The influence of social relationships on substance use behaviors among pregnant women with opioid use disorder

Asta, Dena Marie; Davis, Alexander; Krishnamurti, Tamar; Klocke, Leah; Abdullah, Walitta

doi:10.1016/j.drugalcdep.2021.108665

Cited by 15 publications

(7 citation statements)

References 25 publications

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“…Medication-assisted treatment (MAT), the use of a prescribed long-acting opioid agonist in combination with behavioral therapy, is the current recommended management of OUD during pregnancy due to high rates of relapse with medically supervised withdrawal (ACOG, 2017). Pregnant women affected by OUD rely on multiple forms of support, including social, emotional, material, informational, and recovery (Asta et al, 2021;Liu et al, 2020). During pregnancy, individuals' social network infl uences the forms of support they receive (Asta et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…During pregnancy, individuals' social network infl uences the forms of support they receive (Asta et al, 2021). Increases in social networking with individuals who are not currently using illicit substances or are in substance use disorder (SUD) treatment may lead to a decrease in substance use during pregnancy (Asta et al, 2021). Social support that matches needs of the pregnant woman can help women to manage the internalized stigma associated with OUD (Birtel et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…Pregnant women affected by OUD rely on multiple forms of support, including social, emotional, material, informational, and recovery (Asta et al, 2021; Liu et al, 2020). During pregnancy, individuals' social network influences the forms of support they receive (Asta et al, 2021). Increases in social networking with individuals who are not currently using illicit substances or are in substance use disorder (SUD) treatment may lead to a decrease in substance use during pregnancy (Asta et al, 2021).…”

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confidence: 99%

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Engagement in Online Communities by New Mothers in Recovery from Opioid Use Disorder

Mattson

Ohlendorf

2023

McN: The American Journal of Maternal/Child Nursing

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Purpose:The purpose of this study was to examine the role of engagement with online communities by women using medicationassisted treatment (MAT) to manage recovery f rom opioid use disorder (OUD) during pregnancy and the fi rst year after birth. Study Design and Methods: Ten participants were identifi ed through purposive sampling for this secondary data analysis as part of a larger grounded theory study about ways women using MAT for recovery from OUD meet the needs of their mother-infant dyad. Inclusion criteria included: English-speaking, 18 years of age or older, living in the United States, within the fi rst year after birth, using MAT to manage OUD, and identifi ed engaging with online communities during pregnancy and/or postpartum. A categorical-content narrative approach was used.Results: Three narratives were identifi ed from the analysis, belonging, collaboration, and expecting success. Clinical Implications: Engagement in online communities can be a meaningful adjunct or replacement for in-person support. Online spaces are available 24/7 and allow people to join a community where they will not experience stigma and can fi nd support tailored to their needs. Health care providers could extend their care for mothers affected by OUD by referring them to online communities for support of recovery self-management efforts.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Engagement in Online Communities by New Mothers in Recovery from Opioid Use Disorder

Mattson

Ohlendorf

2023

McN: The American Journal of Maternal/Child Nursing

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“…For example, a study by Polenick et al [ 26 ] showed that women undergoing OUD treatment who measured high on loneliness were more likely to start using illicit drugs during recovery compared to those who had greater social support. Additionally, informational support and feeling of closeness played a significant role in the recovery process for pregnant women with OUD and decreased their substance use [ 27 , 28 ]. Hence, there is ample evidence that social support can reinforce the benefits of medication treatments for OUD [ 29 ].…”

Section: Introductionmentioning

confidence: 99%

Text Messages Exchanged Between Individuals With Opioid Use Disorder and Their mHealth e-Coaches: Content Analysis Study

