Evidence map›Paper›PMID 34023390›Full record

ArticleNeurotoxicology and teratology

A socioecological framework for engaging substance-using pregnant persons in longitudinal research: Multi-stakeholder perspectives.

Ellen Goldstein, Kendra Nervik, Shelbey Hagen, Florence Hilliard, Alyssa Turnquist, Ludmila N Bakhireva, Ryan McDonald, Pilar N Ossorio, Jamie Lo, Aleksandra E Zgierska

Open access · greenAbstract read
In one paragraph

Article in Neurotoxicology and teratology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 10 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

10 authors at 4 institutions in 1 country.

Ellen GoldsteinDepartment of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, 1100 Delaplaine Ct, Madison, WI 53715, United States of America. Electronic address: egoldstein5@wisc.edu.
Kendra NervikDepartment of Sociology, University of Wisconsin, 8128 William H. Sewell Social Sciences Building, 1180 Observatory Drive, Madison, WI 53706-1393, United States of America. Electronic address: nervik@wisc.edu.
Shelbey HagenDepartment of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, 1100 Delaplaine Ct, Madison, WI 53715, United States of America. Electronic address: shelbey.hagen@fammed.wisc.edu.
Florence HilliardDepartment of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, 1100 Delaplaine Ct, Madison, WI 53715, United States of America. Electronic address: florence.hilliard@wisc.edu.
Alyssa TurnquistDepartment of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, 1100 Delaplaine Ct, Madison, WI 53715, United States of America. Electronic address: alyssa.turnquist@fammed.wisc.edu.
Ludmila N BakhirevaCollege of Pharmacy Substance Use Research and Education (SURE) Center, University of New Mexico Health Sciences Center, 1 University of New Mexico, MSC 09 5360, Albuquerque, NM 87131, United States of America; Department of Family and Community Medicine, University of New Mexico Health Sciences Center, 1 University of New Mexico, MSC 09 5360, Albuquerque, NM 87131, United States of America; Division of Epidemiology, Biostatistics, and Preventive Medicine, Department of Internal Medicine, University of New Mexico Health Sciences Center, 1 University of New Mexico, MSC 09 5360, Albuquerque, NM 87131, United States of America. Electronic address: lbakhireva@salud.unm.edu.
Ryan McDonaldDepartment of Obstetrics & Gynecology, University of Wisconsin School of Medicine and Public Health, McConnell Hall, 1010 Mound Street, Madison, WI 53715, United States of America. Electronic address: rcmcdonald@wisc.edu.
Pilar N OssorioUniversity of Wisconsin Law School, 975 Bascom Mall, Rm. 9103, Madison, WI 53706-1399, United States of America; University of Wisconsin, Morgridge Institute for Research, 330 N. Orchard St, Madison, WI 53715, United States of America. Electronic address: pnossorio@wisc.edu.
Jamie LoDepartment of Obstetrics & Gynecology, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, L466, Portland, OR 97239, United States of America. Electronic address: loj@ohsu.edu.
Aleksandra E ZgierskaDepartment of Family and Community Medicine, Pennsylvania State University College of Medicine, 700 HMC Crescent Road, Hershey, PA 17033, United States of America. Electronic address: azgierska@pennstatehealth.psu.edu.
University of Wisconsin–Madison · USOregon Health & Science University · USPennsylvania State University · USUniversity of New Mexico · US

Funding

The Healthy Brain and Child Development National Consortium Administrative CoreU24DA055325 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CHRISTINA CHAMBERS, CHARLES Alexander NELSON · 2021 to 2026
$40.8M
13/24 The Healthy Brain and Child Development National ConsortiumU01DA055361 · NIDA · PENNSYLVANIA STATE UNIVERSITY, THE · PI Koraly E Perez-Edgar, Aleksandra Ewa Zgierska · 2021 to 2026
$7.8M
The effect of the COVID-19 pandemic on alcohol use and psycho-somatic health in pregnant and postpartum women with intersecting vulnerabilities.R01AA021771 · NIAAA · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI BAKHIREVA, LUDMILA NICOLE · 2013 to 2022
$6.5M
4/6 Planning for the HEALthy Early Development StudyR34DA050341 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CHAMBERS, CHRISTINA · 2019 to 2020
$917k
Biological and Environmental Contributions to Healthy Baby Development in Diverse PopulationR34DA050254 · NIDA · CHILDREN'S HOSPITAL OF LOS ANGELES · PI LEVITT, PAT · 2019 to 2020
$741k
6/6 Planning for the HEALthy Early Development StudyR34DA050237 · NIDA · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI BAKHIREVA, LUDMILA NICOLE, LEEMAN, LAWRENCE M · 2019 to 2019
$542k
1/3 Promoting Resilience in Children: Protocol Development for a Birth Cohort Study To Assess Factors Impacting NeurodevelopmentR34DA050270 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI GOLDSTEIN, ELLEN, ZGIERSKA, ALEKSANDRA EWA · 2019 to 2019
$523k
2/3; Promoting resilience in children: Protocol Development for a Birth Cohort Study to Access Factors Impacting NeurodevelopmentR34DA050263 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI OSSORIO, PILAR N. · 2019 to 2019
$514k
NIAAA NIH HHS R01 AA021771NIDA NIH HHS R34 DA050237NIDA NIH HHS R34 DA050254NIDA NIH HHS R34 DA050263NIDA NIH HHS R34 DA050270NIDA NIH HHS R34 DA050341NIDA NIH HHS U01 DA055361NIDA NIH HHS U24 DA055325
6 · The paper itself

Abstract

objectiveUnderstanding the impact of substance use during pregnancy on fetal development and child health is essential for designing effective approaches for reducing prenatal substance exposures and improving child outcomes. Research on the developmental impacts of prenatal substance exposure has been limited by legal, ethical, and practical challenges. This study examined approaches to engage substance-using (with an emphasis on opioids) pregnant persons in longitudinal research, from multi-stakeholder perspectives.

methodsThe present study solicited the expertise of 1) an advisory group of community stakeholders, including people with lived experienced of opioid/substance use; and 2) an online survey with content experts. Qualitative analysis examined facilitators and barriers to recruiting and retaining substance-using pregnant persons through a socioecological lens at the individual, interpersonal, organizational, community, and policy levels.

resultsStakeholders (N = 19) prioritized stigma, loss of confidentiality, legal consequences, and instability (e.g., homelessness and poverty) as important barriers that prevent substance-using persons from enrolling in research studies. Of 70 survey respondents, most self-identified as researchers (n = 37), followed by clinicians (n = 19), and 'others' (n = 14). Survey respondents focused on retention strategies that build trusting relationships with participants, including incentives (e.g., transportation and childcare support), participant-friendly study design, and team-related factors, (e.g., attitudes and practices).

conclusionThe stakeholder input and survey data offer key insights strengthening our understanding of facilitators and barriers to research participation, and ways to overcome barriers among substance-using pregnant persons. A socioecological framework can be used to identify and address these factors to increase recruitment and long-term retention of high-risk populations.

Indexed as

Surveys and QuestionnairesControlled SubstancesFemaleFetal DevelopmentHumansPregnancyPregnant PeopleResearch DesignRiskSubstance-Related DisordersControlled SubstancesHigh-risk pregnancyMaternal-infant researchOpioidsRecruitmentRetentionSubstance use

Identifiers

PMID34023390
PMCPMC8440364
OpenAlexW3164160415

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.