Validation of the 4P's Plus screen for substance use in pregnancy validation of the 4P's Plus.

Objective: The purpose of this study is to validate the 4P's Plus screen for substance use in pregnancy.

Study Design: A total of 228 pregnant women enrolled in prenatal care underwent screening with the 4P's Plus and received a follow-up clinical assessment for substance use. Statistical analyses regarding reliability, sensitivity, specificity, and positive and negative predictive validity of the 4Ps Plus were conducted.

The 4P's Plus screen for substance use in pregnancy: clinical application and outcomes.

Objective: Determine the prevalence of substance use among pregnant women in five diverse communities utilizing the 4P's Plus screen for alcohol, tobacco, and other drug use.

Study Design: Pregnant women enrolled in prenatal care clinics in five communities were screened for substance use with the 4P's Plus. Those women with a positive screen underwent an assessment for substance use through a follow-up structured clinical interview conducted at the same prenatal visit.