Ranjit¹,

Davis²,

Fentem³

et al. 2023

JMIR Hum Factors

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Background Opioid use disorder (OUD) has affected 2.2 million people in the United States. About 7.2 million people reported using illicit drugs in 2019, which contributed to over 70,000 overdose deaths. SMS text messaging interventions have been shown to be effective in OUD recovery. However, the interpersonal communication between individuals in OUD treatment and a support team on digital platforms has not been well examined. Objective This study aims to understand the communication between participants undergoing OUD recovery and their e-coaches by examining the SMS text messages exchanged from the lens of social support and the issues related to OUD treatment. Methods A content analysis of messages exchanged between individuals recovering from OUD and members of a support team was conducted. Participants were enrolled in a mobile health intervention titled “uMAT-R,” a primary feature of which is the ability for patients to instantly connect with a recovery support staff or an “e-coach” via in-app messaging. Our team analyzed dyadic text-based messages of over 12 months. In total, 70 participants’ messages and 1196 unique messages were analyzed using a social support framework and OUD recovery topics. Results Out of 70 participants, 44 (63%) were between the ages of 31 and 50 years, 47 (67%) were female, 41 (59%) were Caucasian, and 42 (60%) reported living in unstable housing conditions. An average of 17 (SD 16.05) messages were exchanged between each participant and their e-coach. Out of 1196 messages, 64% (n=766) messages were sent by e-coaches and 36% (n=430) by participants. Messages of emotional support occurred the most, with 196 occurrences (n=9, 0.8%) and e-coaches (n=187, 15.6%). Messages of material support had 110 occurrences (participants: n=8, 0.7%; e-coaches: n=102, 8.5%). With OUD recovery topics, opioid use risk factors appeared in most (n=72) occurrences (patient: n=66, 5.5%; e-coach: n=6, 0.5%), followed by a message of avoidance of drug use 3.9% (n=47), which occurred mainly from participants. Depression was correlated with messages of social support (r=0.27; P=.02). Conclusions Individuals with OUD who had mobile health needs tended to engage in instant messaging with the recovery support staff. Participants who are engaged in messaging often engage in conversations around risk factors and avoidance of drug use. Instant messaging services can be instrumental in providing the social and educational support needs of individuals recovering from OUD.

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“…Despite these risks, pregnancy is a unique opportunity to provide support to families through medical and behavioral health care (Krans et al, 2015;Mascola et al, 2017). Indeed, many women are motivated to seek substance use treatment during pregnancy (Asta et al, 2021) and enter and maintain recovery postpartum (Frazer et al, 2019;Goodman et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

An Integrated Mechanistic Model of Mindfulness-Oriented Recovery Enhancement for Opioid-Exposed Mother–Infant Dyads

et al. 2021

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A growing body of neurobiological and psychological research sheds light on the mechanisms underlying the development and maintenance of opioid use disorder and its relation to parenting behavior. Perinatal opioid use is associated with risks for women and children, including increased risk of child maltreatment. Drawing from extant data, here we provide an integrated mechanistic model of perinatal opioid use, parenting behavior, infant attachment, and child well-being to inform the development and adaptation of behavioral interventions for opioid-exposed mother–infant dyads. The model posits that recurrent perinatal opioid use may lead to increased stress sensitivity and reward dysregulation for some mothers, resulting in decreased perceived salience of infant cues, disengaged parenting behavior, disrupted infant attachment, and decreased child well-being. We conclude with a discussion of Mindfulness-Oriented Recovery Enhancement as a means of addressing mechanisms undergirding perinatal opioid use, parenting, and attachment, presenting evidence on the efficacy and therapeutic mechanisms of mindfulness. As perinatal opioid use increases in the United States, empirically informed models can be used to guide treatment development research and address this growing concern.

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The influence of social relationships on substance use behaviors among pregnant women with opioid use disorder

Cited by 15 publications

References 25 publications

Engagement in Online Communities by New Mothers in Recovery from Opioid Use Disorder

Engagement in Online Communities by New Mothers in Recovery from Opioid Use Disorder

Text Messages Exchanged Between Individuals With Opioid Use Disorder and Their mHealth e-Coaches: Content Analysis Study

An Integrated Mechanistic Model of Mindfulness-Oriented Recovery Enhancement for Opioid-Exposed Mother–Infant Dyads

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