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A Non‐Randomized Trial of In‐Person Versus Text/Telephone Screening, Brief Intervention and Referral to Treatment for Pregnant and Postpartum Women
BACKGROUND: Systems of care that improve mental health and substance use disorder Screening, Brief Intervention and Referral to Treatment (SBIRT) for pregnant and postpartum women are needed. AIMS: The aim of this study is to determine if women receiving prenatal care from January 2020 to April 2021...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9175992/ https://www.ncbi.nlm.nih.gov/pubmed/36101654 http://dx.doi.org/10.1176/appi.prcp.20210027 |
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author | Guille, Constance Maldonado, Lizmarie Simpson, Annie N. Newman, Roger King, Courtney Cortese, Bernadette Quigley, Erin Dietrich, Nicole Kerr, Anna Aujla, Rubin King, Kathryn Ford, Dee Brady, Kathleen T. |
author_facet | Guille, Constance Maldonado, Lizmarie Simpson, Annie N. Newman, Roger King, Courtney Cortese, Bernadette Quigley, Erin Dietrich, Nicole Kerr, Anna Aujla, Rubin King, Kathryn Ford, Dee Brady, Kathleen T. |
author_sort | Guille, Constance |
collection | PubMed |
description | BACKGROUND: Systems of care that improve mental health and substance use disorder Screening, Brief Intervention and Referral to Treatment (SBIRT) for pregnant and postpartum women are needed. AIMS: The aim of this study is to determine if women receiving prenatal care from January 2020 to April 2021 are more likely to be screened, screen positive, be referred for treatment and attend treatment with technology facilitated SBIRT, compared to women receiving prenatal care and in‐person SBIRT January 2017 to December 2019. MATERIALS & METHODS: Technology facilitated SBIRT, designated Listening to Women (LTW), includes text message‐based screening, phone‐based brief intervention, and referral to treatment by a remote care coordinator. A total of 3535 pregnant and postpartum women were included in the quasi‐experimental study and data were collected via text message and Electronic Health Record. RESULTS: In‐person SBIRT was completed by 65.2% (1947/2988) of women while 98.9% (547/553) of women approached agreed to take part in LTW and 71.9% (393/547) completed SBIRT via LTW. After controlling for potentially confounding variables, women enrolled in LTW were significantly more likely to be screened (relative risk [RR]: 1.10, 95% CI 1.03–1.16), screen positive (RR 1.91, 95% CI 1.72–2.10), referred to treatment (RR 1.55, 95% CI 1.43–1.69) and receive treatment (RR 4.95, 95% CI 3.93–6.23), compared to women receiving in‐person SBIRT. Black women enrolled in LTW were significantly more likely to screen positive (RR 1.65, 95% CI 1.35–2.01), be referred to treatment (RR 1.54, 95% CI 1.35–1.76) and attend treatment (RR 5.49, 95% CI 3.69–8.17), compared to Black women receiving in‐person SBIRT. DISCUSSION: LTW appears to increase the proportion of pregnant and postpartum women receiving key elements of SBIRT. |
format | Online Article Text |
id | pubmed-9175992 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-91759922022-09-12 A Non‐Randomized Trial of In‐Person Versus Text/Telephone Screening, Brief Intervention and Referral to Treatment for Pregnant and Postpartum Women Guille, Constance Maldonado, Lizmarie Simpson, Annie N. Newman, Roger King, Courtney Cortese, Bernadette Quigley, Erin Dietrich, Nicole Kerr, Anna Aujla, Rubin King, Kathryn Ford, Dee Brady, Kathleen T. Psychiatr Res Clin Pract Research Articles BACKGROUND: Systems of care that improve mental health and substance use disorder Screening, Brief Intervention and Referral to Treatment (SBIRT) for pregnant and postpartum women are needed. AIMS: The aim of this study is to determine if women receiving prenatal care from January 2020 to April 2021 are more likely to be screened, screen positive, be referred for treatment and attend treatment with technology facilitated SBIRT, compared to women receiving prenatal care and in‐person SBIRT January 2017 to December 2019. MATERIALS & METHODS: Technology facilitated SBIRT, designated Listening to Women (LTW), includes text message‐based screening, phone‐based brief intervention, and referral to treatment by a remote care coordinator. A total of 3535 pregnant and postpartum women were included in the quasi‐experimental study and data were collected via text message and Electronic Health Record. RESULTS: In‐person SBIRT was completed by 65.2% (1947/2988) of women while 98.9% (547/553) of women approached agreed to take part in LTW and 71.9% (393/547) completed SBIRT via LTW. After controlling for potentially confounding variables, women enrolled in LTW were significantly more likely to be screened (relative risk [RR]: 1.10, 95% CI 1.03–1.16), screen positive (RR 1.91, 95% CI 1.72–2.10), referred to treatment (RR 1.55, 95% CI 1.43–1.69) and receive treatment (RR 4.95, 95% CI 3.93–6.23), compared to women receiving in‐person SBIRT. Black women enrolled in LTW were significantly more likely to screen positive (RR 1.65, 95% CI 1.35–2.01), be referred to treatment (RR 1.54, 95% CI 1.35–1.76) and attend treatment (RR 5.49, 95% CI 3.69–8.17), compared to Black women receiving in‐person SBIRT. DISCUSSION: LTW appears to increase the proportion of pregnant and postpartum women receiving key elements of SBIRT. John Wiley and Sons Inc. 2021-11-18 /pmc/articles/PMC9175992/ /pubmed/36101654 http://dx.doi.org/10.1176/appi.prcp.20210027 Text en © 2021 The Authors. Psychiatric Research and Clinical Practice published by Wiley Periodicals LLC on behalf of American Psychiatric Association https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Research Articles Guille, Constance Maldonado, Lizmarie Simpson, Annie N. Newman, Roger King, Courtney Cortese, Bernadette Quigley, Erin Dietrich, Nicole Kerr, Anna Aujla, Rubin King, Kathryn Ford, Dee Brady, Kathleen T. A Non‐Randomized Trial of In‐Person Versus Text/Telephone Screening, Brief Intervention and Referral to Treatment for Pregnant and Postpartum Women |
title | A Non‐Randomized Trial of In‐Person Versus Text/Telephone Screening, Brief Intervention and Referral to Treatment for Pregnant and Postpartum Women |
title_full | A Non‐Randomized Trial of In‐Person Versus Text/Telephone Screening, Brief Intervention and Referral to Treatment for Pregnant and Postpartum Women |
title_fullStr | A Non‐Randomized Trial of In‐Person Versus Text/Telephone Screening, Brief Intervention and Referral to Treatment for Pregnant and Postpartum Women |
title_full_unstemmed | A Non‐Randomized Trial of In‐Person Versus Text/Telephone Screening, Brief Intervention and Referral to Treatment for Pregnant and Postpartum Women |
title_short | A Non‐Randomized Trial of In‐Person Versus Text/Telephone Screening, Brief Intervention and Referral to Treatment for Pregnant and Postpartum Women |
title_sort | non‐randomized trial of in‐person versus text/telephone screening, brief intervention and referral to treatment for pregnant and postpartum women |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9175992/ https://www.ncbi.nlm.nih.gov/pubmed/36101654 http://dx.doi.org/10.1176/appi.prcp.20210027 |
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