This study involves testing how useful a technology-enhanced intervention is for pregnant people prescribed buprenorphine for the management of opioid use disorder. The intervention being studied is a brief therapy protocol and a mobile application. Participation involves four 60-minute biweekly (i.e., once every other week) therapy appointments during pregnancy, and three 30-minute therapy appointments monthly during the first three months after childbirth. The mobile application will be accessible for at least the duration of the study. Participants will also be asked to complete questionnaires at enrollment and again at 1-month postpartum and 3-months postpartum, and will be contacted approximately once a month to conduct a medication count. The total duration of the study is 6 months. Compensation is provided.
This research study aims to find out the effect of REPOSE, a screening and patient navigation intervention, on the receipt of equitable care among racially and ethnically diverse children with Sleep Disordered Breathing (SDB).
In this study, parents and their child will participate in the REPOSE Patient Navigation Intervention, where the child will be screened for SDB at their pediatric well-visit. If the child's screening is positive, the parent will be asked if they and the child would like to be a part of the REPOSE Patient Navigation Intervention. The REPOSE patient navigation will utilize a patient navigator that will a) ID and address dynamic individual barriers to care, b) provide education and social support for parents and children who are diagnosed with SDB, and c) coordinate care between medical providers and parent/child to complete evidence-based care (e.g., sleep study, tonsillectomy). The navigator will follow patients to completion of recommended treatment or up to 6 months after enrollment.
Patient Navigation has been proven to benefit adult cancer patients but has not been tested in pediatric patients with sleep-disordered breathing. This study is an effort to demonstrate whether patient navigation is effective in increasing the receipt of equitable care for children with SDB. The REPOSE Intervention is designed to guide parents of children with SDB through and around barriers in the complex healthcare system to achieve timely diagnosis and treatment.