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 a...
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Wiley
2021
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oai:doaj.org-article:ee59cd81259d441c8e567923f62b2d1a2021-12-02T13:52:49ZA Non‐Randomized Trial of In‐Person Versus Text/Telephone Screening, Brief Intervention and Referral to Treatment for Pregnant and Postpartum Women2575-560910.1176/appi.prcp.20210027https://doaj.org/article/ee59cd81259d441c8e567923f62b2d1a2021-12-01T00:00:00Zhttps://doi.org/10.1176/appi.prcp.20210027https://doaj.org/toc/2575-5609Background 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.Constance GuilleLizmarie MaldonadoAnnie N. SimpsonRoger NewmanCourtney KingBernadette CorteseErin QuigleyNicole DietrichAnna KerrRubin AujlaKathryn KingDee FordKathleen T. BradyWileyarticlePsychiatryRC435-571ENPsychiatric Research and Clinical Practice, Vol 3, Iss 4, Pp 172-183 (2021) |
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Psychiatry RC435-571 |
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Psychiatry RC435-571 Constance Guille Lizmarie Maldonado Annie N. Simpson Roger Newman Courtney King Bernadette Cortese Erin Quigley Nicole Dietrich Anna Kerr Rubin Aujla Kathryn King Dee Ford Kathleen T. Brady A Non‐Randomized Trial of In‐Person Versus Text/Telephone Screening, Brief Intervention and Referral to Treatment for Pregnant and Postpartum Women |
| 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 |
article |
| author |
Constance Guille Lizmarie Maldonado Annie N. Simpson Roger Newman Courtney King Bernadette Cortese Erin Quigley Nicole Dietrich Anna Kerr Rubin Aujla Kathryn King Dee Ford Kathleen T. Brady |
| author_facet |
Constance Guille Lizmarie Maldonado Annie N. Simpson Roger Newman Courtney King Bernadette Cortese Erin Quigley Nicole Dietrich Anna Kerr Rubin Aujla Kathryn King Dee Ford Kathleen T. Brady |
| author_sort |
Constance Guille |
| title |
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_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_sort |
non‐randomized trial of in‐person versus text/telephone screening, brief intervention and referral to treatment for pregnant and postpartum women |
| publisher |
Wiley |
| publishDate |
2021 |
| url |
https://doaj.org/article/ee59cd81259d441c8e567923f62b2d1a |
| work_keys_str_mv |
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