Adapting to the Pandemic: Protocol of a Web-Based Perinatal Health Study to Improve Maternal and Infant Outcomes.

Autor:	Tzilos Wernette G; Department of Family Medicine, University of Michigan Medical School, Ann Arbor, MI, United States., Countryman K; Department of Family Medicine, University of Michigan Medical School, Ann Arbor, MI, United States., Mmeje O; Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, United States.; Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, United States., Ngo QM; Butler Center for Research, Hazelden Betty Ford Foundation, Center City, MN, United States., Zlotnick C; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, United States.; Department of Medicine, Women and Infants Hospital, Providence, RI, United States.; Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Jazyk:	angličtina
Zdroj:	JMIR research protocols [JMIR Res Protoc] 2021 Sep 10; Vol. 10 (9), pp. e30367. Date of Electronic Publication: 2021 Sep 10.
DOI:	10.2196/30367
Abstrakt:	Background: The identification of interconnected health risks during the perinatal period offers an opportunity to prevent negative maternal and infant health outcomes. Marijuana, opioid, and other substance use during pregnancy is a rapidly growing public health concern with significant and costly health consequences for the woman and the developing fetus. Pregnant persons who misuse substances are disproportionately more likely to engage in risky sexual behaviors resulting in sexually transmitted infections (STIs), which are on the rise in this population and can lead to adverse effects on maternal health and on fetal development. Objective: Our goal is to continue testing an innovative and low-cost technology-delivered intervention, the Health Check-Up for Expectant Moms (HCEM), which simultaneously targets alcohol and drug use and STI risk during pregnancy, both of which are on the rise during the COVID-19 pandemic. Methods: We describe the ways in which we have adapted the web-based HCEM intervention to continue recruitment and study enrollment during the pandemic. Results: Study recruitment, visits, and participant safety assessments were all successfully modified during the initial year of the COVID-19 pandemic. Compared to in-person recruitment that occurred prepandemic, remote recruitment yielded a greater proportion of women enrolled in the study (83/136, 61.0% vs 43/52, 83%) in a shorter period (12 months vs 7 months). Conclusions: Despite study challenges related to the pandemic, including time and effort adapting to a remote protocol, remote recruitment and visits for this study were found to constitute a successful approach. Trial Registration: ClinicalTrials.gov NCT03826342; https://clinicaltrials.gov/ct2/show/NCT03826342. International Registered Report Identifier (irrid): DERR1-10.2196/30367. (©Golfo Tzilos Wernette, Kristina Countryman, Okeoma Mmeje, Quyen M Ngo, Caron Zlotnick. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 10.09.2021.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu