A phase I pilot study of a mobile education tool for supporting pregnant women with opioid use disorder

Background: Perinatal opioid use disorder (OUD) and neonatal abstinence syndrome (NAS) require targeted interventions to address gaps in maternal education and support. Maternal involvement in non-pharmacological NAS care is essential for improving neonatal outcomes, yet many mothers lack accessible...

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Main Authors: Ekaterina Burduli, Jessica Fitts Willoughby, Kaylee Paulsgrove, Anna Winquist, Sterling M. McPherson, Ron Kim Johnson, Hendrée E. Jones
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Drug and Alcohol Dependence Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772724625000101
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author Ekaterina Burduli
Jessica Fitts Willoughby
Kaylee Paulsgrove
Anna Winquist
Sterling M. McPherson
Ron Kim Johnson
Hendrée E. Jones
author_facet Ekaterina Burduli
Jessica Fitts Willoughby
Kaylee Paulsgrove
Anna Winquist
Sterling M. McPherson
Ron Kim Johnson
Hendrée E. Jones
author_sort Ekaterina Burduli
collection DOAJ
description Background: Perinatal opioid use disorder (OUD) and neonatal abstinence syndrome (NAS) require targeted interventions to address gaps in maternal education and support. Maternal involvement in non-pharmacological NAS care is essential for improving neonatal outcomes, yet many mothers lack accessible resources to manage NAS symptoms and to navigate social and healthcare challenges. Mobile health applications offer a promising solution, but few cater specifically to the needs of perinatal women with OUD. Objective: We assessed the usability, acceptability, and feasibility of a new mobile educational tool for pregnant women with OUD, focusing on the perinatal period and NAS care. Results: Six perinatal women with OUD (n = 1 pregnant, n = 5 postpartum; mean age 31) found the tool highly acceptable (modified CSQ-8 mean=28.8 out of 32) and usable (modified SUS mean=45.0 out of 50). Most were likely to use the tool during pregnancy and postpartum, citing improved preparedness for advocating for themselves, managing NAS, and navigating CPS. Feedback suggested expanding content on infant withdrawal medications. Conclusions: This mobile tool shows promise in empowering perinatal women with OUD. Further research is needed to evaluate its impact on clinical and neonatal outcomes.
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spelling doaj-art-da45601ba0bc4acfac41622039b8babe2025-08-20T03:24:45ZengElsevierDrug and Alcohol Dependence Reports2772-72462025-06-011510032710.1016/j.dadr.2025.100327A phase I pilot study of a mobile education tool for supporting pregnant women with opioid use disorderEkaterina Burduli0Jessica Fitts Willoughby1Kaylee Paulsgrove2Anna Winquist3Sterling M. McPherson4Ron Kim Johnson5Hendrée E. Jones6Washington State University, Department of Community and Behavioral Health, Elson S. Floyd College of Medicine, Spokane, WA, United States; Washington State University, Program of Excellence in Addictions Research, Spokane, WA, United States; Washington State University, Analytics and PsychoPharmacology Laboratory, Spokane, WA, United States; Correspondence to: Ekaterina Burduli, 412 E Spokane Falls BLVD, Spokane, WA 99210, United States.Washington State University, Department of Strategic Communication, The Edward R. Murrow College of Communication, Pullman, WA, United StatesWashington State University, Department of Community and Behavioral Health, Elson S. Floyd College of Medicine, Spokane, WA, United StatesUniversity of Colorado, Anschutz, College of Nursing, United StatesWashington State University, Department of Community and Behavioral Health, Elson S. Floyd College of Medicine, Spokane, WA, United States; Washington State University, Program of Excellence in Addictions Research, Spokane, WA, United States; Washington State University, Analytics and PsychoPharmacology Laboratory, Spokane, WA, United StatesManaged Health Connections, LLC, Spokane, WA, United StatesUniversity of North Carolina at Chapel Hill, Department of Obstetrics and Gynecology, UNC Horizons, Chapel Hill, NC, United StatesBackground: Perinatal opioid use disorder (OUD) and neonatal abstinence syndrome (NAS) require targeted interventions to address gaps in maternal education and support. Maternal involvement in non-pharmacological NAS care is essential for improving neonatal outcomes, yet many mothers lack accessible resources to manage NAS symptoms and to navigate social and healthcare challenges. Mobile health applications offer a promising solution, but few cater specifically to the needs of perinatal women with OUD. Objective: We assessed the usability, acceptability, and feasibility of a new mobile educational tool for pregnant women with OUD, focusing on the perinatal period and NAS care. Results: Six perinatal women with OUD (n = 1 pregnant, n = 5 postpartum; mean age 31) found the tool highly acceptable (modified CSQ-8 mean=28.8 out of 32) and usable (modified SUS mean=45.0 out of 50). Most were likely to use the tool during pregnancy and postpartum, citing improved preparedness for advocating for themselves, managing NAS, and navigating CPS. Feedback suggested expanding content on infant withdrawal medications. Conclusions: This mobile tool shows promise in empowering perinatal women with OUD. Further research is needed to evaluate its impact on clinical and neonatal outcomes.http://www.sciencedirect.com/science/article/pii/S2772724625000101Neonatal abstinence syndromeOpioid use disorderMHealthVideosPerinatal
spellingShingle Ekaterina Burduli
Jessica Fitts Willoughby
Kaylee Paulsgrove
Anna Winquist
Sterling M. McPherson
Ron Kim Johnson
Hendrée E. Jones
A phase I pilot study of a mobile education tool for supporting pregnant women with opioid use disorder
Drug and Alcohol Dependence Reports
Neonatal abstinence syndrome
Opioid use disorder
MHealth
Videos
Perinatal
title A phase I pilot study of a mobile education tool for supporting pregnant women with opioid use disorder
title_full A phase I pilot study of a mobile education tool for supporting pregnant women with opioid use disorder
title_fullStr A phase I pilot study of a mobile education tool for supporting pregnant women with opioid use disorder
title_full_unstemmed A phase I pilot study of a mobile education tool for supporting pregnant women with opioid use disorder
title_short A phase I pilot study of a mobile education tool for supporting pregnant women with opioid use disorder
title_sort phase i pilot study of a mobile education tool for supporting pregnant women with opioid use disorder
topic Neonatal abstinence syndrome
Opioid use disorder
MHealth
Videos
Perinatal
url http://www.sciencedirect.com/science/article/pii/S2772724625000101
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