Literature DB >> 20014912

Characteristics of opioid-using pregnant women who accept or refuse participation in a clinical trial: screening results from the MOTHER study.

Susan M Stine1, Sarah H Heil, Karol Kaltenbach, Peter R Martin, Mara G Coyle, Gabriele Fischer, Amelia M Arria, Peter Selby, Hendree E Jones.   

Abstract

BACKGROUND: Although concerns arise about the generalizability of results from Randomized Controlled Trials (RCTs), few studies systematically examine this issue.
OBJECTIVES: This study compared the characteristics of 427 opioid-using pregnant women who did (n = 208) and did not consent (n = 219) to enrollment in a multicenter clinical trial of agonist medications (i.e., the MOTHER study).
METHODS: Logistic regression models were used to compare consenters and non-consenters to examine the effect of screening variables on the likelihood of consenting.
RESULTS: Of nine characteristics examined, most differences did not reach statistical significance. Consenting participants were less likely than non-consenting women to be currently enrolled in a methadone maintenance program (74.5% vs. 84.5%, p =.01). CONCLUSION AND SCIENTIFIC SIGNIFICANCE: These data show that the recruited sample of drug-dependent pregnant women enrolled in an intensive RCT is representative of the larger population of treated opioid-dependent patients and supports the generalizability of randomized controlled trials in this population.

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Year:  2009        PMID: 20014912      PMCID: PMC2925421          DOI: 10.3109/00952990903374080

Source DB:  PubMed          Journal:  Am J Drug Alcohol Abuse        ISSN: 0095-2990            Impact factor:   3.829


  25 in total

Review 1.  Can randomised trials inform clinical decisions about individual patients?

Authors:  D Mant
Journal:  Lancet       Date:  1999-02-27       Impact factor: 79.321

2.  Increasing levels of restriction in pharmacoepidemiologic database studies of elderly and comparison with randomized trial results.

Authors:  Sebastian Schneeweiss; Amanda R Patrick; Til Stürmer; M Alan Brookhart; Jerry Avorn; Malcolm Maclure; Kenneth J Rothman; Robert J Glynn
Journal:  Med Care       Date:  2007-10       Impact factor: 2.983

3.  Prospective multicenter observational study of 260 infants born to 259 opiate-dependent mothers on methadone or high-dose buprenophine substitution.

Authors:  Claude Lejeune; Laurence Simmat-Durand; Laurent Gourarier; Sandrine Aubisson
Journal:  Drug Alcohol Depend       Date:  2005-10-27       Impact factor: 4.492

4.  Treatment compliance among prenatal care patients with substance abuse problems.

Authors:  K A Clark; D L Dee; P L Bale; S L Martin
Journal:  Am J Drug Alcohol Abuse       Date:  2001-02       Impact factor: 3.829

5.  Buprenorphine versus methadone in the treatment of pregnant opioid-dependent patients: effects on the neonatal abstinence syndrome.

Authors:  Hendree E Jones; Rolley E Johnson; Donald R Jasinski; Kevin E O'Grady; Christian A Chisholm; Robin E Choo; Michael Crocetti; Robert Dudas; Cheryl Harrow; Marilyn A Huestis; Lauren M Jansson; Michael Lantz; Barry M Lester; Lorraine Milio
Journal:  Drug Alcohol Depend       Date:  2005-07       Impact factor: 4.492

6.  Do STD clinic patients who consent to sexual health research differ from those who decline? Findings from a randomized controlled trial with implications for the generalization of research results.

Authors:  Michael P Carey; Theresa E Senn; Peter A Vanable; Patricia Coury-Doniger; Marguerite A Urban
Journal:  Sex Transm Dis       Date:  2008-01       Impact factor: 2.830

Review 7.  Buprenorphine maintenance versus placebo or methadone maintenance for opioid dependence.

Authors:  R P Mattick; J Kimber; C Breen; M Davoli
Journal:  Cochrane Database Syst Rev       Date:  2008-04-16

8.  Does pregnancy affect outcome of methadone maintenance treatment?

Authors:  Cynthia Crandall; Ross D Crosby; Gregory A Carlson
Journal:  J Subst Abuse Treat       Date:  2004-06

9.  The impact of managed care on drug-dependent pregnant and postpartum women and their children.

Authors:  Lauren M Jansson; Dace S Svikis; Martha Velez; Erik Fitzgerald; Hendrée E Jones
Journal:  Subst Use Misuse       Date:  2007       Impact factor: 2.164

Review 10.  Treatment of opioid-dependent pregnant women: clinical and research issues.

