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Reproductive Decision Support Tool for Women with Substance Use Disorders: Development of a Pilot Study

Deans, Samantha Johanna (2021) Reproductive Decision Support Tool for Women with Substance Use Disorders: Development of a Pilot Study. Master Essay, University of Pittsburgh.

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Women with substance use disorders (SUDs) have significant unmet reproductive health needs that represent a major public health challenge. Research in this area has largely focused on increasing use of highly effective long-acting reversible contraceptive (LARC) methods, which neglects the myriad factors that influences reproductive health decision-making in this population. Utilization of MyPath, a patient-facing reproductive health decision-making tool, could improve the reproductive health of women with SUDs and decrease unintended pregnancy.

This essay proposes a pilot study to evaluate the acceptability and feasibility of incorporating MyPath into existing clinical pathways in a SUD treatment program as a public health intervention. This study will be conducted virtually through a single substance use treatment program within the University of Pittsburgh Medical Center (UPMC). We will recruit women aged 18-45 years with SUDs to participate. First, we will enroll participants (n=33) receiving usual care to evaluate baseline family planning discussions and referrals to women’s health providers in SUD treatment settings. We will subsequently enroll participants (n=33) to the MyPath intervention. Participants will complete a pre-visit survey, including demographics and current reproductive health goals. Participants enrolled in the intervention will navigate through the online MyPath tool and receive a summary page that they can share with their provider. All participants will complete a post-visit survey to measure occurrence of family planning discussions, referrals, and satisfaction with the services they received. Providers will be asked to complete an exit survey to assess feasibility of incorporating MyPath into their clinical workflow and their comfort with reproductive counseling and referring. Our primary outcomes are feasibility, as measured by proportion of participants who enroll and complete all study procedures and provider assessments of ease of incorporating MyPath into workflow, and acceptability, as measured by patient satisfaction with use of MyPath and provider comfort with reproductive discussions and referrals as prompted by MyPath. This study will lay the groundwork for a larger public health intervention, with potential to improve reproductive autonomy and help women with SUDs to achieve the families they desire.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Deans, Samantha Johannasjd88@pitt.edusjd880000-0001-5289-0103
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairFinegold, Daviddnf@pitt.edudnfUNSPECIFIED
Date: 12 May 2021
Date Type: Completion
Submission Date: 29 April 2021
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 46
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Multidisciplinary MPH
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: MyPath, substance use disorder, reproductive health
Date Deposited: 12 May 2021 19:32
Last Modified: 12 May 2021 19:32


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