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Journal of Community Health

, Volume 44, Issue 6, pp 1127–1134 | Cite as

Perceptions of Pediatric Primary Care Among Mothers in Treatment for Opioid Use Disorder

  • Vanessa L. ShortEmail author
  • Neera K. Goyal
  • Esther K. Chung
  • Dennis J. Hand
  • Diane J. Abatemarco
Original Paper

Abstract

To assess receipt of anticipatory guidance and family-centered care during well-child care (WCC) for children of mothers with opioid use disorder (OUD). Cross-sectional survey of 157 mothers receiving treatment for OUD who had a child < 3 years old and received primary care. Survey items evaluated (1) receipt of anticipatory guidance on 15 topics during WCC for the participant’s child and (2) whether WCC was family-centered. The percentage of participants who reported guidance for each topic and the distribution of responses on family-centered items were calculated. A Pearson correlation was conducted to evaluate the association between the total number of topics for which anticipatory guidance was received and the family centeredness summary score. Receipt of anticipatory guidance varied by topic, ranging from 59% for guidance on childcare to 98% for guidance on safe sleep. Less than two-thirds of mothers reported that their child’s provider “always” knew their child’s medical history (56%), listened carefully (58%), clearly explained things (61%), and respected the mother (62%). Less than half reported that the provider spent enough time with them, and less than one-third reported that they were asked for their viewpoints. Anticipatory guidance and family-centeredness scores were positively correlated (r = 0.22, P = 0.006). Mothers with OUD report gaps in anticipatory guidance on important WCC topics, and limited family-centered care for their children. Further research may focus on refinements to the delivery of care for this population.

Keywords

Anticipatory guidance Family-centered care Maternal opioid use disorder Perceptions Well-child care 

Notes

Funding

Funding for PSMDT was provided by U.S. Children's Bureau with Grant No. 90CB0190.

Compliance with Ethical Standards

Conflict of interest

The authors declare that there is no conflict of interest.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Obstetrics and GynecologyThomas Jefferson UniversityPhiladelphiaUSA
  2. 2.Department of PediatricsSidney Kimmel College of Medicine at Thomas Jefferson UniversityPhiladelphiaUSA
  3. 3.Nemours/Alfred I. duPont Hospital for ChildrenWilmingtonUSA
  4. 4.Department of Psychiatry & Human BehaviorThomas Jefferson UniversityPhiladelphiaUSA
  5. 5.Thomas Jefferson UniversityPhiladelphiaUSA

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