Thesis
Treatment efficacy for antenatal substance use: a meta-analysis
Master of Science (M.S.), Drexel University
Sep 2013
DOI:
https://doi.org/10.17918/etd-6554
Abstract
This study was a meta-analysis of treatment outcome studies that have examined substance use treatment for pregnant women. To date, there have been no systematic reviews of this literature. Two independent coders collected the available studies and independently coded multiple variables, including statistical, methodological, client, and program factors. Quantitative outcomes were aggregated a) to determine whether substance use treatment programs for pregnant women were effective, and b) to examine additional variables, such as the type of intervention or treatment setting, that may have moderated the overall treatment effect. Twentysix studies met inclusion criteria. The overall treatment effect when aggregating across outcome variables was in the small to moderate range; the standard difference of means (SDM) was .3 (p<.001). Treatment seemed to have the greatest impact (SDM=.7, p<.0001) on maternal outcome variables, such as employment status, comorbid mental health disorders, parenting skills, prenatal visit compliance, and medical and health status. When assessing the overall treatment effect as determined by treatment/drug use outcomes, the SDM was .3 (p<.0001). For birth outcomes, the overall SDM was .2 (p<.001). Both the type of intervention treatment and the treatment setting significantly moderated the overall treatment effect. Substance use programs targeting pregnant women with substance use disorders appear to be beneficial, especially when a behavioral-contingency component or methadone maintenance component is added to the treatment protocol.
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Details
- Title
- Treatment efficacy for antenatal substance use
- Creators
- Julie Present Koller - DU
- Contributors
- David S. DeMatteo (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Master of Science (M.S.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Resource Type
- Thesis
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); College of Arts and Sciences; Drexel University
- Other Identifier
- 6554; 991014632413204721