Substance use during pregnancy is a leading cause of maternal morbidity and mortality in the United States, with 55-80% of postpartum patients disengaging from substance use disorder (SUD) treatment within one year of delivery. Structural and social determinants of health, including housing instability, transportation barriers, and limited childcare access, further exacerbate disparities in treatment retention. This pilot study, conducted in two specialized prenatal care clinics, evaluates the feasibility and acceptability of two integrated strategies to promote sustained engagement in recovery-oriented services during the perinatal and postpartum periods. Aim 1 implements a standardized social needs screening and referral protocol to connect patients with community-based supports. Aim 2 pilots a contingency management intervention to incentivize recovery-supportive behaviors. Findings will inform the design of a larger multi-site randomized controlled trial to evaluate the impact of these interventions on treatment retention, overdose prevention, and maternal-infant health outcomes.
Age range
18 Years
Sex
FEMALE
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
Social Drivers: Enrollment
Timeframe: Enrollment Visit
Social Drivers: Screening
Timeframe: Through study completion, up to six months postpartum
Social Drivers: Documentation of Z-codes
Timeframe: Through study completion, up to six months postpartum
Contingency Management: Intervention Fidelity (Number of Visits)
Timeframe: Weekly from enrollment up to 12 weeks
Contingency Management: Intervention Fidelity (Percentage of Visits)
Timeframe: Weekly from enrollment up to 12 weeks
Contingency Management: Acceptability of Intervention Measure (AIM)
Timeframe: After 3 CM sessions (up to 3 weeks), end of intervention (up to 12 weeks)
Contingency Management: Intervention Appropriateness Measure (IAM)
Timeframe: After 3 CM sessions (up to 3 weeks), end of intervention (up to 12 weeks)
Contingency Management: Feasibility of Intervention Measure (FIM)
Timeframe: After 3 CM sessions (up to 3 weeks), end of intervention (up to 12 weeks)