Authors:  Hendree E Jones; Peter R Martin; Sarah H Heil; Karol Kaltenbach; Peter Selby; Mara G Coyle; Susan M Stine; Kevin E O'Grady; Amelia M Arria; Gabriele Fischer
Journal:  J Subst Abuse Treat       Date:  2008-01-14
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1.  Influence of site differences between urban and rural American and Central European opioid-dependent pregnant women and neonatal outcome characteristics.

Authors:  Andjela Baewert; Reinhold Jagsch; Bernadette Winklbaur; Gerda Kaiser; Kenneth Thau; Annemarie Unger; Constantin Aschauer; Manfred Weninger; Verena Metz
Journal:  Eur Addict Res       Date:  2012-02-21       Impact factor: 3.015

2.  Increasing pregnancy-related use of prescribed opioid analgesics.

Authors:  Richard A Epstein; William V Bobo; Peter R Martin; James A Morrow; Wei Wang; Rameela Chandrasekhar; William O Cooper
Journal:  Ann Epidemiol       Date:  2013-08       Impact factor: 3.797

3.  Non-medical opioid use and sources of opioids among pregnant and non-pregnant reproductive-aged women.

Authors:  Katy B Kozhimannil; Amy J Graves; Marian Jarlenski; Alene Kennedy-Hendricks; Sarah Gollust; Colleen L Barry
Journal:  Drug Alcohol Depend       Date:  2017-03-10       Impact factor: 4.492

4.  Are male neonates more vulnerable to neonatal abstinence syndrome than female neonates?

Authors:  Annemarie Unger; Reinhold Jagsch; Andjela Bäwert; Bernadette Winklbaur; Klaudia Rohrmeister; Peter R Martin; Mara Coyle; Gabriele Fischer
Journal:  Gend Med       Date:  2011-11-15

5.  Neonatal abstinence syndrome after methadone or buprenorphine exposure.

Authors:  Hendrée E Jones; Karol Kaltenbach; Sarah H Heil; Susan M Stine; Mara G Coyle; Amelia M Arria; Kevin E O'Grady; Peter Selby; Peter R Martin; Gabriele Fischer
Journal:  N Engl J Med       Date:  2010-12-09       Impact factor: 91.245

6.  Randomized controlled trials in pregnancy: scientific and ethical aspects. Exposure to different opioid medications during pregnancy in an intra-individual comparison.

Authors:  Annemarie Unger; Reinhold Jagsch; Hendree Jones; Amelia Arria; Harald Leitich; Klaudia Rohrmeister; Constantin Aschauer; Berndadette Winklbaur; Andjela Bäwert; Gabriele Fischer
Journal:  Addiction       Date:  2011-05-12       Impact factor: 6.526

Review 7.  The treatment of alcohol and opioid dependence in pregnant women.

Authors:  Annemarie Heberlein; Lorenzo Leggio; Dirk Stichtenoth; Thomas Hillemacher
Journal:  Curr Opin Psychiatry       Date:  2012-11       Impact factor: 4.741

Review 8.  Pharmacologic management of the opioid neonatal abstinence syndrome.

Authors:  Walter K Kraft; John N van den Anker
Journal:  Pediatr Clin North Am       Date:  2012-08-30       Impact factor: 3.278

9.  Maintenance agonist treatments for opiate-dependent pregnant women.

Authors:  Silvia Minozzi; Laura Amato; Shayesteh Jahanfar; Cristina Bellisario; Marica Ferri; Marina Davoli
Journal:  Cochrane Database Syst Rev       Date:  2020-11-09

10.  Non-pharmacological care for opioid withdrawal in newborns.

Authors:  Adrienne Pahl; Leslie Young; Madge E Buus-Frank; Lenora Marcellus; Roger Soll
Journal:  Cochrane Database Syst Rev       Date:  2020-12-21
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