Year of Publication
Doctor of Nursing Practice
Dr. Julianne Ossege
Dr. Kristin Ashford
Dr. Hartley Feld
Background: Substance use disorders (SUDs) has become an epidemic. Women of reproductive age with SUDs have particularly complex healthcare needs including an increased risk of having an unintended pregnancy and associated sequela of negative birth outcomes (NBO). Little is known about how medication assisted treatment (MAT) providers are adequately addressing their unique needs. Identifying provider barriers and tools to address the reproductive needs of women with SUDs can optimize their health outcomes and prevent NBOs.
Purpose: The purpose of this study was to evaluate MAT Nurse Practitioners’ (NPs) knowledge and perceptions of providing preconception care to women with SUDs.
Methods: This study was a one-group pre/post intervention design to evaluate the knowledge, perceptions, and barriers of MAT providers. The survey was administered before and after completing an educational module on providing preconception care to women with SUDs. A convenience sample of Kentucky MAT NPs was obtained through electronic and mailed recruitment letters.
Results: There was an increase in knowledge in identifying the key features of the One Key Question ™ preconception care decision making tool after the module. Providers’ self-reported intentions, attitudes, perceived control, and perceived peers’ expectations to provide preconception care to women with SUDs were high in the pre- and post-survey. Providers reported a neutral response related to the expectation of providing preconception care and reported that there is little to no social pressure to provide preconception care.
Discussion: The lack of social pressure, minimal expectations, and barriers in providing preconception care presents an obstacle to the reproductive care of women with SUDs. Increasing preconception care awareness, resources and services in this marginalized population has the potential to impact the health of women with SUDs.
Hughes, Corinna, "EVALUATING PROVIDERS’ PERCEPTIONS ON PRECONCEPTION CARE FOR WOMEN WITH SUD" (2020). DNP Projects. 320.