Trial reportFamilies, systems & health : the journal of collaborative family healthcare2025
Project BETTER: Outcomes at the pregnancy-to-postpartum transition from a pilot clinical trial of a technology-delivered intervention for birthing people receiving medication for opioid use disorder.
Trial report in Families, systems & health : the journal of collaborative family healthcare, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
8 authors.
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Abstract
introductionBirthing people receiving medication for opioid use disorder (MOUD) face unique challenges during pregnancy and postpartum. This study describes preliminary harm-reduction-focused outcomes specific to the postpartum transition from a pilot trial for pregnant people receiving MOUD in a perinatal addiction clinic.
methodParticipants were recruited from February 2022 to June 2023. Participants were randomized to the technology-delivered educational intervention or standard practice control (brochure). Inclusion criteria were: ≥18 years of age, <34 weeks pregnant, current MOUD, and engaged in prenatal care for ≤10 weeks. Parenting Sense of Competence (score range = 16-96) scale, intervention-specific Perceived Competence Scales (score range = 1-7) for three topic areas (postpartum transition, neonatal opioid withdrawal syndrome, child welfare), and the Substance Use Recovery Evaluator (score range = 21-63) were administered at baseline, prenatal follow-up, and postpartum follow-up.
resultsParticipants (n = 29) were of reproductive age (M = 30.0 years, SD = 4.4), 66% White and 31% Black with a median gestational age of 24 weeks. Over half (59%) had been receiving MOUD for ≥1 year, mostly buprenorphine (69%). Overall, 59% reported a prior overdose. Mean (standard deviation) Parenting Sense of Competence, Perceived Competence Scales, and Substance Use Recovery Evaluator scores were high across study condition and time. DISCUSSION: Patients in a multidisciplinary perinatal addiction clinic can achieve positive recovery outcomes during the transition from pregnancy to postpartum while on MOUD. Furthermore, this study demonstrates the utility of formative work to inform the selection of quantitative measures in assessing nonabstinence-based recovery in clinical studies of substance use disorder patient populations. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
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