Impact of Mindfulness-Based Parenting on Women in Treatment for Opioid Use Disorder

Gannon, Meghan; MacKenzie, Michael J.; Kaltenbach, Karol; Abatemarco, Diane J.

doi:10.1097/adm.0000000000000336

Cited by 49 publications

(37 citation statements)

References 33 publications

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“…[57][58][59] Previous research of a group-based mindful parenting intervention for this population demonstrated promising results in improving maternal stress and parenting. 60,61 Patient-centered medical homes may improve WCC adherence through better patient outreach, care coordination, and provider continuity. 62 Home visiting programs have also shown potential to increase WCC adherence among low-income families.…”

Section: Gaps In Wccmentioning

confidence: 99%

Well-Child Care Adherence After Intrauterine Opioid Exposure

Goyal¹,

Rohde

Short

et al. 2020

Pediatrics

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BACKGROUND AND OBJECTIVES: For children with intrauterine opioid exposure (IOE), well-child care (WCC) provides an important opportunity to address medical, developmental, and psychosocial needs. We evaluated WCC adherence for this population. METHODS:In this retrospective cohort study, we used PEDSnet data from a pediatric primary care network spanning 3 states from 2011 to 2016. IOE was ascertained by using physician diagnosis codes. WCC adherence in the first year was defined as a postnatal or 1-month visit and completed 2-, 4-, 6-, 9-, and 12-month visits. WCC adherence in the second year was defined as completed 15-and 18-month visits. Gaps in WCC, defined as $2 missed consecutive WCC visits, were also evaluated. We used multivariable regression to test the independent effect of IOE status.RESULTS: Among 11 334 children, 236 (2.1%) had a diagnosis of IOE. Children with IOE had a median of 6 WCC visits (interquartile range 5-7), vs 8 (interquartile range 6-8) among children who were not exposed (P , .001). IOE was associated with decreased WCC adherence over the first and second years of life (adjusted relative risk 0.54 [P , .001] and 0.74 [P , .001]). WCC gaps were more likely in this population (adjusted relative risk 1.43; P , .001). There were no significant adjusted differences in nonroutine primary care visits, immunizations by age 2, or lead screening. CONCLUSIONS:Children ,2 years of age with IOE are less likely to adhere to recommended WCC, despite receiving on-time immunizations and lead screening. Further research should be focused on the role of WCC visits to support the complex needs of this population.

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Section: Gaps In Wccmentioning

confidence: 99%

Well-Child Care Adherence After Intrauterine Opioid Exposure

Goyal¹,

Rohde

Short

et al. 2020

Pediatrics

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“…Our findings demonstrate that emotion regulation serves as an important mediating mechanism for genetic influences on maternal behavior, suggesting the promise of targeting emotion regulation deficits in prevention and intervention efforts aimed at promoting sensitive maternal behaviors, particularly among those genetically and/or environmentally at risk. For example, recent research has shown that mindfulness-based parenting intervention is effective in improving parenting quality among mothers, particularly among those who experienced higher childhood adversity (Gannon, Mackenzie, Kaltenbach, & Abatemarco, 2017).…”

Section: Discussionmentioning

confidence: 99%

DRD4 interacts with adverse life events in predicting maternal sensitivity via emotion regulation.

Su¹,

Leerkes

Augustine

2018

Journal of Family Psychology

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We examined whether and how the dopamine receptor D4 (DRD4) interacts with adverse life events to predict maternal sensitivity directly and indirectly via emotion regulation. The sample included 209 (106 European American, 103 African American) mothers and their children (52% female). Sensitive maternal behavior was rated and aggregated across five stress-free and stress-inducing tasks when children were about 2 years old, when mothers also retrospectively reported on their adverse life experiences and transitions throughout childhood from birth to age 20. When children were about 1 year old, mothers reported on their difficulties with emotion regulation. Results from path analysis indicated that mothers who carried the long allele of DRD4 experienced more adverse life events were less sensitive in interactions with their children. These mothers were also more likely to have difficulties with emotion regulation, which in turn predicted lower maternal sensitivity. These effects were significant above and beyond the effects of maternal education, coherence of mind, race, or infants' DRD4 genotype, and did not vary for African American and European American mothers. Results suggest that genetic predispositions modify the effects of maternal experience of adverse life events on maternal sensitivity and that emotion regulation serves as one mechanism by which genetic factors and gene-environment interactions affect maternal behavior. (PsycINFO Database Record

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“…Consistent with best practices for assessing outcomes for parenting interventions reviewed by Powell (2013), the use of a comparison group is best practice, allows for stronger inferences, and facilitates the translation of research to practice. Another example is a trauma-informed mindfulness intervention for parents with OUD that found that the intervention was associated with improvements in quality of parenting behaviors, especially for mothers with higher baseline adverse childhood experiences (Gannon, Mackenzie, Kaltenbach, & Abatemarco, 2017), highlighting the need to consider a parent's own adverse childhood experiences when delivering parenting interventions for parents with OUD.…”

Section: Testing Existing Interventions In Effectiveness Trialsmentioning

confidence: 99%

Accelerating the Pace of Science: Improving Parenting Practices in Parents with Opioid Use Disorder

Cioffi

Leve²,

Seeley

2019

Parenting

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A public health emergency exists in the United States as a result of rising overdose deaths related to Opioid Use Disorder (OUD). With the rise of OUD has also come an increase in the number of children exposed to parents who suffer from an OUD. There is a pressing need for parenting interventions for individuals with OUD to provide safe environments for the children being reared in the face of this epidemic. Research on parenting with an OUD is sparse, but it is impractical to move linearly from basic research to program development and implementation given the urgent need for intervention-a trajectory that prior research has established takes approximately 17 years. We have created an outline of strategies that can be used to accelerate the pace of science so that parenting practices are more immediately improved for this population. First, we summarize what is already known about OUD and parenting to characterize mechanisms that existing interventions have targeted and optimal settings for the wide dissemination of implementable interventions. Next, we identify existing interventions that either specifically target parents with OUD or mechanisms specific to parents with OUD. We describe four different approaches for accelerating the pace of science to improve the lives of parents with OUD and their children. By doing so, we hope to provide a roadmap for future researchers and practitioners to deliver more timely evidence-based interventions to address the additional burden placed on families and communities due to the rise in OUD in the United States.

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Impact of Mindfulness-Based Parenting on Women in Treatment for Opioid Use Disorder

Cited by 49 publications

References 33 publications

Well-Child Care Adherence After Intrauterine Opioid Exposure

Well-Child Care Adherence After Intrauterine Opioid Exposure

DRD4 interacts with adverse life events in predicting maternal sensitivity via emotion regulation.

Accelerating the Pace of Science: Improving Parenting Practices in Parents with Opioid Use Disorder

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