TY - JOUR
AU - H. Preis
AU - P. M. Djurić
AU - M. Ajirak
AU - V. Mane
AU - D. J. Garry
AU - D. Garretto
AU - K. Herrera
AU - C. Heiselman
AU - L. Marci
A1 - 
AB - BACKGROUND: Psychosocial vulnerabilities (e.g. inadequate social support, financial insecurity, stress) and substance use elevate risks for adverse perinatal outcomes and maternal mental health morbidities. However, various barriers, including paucity of validated, simple and usable comprehensive instruments, impede execution of the recommendations to screen for such vulnerabilities in the first antenatal care visit. The current study presents findings from a newly implemented self-report tool created to overcome screening barriers in outpatient antenatal clinics. METHODS: This was a retrospective chart-review of 904 women who completed the Profile for Maternal & Obstetric Treatment Effectiveness (PROMOTE) during their first antenatal visit between June and December 2019. The PROMOTE includes the 4-item NIDA Quick Screen and 15 additional items that each assess a different psychosocial vulnerability. Statistical analysis included evaluation of missing data, and exploration of missing data patterns using univariate correlations and hierarchical clustering. RESULTS: Three quarters of women (70.0%) had no missing items. In the entire sample, all but four PROMOTE items (opioid use, planned pregnancy, educational level, and financial state) had < 5% missing values, suggesting good acceptability and feasibility. Several respondent-related characteristics such as lower education, less family support, and greater stress were associated with greater likelihood of missing items. Instrument-related characteristics associated with missing values were completing the PROMOTE in Spanish or question positioning at the end of the instrument. CONCLUSIONS AND IMPLICATIONS: Conducting a comprehensive screening of theoretically and clinically meaningful vulnerabilities in an outpatient setting is feasible. Study findings will inform modifications of the PROMOTE and subsequent digitisation.
AD - Department of Psychology, Stony Brook University Stony Brook, New York, USA.; Department of Electrical and Computer Engineering, Stony Brook University, Stony Brook, New York USA.; Department of Obstetrics, Gynecology and Reproductive Medicine, Renaissance School of Medicine, Stony Brook University Stony Brook, New York, USA.
AN - 34787528
BT - J Reprod Infant Psychol
C5 - Opioids & Substance Use; Healthcare Disparities; Measures
CP - 4
DA - Sep
DO - 10.1080/02646838.2021.2004302
DP - NLM
ET - 20211117
IS - 4
JF - J Reprod Infant Psychol
LA - eng
N2 - BACKGROUND: Psychosocial vulnerabilities (e.g. inadequate social support, financial insecurity, stress) and substance use elevate risks for adverse perinatal outcomes and maternal mental health morbidities. However, various barriers, including paucity of validated, simple and usable comprehensive instruments, impede execution of the recommendations to screen for such vulnerabilities in the first antenatal care visit. The current study presents findings from a newly implemented self-report tool created to overcome screening barriers in outpatient antenatal clinics. METHODS: This was a retrospective chart-review of 904 women who completed the Profile for Maternal & Obstetric Treatment Effectiveness (PROMOTE) during their first antenatal visit between June and December 2019. The PROMOTE includes the 4-item NIDA Quick Screen and 15 additional items that each assess a different psychosocial vulnerability. Statistical analysis included evaluation of missing data, and exploration of missing data patterns using univariate correlations and hierarchical clustering. RESULTS: Three quarters of women (70.0%) had no missing items. In the entire sample, all but four PROMOTE items (opioid use, planned pregnancy, educational level, and financial state) had < 5% missing values, suggesting good acceptability and feasibility. Several respondent-related characteristics such as lower education, less family support, and greater stress were associated with greater likelihood of missing items. Instrument-related characteristics associated with missing values were completing the PROMOTE in Spanish or question positioning at the end of the instrument. CONCLUSIONS AND IMPLICATIONS: Conducting a comprehensive screening of theoretically and clinically meaningful vulnerabilities in an outpatient setting is feasible. Study findings will inform modifications of the PROMOTE and subsequent digitisation.
PY - 2023
SN - 0264-6838 (Print); 0264-6838
SP - 376
EP - 390+
ST - Missingness patterns in a comprehensive instrument identifying psychosocial and substance use risk in antenatal care
T1 - Missingness patterns in a comprehensive instrument identifying psychosocial and substance use risk in antenatal care
T2 - J Reprod Infant Psychol
TI - Missingness patterns in a comprehensive instrument identifying psychosocial and substance use risk in antenatal care
U1 - Opioids & Substance Use; Healthcare Disparities; Measures
U3 - 10.1080/02646838.2021.2004302
VL - 41
VO - 0264-6838 (Print); 0264-6838
Y1 - 2023
ER -