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Related Experiment Videos

Measuring self-efficacy in substance abuse intervention in obstetric practices.

J E Schumacher1, M Engle, K Reynolds

  • 1Department of Obstetrics and Gynecology, University of Alabama at Birmingham School of Medicine, USA.

Southern Medical Journal
|May 8, 2000
PubMed
Summary

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An office-based obstetrics training program significantly improved self-efficacy in obstetricians and staff for assessing, managing, and referring patients with substance use issues during pregnancy.

Area of Science:

  • Obstetrics and Gynecology
  • Medical Education
  • Public Health

Background:

  • Substance use during pregnancy poses significant risks to maternal and fetal health.
  • Obstetrician self-efficacy in managing substance use is crucial for effective patient care.
  • Existing training programs may not adequately address the needs of community-based practices.

Purpose of the Study:

  • To evaluate the impact of an office-based obstetrics training program (OBIWOM) on self-efficacy.
  • To assess improvements in substance use assessment, management, and referral skills among obstetricians and staff.
  • To determine the effectiveness of training in private, community-based obstetric settings.

Main Methods:

  • A delayed treatment design was employed with 10 community-based private obstetric practices.

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  • Participants were randomly assigned to either an immediate intervention group or a delayed (control) group.
  • Self-efficacy was measured at baseline and follow-up points.
  • Main Results:

    • The immediate intervention group showed a significant increase in self-efficacy post-training.
    • No significant changes in self-efficacy were observed in the delayed (control) group during the same period.
    • The training's positive impact on assessment self-efficacy was evident in the delayed group after their intervention.

    Conclusions:

    • Education and training are effective in enhancing obstetrician and staff self-efficacy.
    • The OBIWOM program demonstrates a viable approach to improving substance use management in pregnancy.
    • Targeted training can empower healthcare providers in community-based settings to address substance use challenges.