Identifying Self-Management Support Needs for Pregnant Women With Opioid Misuse in Online Health Communities: Mixed Methods Analysis of Web Posts

The current opioid crisis in the United States impacts broad population groups, including pregnant women. Opioid use during pregnancy can affect the health and wellness of both mothers and their infants. Understanding women's efforts to self-manage opioid use or misuse in pregnancy is needed to...

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Bibliographic Details
Published in:Journal of medical Internet research 2021-02, Vol.23 (2), p.e18296-e18296
Main Authors: Liang, Ou Stella, Chen, Yunan, Bennett, David S, Yang, Christopher C
Format: Article
Language:English
Subjects:
Child welfare
Consumer health information
Dosage
Drug abuse
Drug addiction
Drug use
Drug withdrawal
Drugs
Emotions
Female
Harm reduction
Health
Heroin
Humans
Infants
Internet
Internet Use
Intervention
Management
Maternal and infant welfare
Medical screening
Medical treatment
Misinformation
Mixed methods research
Mothers
Multimedia
Narcotics
Needs
Negative emotions
Opioid-Related Disorders - psychology
Opioid-Related Disorders - therapy
Opioids
Original Paper
Pain
Peer tutoring
Pregnancy
Pregnant Women - psychology
Prenatal care
Prone
Public policy
Punishment
Relapse
Saturation
Self-Management - psychology
Side effects
Social networks
Social support
Substance abuse
Substance abuse treatment
Support networks
Tests
Women
Womens health
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Summary:The current opioid crisis in the United States impacts broad population groups, including pregnant women. Opioid use during pregnancy can affect the health and wellness of both mothers and their infants. Understanding women's efforts to self-manage opioid use or misuse in pregnancy is needed to identify intervention points for improving maternal outcomes. This study aims to identify the characteristics of women in an online health community (OHC) with opioid use or misuse during pregnancy and the self-management support needs of these mothers. A total of 200 web posts by pregnant women with opioid use participating in an OHC were double coded. Concepts and their thematic connections were identified through an inductive process until theoretical saturation was reached. Statistical tests were performed to identify patterns. The majority of pregnant women (150/200, 75.0%) in the OHC exhibited signs of misuse, and 62.5% (125/200) of the participants were either contemplating or pursuing dosage reduction. Self-managed withdrawal was more common (P
ISSN:1438-8871
1439-4456
1438-8871
DOI:10.2196/18296