Abstract
Objective
Previous research suggests gaps in well-child care (WCC) adherence, quality, and effectiveness
for children impacted by parental opioid use disorder (OUD). The objective of this
study was to gather in-depth information regarding maternal and clinician-reported
factors that enhance (“facilitators”) or hinder (“barriers”) WCC engagement as well
as mothers’ experiences during WCC visits.
Methods
Thirty mothers who were in treatment for OUD and 13 clinicians working at a pediatric
primary care clinic participated in this qualitative study. All participants completed
one data collection telephone session which involved a brief questionnaire followed
by a semi-structured interview. Thematic analyses of the interview transcripts were
conducted using an inductive approach.
Results
Three broad themes were identified as facilitators of WCC by mothers and clinicians,
including: 1) continuity in care, 2) addressing material needs, and 3) clinician OUD
training and knowledge. Themes identified as barriers to WCC included: 1) stigma toward
mothers with OUD, 2) gaps in basic parenting knowledge, 3) competing specialized health
care needs, and 4) insufficient time to address all concerns.
Conclusion
WCC programs or clinical pathways designed for families affected by maternal OUD should
consider these barriers and facilitators of WCC engagement and affect experiences
of WCC for mothers and clinicians.
Keywords
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Article info
Publication history
Published online: July 22, 2022
Accepted:
July 16,
2022
Received:
February 27,
2022
Footnotes
The authors have no conflict of interest to disclose.
Identification
Copyright
Copyright © 2022 by Academic Pediatric Association
