The National Center on Addiction and Substance Abuse at Columbia University
The goal of this study is to learn about whether digital screening and brief intervention can help address substance use in postpartum mothers who are enrolled in home visiting programs. The main questions it aims to answer are: 1. What combination of digital intervention components work best for postpartum mothers in home visiting programs? 2. What are the factors that help the intervention work best in home visiting, and what factors serve as barriers to the success of the intervention? Participants in the study will include home visiting staff and postpartum home visiting clients. Participants who are home visitors will be asked to participate in focus groups and interviews, introduce the study to their clients and refer interested clients to the study, complete online surveys, and implement the home visitor components of the intervention with their clients who enroll in the study. Participants who are home visiting clients will be asked to participate in focus groups and interviews, complete online surveys, and complete the digital screening and brief intervention sessions.
The postpartum period is a time of significant risk for substance use (SU), as more than half of women who reduce their SU during pregnancy return to pre-pregnancy levels within 3 months postpartum, due to hormonal changes, the stress of caring for a newborn, sleep deprivation, and social isolation. Postpartum SU may increase risk for child maltreatment, which can have devastating impacts on brain development, leading to long-term impairment. Effective treatments for SU exist, but are often not accessed by postpartum mothers due to stigma and fear of child removal. Brief interventions delivere…
Inclusion Criteria: * English-speaking * Age 18 years old or older * Gave birth to a baby within the prior year * Enrolled in a Healthy Families Kansas program with a participating home visitor * Not currently enrolled in substance use treatment Exclusion Criteria: * Does not speak English * Under age 18 years * Did not give birth to a baby within the prior year * Not enrolled in a Healthy Families Kansas program with a participating home visitor * Currently enrolled in substance use treatment
Single 20-minute e-SBI session that includes screening followed by brief motivational intervention.
A 20-minute booster e-SBI session that reinforces content from the main e-SBI session.
4 weeks of daily automated text messages that reinforce content from the e-SBI main session.
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