College of Nursing, Advancing Chronic Care Outcomes through Research and iNnovation (ACORN) Center, University of South Carolina, Columbia, SC 29208, USA.
Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA.
Int J Environ Res Public Health. 2023 Mar 2;20(5):4457. doi: 10.3390/ijerph20054457.
Little is known about digital health interventions used to support treatment for pregnant and early parenting women (PEPW) with substance use disorders (SUD).
Guided by the Arksey and O'Malley's Scoping Review Framework, empirical studies were identified within the CINAHL, PsycInfo, PubMed, and ProQuest databases using subject headings and free-text keywords. Studies were selected based on a priori inclusion/exclusion criteria, and data extraction and descriptive analysis were performed.
A total of 27 original studies and 30 articles were included. Varying study designs were used, including several feasibility and acceptability studies. However, efficacious findings on abstinence and other clinically important outcomes were reported in several studies. Most studies focused on digital interventions for pregnant women (89.7%), suggesting a dearth of research on how digital technologies may support early parenting women with SUD. No studies included PEPW family members or involved PEPW women in the intervention design.
The science of digital interventions to support treatment for PEPW is in an early stage, but feasibility and efficacy results are promising. Future research should explore community-based participatory partnerships with PEPW to develop or tailor digital interventions and include family or external support systems to engage in the intervention alongside PEPW.
对于用于支持患有物质使用障碍（SUD）的孕妇和产后妇女（PEPW）治疗的数字健康干预措施，知之甚少。
根据 Arksey 和 O'Malley 的范围审查框架，使用 CINAHL、PsycInfo、PubMed 和 ProQuest 数据库中的主题词和自由文本关键词，确定了实证研究。根据事先制定的纳入/排除标准选择研究，并进行数据提取和描述性分析。
共纳入 27 项原始研究和 30 篇文章。使用了不同的研究设计，包括几项可行性和可接受性研究。然而，几项研究报告了关于禁欲和其他临床重要结果的有效发现。大多数研究都集中在针对孕妇的数字干预措施上（89.7%），这表明关于数字技术如何支持患有 SUD 的早期育儿妇女的研究甚少。没有研究包括 PEPW 的家属成员，也没有让 PEPW 妇女参与干预设计。
支持 PEPW 治疗的数字干预措施的科学仍处于早期阶段，但可行性和疗效结果很有希望。未来的研究应探索与 PEPW 合作的基于社区的参与式伙伴关系，以开发或调整数字干预措施，并包括家庭或外部支持系统，让 PEPW 及其家属共同参与干预。
