Perinatal Care and Medication Assisted Treatment: Carbon/Emery Counties

Study Overview
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Brief Summary
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The purpose of this study is to enhance perinatal opioid use disorder (OUD) treatment in a rural setting by developing an evaluated curriculum of perinatal OUD provider education.

Detailed Description
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The research team will establish and evaluate a perinatal model of care for OUD serving two counties, Carbon and Emery, which have high rates of OUD and overdose. This model of care will entail University of Utah medical clinicians providing education and webinars to healthcare providers in Carbon/Emery counties who care for pregnant women with OUD and their babies. This model of care will also help other social and behavioral health care providers in the area to understand how to treat and better coordinate care. No clinical services are being provided by University of Utah investigators or staff.

Official Title
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Perinatal Care and Medication Assisted Treatment: Carbon/Emery Counties

Conditions
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Opioid-use Disorder, Pregnancy Related

Intervention / Treatment
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* Other: Perinatal Opioid Use Disorder Education and Enhanced Perinatal Care


Participation Criteria
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Eligibility Criteria
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Provider Inclusion Criteria: Must be employed as staff at one of our sub-contracted agencies or community partners Must directly provide care to pregnant women with OUD in Carbon and/or Emery Counties, UT Provider Exclusion Criteria: Unwilling or unable to adopt treatment approaches presented from University of Utah clinicians to patient care Not directly working with pregnant patients with OUD

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Enhanced Perinatal Care<br>Pregnant women enrolled in the study will receive enhanced perinatal care from community healthcare providers that have participated in the perinatal OUD education curriculum. | Other: Perinatal Opioid Use Disorder Education and Enhanced Perinatal Care<br>* University of Utah clinicians will provide face-to-face, online, and written training materials for health, mental health, and substance use service providers in Carbon and Emery Counties, UT.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-report of linkage and adherence to treatment as assessed by the Treatment Service Review- 6 (TSR-6) | Patients will complete the Treatment Services Review-6 (TSR-6) in order to measure changes in service across time. The TSR-6 is a clinically validated 56-item measure with excellent reliability for assessing drug and alcohol treatment engagement, medication use (including drug, alcohol, psychiatric, and physical health medications), psychiatric care, family services, financial/employment/housing, and legal services. This measure captures linkage/retention in care, that is to say: initiation and daily engagement in services. Specifically, the research team will capture frequency of meetings/sessions/days in OUD and other substance counseling and psychiatric care and social services. The research team will also use the TSR-6 medication use section to capture adherence to buprenorphine or methadone. Data collected will be used to measure change across time in linkage and retention in health and behavioral health services. | This data will be collected from each participant during a baseline assessment, a pre-delivery assessment occurring between 34 and 40 weeks of gestation, and a final assessment conducted within 30-days following delivery. |