Optimizing Treatment for Substance Use in Pregnant and Postpartum Individuals
This study aims to improve how pregnant and postpartum individuals with substance use disorder (SUD) stay engaged in treatment. It will test two approaches: screening for social needs (like housing or transportation) and connecting you to support services, and a 12-week program called contingency management (which uses rewards to encourage positive behaviors). Researchers want to see if these strategies are practical and acceptable. You may be eligible if you are 18 or older, pregnant or up to three years postpartum, and have a diagnosed SUD. The study plans to enroll 40 participants and is currently evaluating how well these methods work to address social needs.
- Study design
- This is an interventional pilot study, meaning participants will receive specific interventions. It plans to enroll 40 women who are pregnant or recently postpartum.
- What's involved
- You will undergo screening for social drivers of health and be linked to support services, and participate in a 12-week contingency management program.
- Compensation
- Not stated in the trial record.
- Follow-up
- Your social drivers of health will be screened and documented through study completion, up to six months postpartum.
AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.
Substance Use in Pregnancy - Optimizing Retention in Treatment
At a glance
Conditions
Where it's being run
2 sites across 2 statesStudy leadership
- Jeannie C Kelly, MD, MS · PRINCIPAL_INVESTIGATOR · Washington University School of Medicine
- Ana Baumann Walker, PhD, MA · PRINCIPAL_INVESTIGATOR · Washington University School of Medicine
Who to contact
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What this trial measures
- Social Drivers: EnrollmentEnrollment Visit
Percentage of eligible patients enrolled in the study
- Social Drivers: ScreeningThrough study completion, up to six months postpartum
Percentage of visits for enrolled patients with social drivers of health screening
- Social Drivers: Documentation of Z-codesThrough study completion, up to six months postpartum
Percentage of social driver screenings with z-codes documented
- Contingency Management: Intervention Fidelity (Number of Visits)Weekly from enrollment up to 12 weeks
Number of CM sessions with fidelity to intervention, defined as meeting all six criteria on weekly CM visit checklist
- Contingency Management: Intervention Fidelity (Percentage of Visits)Weekly from enrollment up to 12 weeks
Percentage of CM sessions with fidelity to intervention, defined as meeting all six criteria on weekly CM visit checklist
- Contingency Management: Acceptability of Intervention Measure (AIM)After 3 CM sessions (up to 3 weeks), end of intervention (up to 12 weeks)
Weiner et al, Implement Sci, 2017
- Contingency Management: Intervention Appropriateness Measure (IAM)After 3 CM sessions (up to 3 weeks), end of intervention (up to 12 weeks)
Weiner et al, Implement Sci, 2017
- Contingency Management: Feasibility of Intervention Measure (FIM)After 3 CM sessions (up to 3 weeks), end of intervention (up to 12 weeks)
Weiner et al, Implement Sci, 2017