciences, Boston University School of Public Health (JA Bernstein), Boston, Mass.
Massachusetts General Hospital · USBoston University · USBoston Medical Center · USMcLean Hospital · US

Funding

Career Development Program in Substance Use and Addiction MedicineK12DA043490 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI A EDEN EVINS, NANCY A RIGOTTI · 2017 to 2026
$4.7M
Safety, pharmacokinetics and efficacy of extended-release naltrexone in pregnant women with opioid use disorderR01HD096798 · NICHD · BOSTON MEDICAL CENTER · PI WACHMAN, ELISHA · 2018 to 2022
$3.4M
Improving Treatment Engagement and Adherence to Optimize Outcomes for Opioid-Exposed Mother-Infant DyadsK23DA048169 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI SCHIFF, DAVIDA · 2019 to 2023
$998k
Patient Oriented Research and Mentorship in Childhood Obesity DisparitiesK24DK105989 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI TAVERAS BENAVIDEZ, ELSIE MIREYA · 2015 to 2019
$907k
NICHD NIH HHS R01 HD096798NIDA NIH HHS K12 DA043490NIDA NIH HHS K23 DA048169NIDDK NIH HHS K24 DK105989
6 · The paper itself

Abstract

objectiveWe sought to 1) identify models of integrated care that offer medical care and social services for children and families impacted by opioid use disorder (OUD) in the postpartum year; and 2) describe how each program was developed, designed, and sustained, and explore facilitators and barriers to implementation of a dyadic, two-generation approach to care.

methodsIn-depth semi-structured interviews (n = 23) were conducted with programs for women and children affected by OUD across North America. Using a phenomenologic approach, key program components and themes were identified. Following thematic saturation, these results were triangulated with experts in program implementation and with a subset of key informants to ensure data integrity.

resultsFive distinct types of programs were identified that varied in the degree of medical and behavioral care for families. Three themes emerged unique to the provision of dyadic care: 1) families require supportive, frequent visits with a range of providers, but constraints around billable services limit care integration across the perinatal continuum; 2) individual program champions are critical, but degree and reach of interdisciplinary care is limited by siloed systems for medical and behavioral care; and 3) addressing dual, sometimes competing, responsibilities for both parental and infant health following recurrence of parental substance use presents unique challenges.

conclusionsThe key components of dyadic care models for families impacted by OUD included prioritizing care coordination, removing barriers to integrating medical and behavioral services, and ensuring the safety of children in homes with ongoing parental substance use while maintaining parental trust.

Indexed as

Analgesics, OpioidOpioid-Related DisordersChildFemaleHumansInfantNorth AmericaParentsPregnancySocial WorkAnalgesics, Opioidfamily-based careneonatal abstinence syndromeopioid-exposed dyadopioid use disorderpostpartum

Identifiers

PMID33901729
PMCPMC8542059
OpenAlexW3157738201

What OpenQuestion holds

Textmetadata
LicenceTDM
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.