PDF(Pubmed)
Abstract：
The goal of this study was to describe the development of an educational brochure for pregnant women with opioid use disorders (OUDs) about treatment options. Based on findings from a preliminary review of the literature, we drafted a brochure that addressed the following questions: (1) What are your options (Medication-Assisted Treatment (MAT) versus no treatment)? (2) What are the benefits of MAT? (3) What are the risks of MAT? (4) Can I take buprenorphine or methadone while breastfeeding? (5) Which medication should I choose? Clinicians and doulas (n = 19) who provide care to pregnant women with OUDs were recruited. Semi-structured interviews elicited participants\' feedback on brochure content and their perceptions about brochure use for patient education. Thematic data analyses were performed. Three emergent themes were identified (suggested uses and settings of use, content revisions, and perceptions about the brochure) and used to refine the final brochure. This study provides valuable insights into the desired content of an educational brochure describing treatment options for pregnant women with OUDs from the provider\'s standpoint. Research is needed to assess the use of the brochure in shared decision-making conversations with providers about treatment.
摘要：
这项研究的目的是描述针对阿片类药物使用障碍（OUD）孕妇的教育手册的开发，以了解治疗方案。根据初步文献综述的结果，我们起草了一本小册子，解决了以下问题：（1）您的选择是什么（药物辅助治疗（MAT）与不治疗）？（2）MAT的好处是什么？（3）MAT的风险是什么？（4）我可以在母乳喂养时服用丁丙诺啡或美沙酮吗？（5）我应该选择哪种药物？招募的OUD为孕妇。半结构化访谈引起了参与者对小册子内容的反馈以及他们对小册子用于患者教育的看法。进行了专题数据分析。确定了三个紧急主题(建议的用途和使用设置，内容修订,和对小册子的看法)，并用于完善最终的小册子。这项研究提供了对教育手册所需内容的宝贵见解，该手册从提供者的角度描述了OUD孕妇的治疗方案。需要进行研究以评估该手册在与提供者就治疗进行共享决策对话中的使用情况。
