Averting NAS Among Opioid-Using Young Women Receiving MAT Using Buprenorphine (NAS-MIET)
Opioid-use Disorder, Contraception, Neonatal Abstinence Syndrome
About this trial
This is an interventional prevention trial for Opioid-use Disorder focused on measuring opioid use disorder, unplanned pregnancy, long acting reversible contraceptive, medication assisted treatment
Eligibility Criteria
Inclusion Criteria: Consistent with the peak years for having unplanned pregnancies, we will recruit women 18-44 years of age, who are reproductively capable (intact uterus, not sterilized), who are classified with opioid use disorder (OUD) based on a >3 MINI score, and who indicate having male sex partner(s).
Exclusion Criteria: Women will be excluded if they: (1) are knowingly pregnant; (2) are identified as pregnant from an administered pregnancy test; (3) express a current intent to conceive; (4) are currently using Depo-Provera to avert pregnancy; or (5) already have LARC insertion.
Sites / Locations
- Meharry Medical College
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Information Only
Motivational Interviewing and Educational Training (MIET)
Women in both the control and treatment conditions will complete a baseline survey that includes the Mini-International Neuropsychiatric Interview (MINI),34 a contraceptive use survey,35 and the WHO Quality of Life-Brief (WHO-QOL-B).36 Women in the control group will be provided a color brochure with easy-to-read information about the advantages of LARC. Via this brochure, control group women will be provided no-cost options and corresponding referral information for receiving LARC.
Women randomized to the treatment group will complete the baseline survey and receive the same brochure; however, they also will receive structured education regarding unintended pregnancies among women using opioids, potential complications associated with opioid, alcohol, and other drug use, and education on contraceptive use (with an emphasis on LARC). This structured education will be coupled with a brief, initial MI conversation. The interventionist will receive respective patients' MINI for opioids,37 contraceptive survey, and WHO-QOL-B from the research coordinator, and the answers to the survey forms will expedite the conversation around each woman's contraceptive desires.