Background And Objectives: Parenting women in treatment for opioid use disorder (OUD) report a lack of family centeredness and anticipatory guidance within well child care (WCC), and WCC utilization is low among affected children. We explore priorities for WCC visit content to inform primary care recommendations for this population.
Methods: This study is a qualitative study of parenting women from one urban, academic OUD treatment program and pediatric primary care clinicians from a nearby affiliated pediatric practice. Eligible parent participants had a child ≤2 years old and were English speaking. Semistructured interviews elicited perspectives on WCC, with questions and prompts related to visit content. Inductive thematic analysis was led by 2 investigators using open coding procedures.
Results: Among 30 parent participants, the majority were White (83%) and unmarried (90%). Approximately 60% reported their child received pharmacotherapy for neonatal opioid withdrawal syndrome. Of 13 participating clinicians, 9 were attending pediatricians. Five themes emerged from parental and clinician interviews: (1) improving knowledge and confidence related to child development, behavior, and nutrition; (2) mitigating safety concerns; (3) addressing complex health and subspecialty needs through care coordination; (4) acknowledging parental health and wellbeing in the pediatric encounter; and (5) supporting health education and care related to neonatal opioid withdrawal syndrome. Parents and clinicians expressed difficulty comprehensively addressing such issues due to time constraints, social determinants of health, and significant informational needs.
Conclusions: Parenting women in treatment for OUD and pediatric clinicians share multiple priorities for anticipatory guidance within WCC visits and barriers to addressing them comprehensively.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10872568 | PMC |
| http://dx.doi.org/10.1097/ADM.0000000000001243 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Predicting outcomes with compounding comorbidities - Left-sided congenital diaphragmatic hernia complicated by pre-viable premature rupture of the membranes: A case report.
Case Rep Womens Health
March 2025
Westmead Hospital, New South Wales, Australia.
This case report describes the difficulty in predicting the outcomes for a fetus affected with both left-sided congenital diaphragmatic hernia and second-trimester pre-viable rupture of membranes. Despite the reserved prognosis at the time of diagnosis, a favourable outcome was obtained. The case highlights the relevance of established prognosticators such as the observed/expected lung/head ratio and also underscores the importance of balanced counselling and providing parents with realistic expectations and appropriate support.
View Article and Find Full Text PDFCardiovascular complications in chronic active Epstein-Barr virus disease: a case report and literature review.
Front Pediatr
January 2025
Key Laboratory of Birth Defects and Related Diseases of Women and Children of Ministry of Education (MOE), West China Institute of Women and Children's Health, Key Laboratory of Development and Diseases of Women and Children of Sichuan Province, Department of Pediatrics, Department of Pediatric Cardiology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.
Background: Cardiovascular involvement is a rare but severe complication of Epstein-Barr virus (EBV) infections. Patients with chronic active EBV (CAEBV) are at increased risk of developing cardiovascular complications and have a poor prognosis. Here, we report the rare case of a pediatric patient with CAEBV and EBV- hemophagocytic lymphohistiocytosis (HLH) complicated with a giant coronary artery aneurysm (CAA) and thrombosis, a giant Valsalva sinus aneurysm, and ascending aorta dilation seven years after the disease onset.
View Article and Find Full Text PDFNavigating trauma: Venezuelan women's and adolescent's experiences before and after migration amidst the humanitarian crisis.
J Migr Health
January 2025
Community Health and Prevention Department, Drexel University, Philadelphia, United States.
Migrant and refugee women and adolescents are extremely vulnerable in humanitarian crisis and armed conflict contexts. The Venezuelan crisis has unleashed the largest exodus of migrants/refugees in recent Latin American history, most of whom have relocated to Colombia. There is a scarcity of research addressing the how adverse and traumatic experiences related to violence presents mental health amidst the Venezuelan-Colombian humanitarian crisis context and how it affects communities in relocation communities.
View Article and Find Full Text PDFLongitudinal Cross-Lagged Analysis Between Depressive Symptoms, Social Withdrawal, Self-Esteem, and School Adaptation in Multicultural Adolescents.
Psychol Belg
January 2025
College of General Education, Kookmin University, Seoul, South Korea.
In Korea, as the number of multicultural families formed through the marriage of Korean men and foreign women from lower-income countries such as China, Southeast Asia, and Central Asia increases, the psychosocial adaptation of adolescents from these families is becoming increasingly important. This study examines the longitudinal and reciprocal relationships among depressive symptoms, social withdrawal, self-esteem, and school adaptation in multicultural adolescents in high schools. We applied an autoregressive cross-lagged model to a sample of 594 multicultural adolescents extracted from three consecutive years of data from the Multicultural Adolescents Panel Survey and found that depressive symptoms and school adaptation had reciprocal negative relationships in multicultural adolescents' first and second years of high school.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!