Interventions for opioid use disorder during pregnancy
A scoping review
Bibliographic Data
| ID | 15526375 |
|---|---|
| Authors | Amanda L Elmore (0000-0003-3316-2797, University of South Florida, corresponding author), Matt Richey (University of South Florida), Dewan S Tahsin (University of South Florida), Gabriella Hinks (University of South Florida), William Velez-Jimenez (University of South Florida), Allison M Howard (0000-0003-1542-3893, University of South Florida), Tanner Wright (University of South Florida), Anthony Kendle (0000-0003-2647-9294, University of South Florida), Cheryl Vamos (University of South Florida) |
| Year | 2026 |
| Volume | 17 |
| Publication date | 2026-04-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2026.1770262 |
| OpenAlex | W7147701317 |
| Language | EN |
| References cited | 9 |
Background Opioid use disorder during pregnancy (OUD) continues to pose a significant public health challenge, requiring well-designed interventions. This scoping review identifies effective prenatal OUD interventions to promote the use of evidence-based approaches, such as medication for opioid use disorder (MOUD), and inform future research and clinical practice. Methods We searched PubMed, Embase, CINAHL, Scopus, and Web of Science for interventions for OUD during pregnancy from 2013 to 2023. Exclusions were non-English studies, animal research, non-prenatal interventions, pharmacological trials, and studies outside the U.S. Data were extracted on intervention context, sample, study aims, and results. We categorized each intervention by the socioecological model (SEM) level of implementation and applied the RE-AIM framework to evaluate reach, effectiveness, adoption, implementation, and maintenance. Results After review of 1,381 articles, a total of 31 intervention studies were included. Fourteen studies (45%) included over 75% non-Hispanic white participants. Seventeen studies (55%) were conducted at the individual level, six (19%) at the interpersonal level, and eight (26%) at the society/community level. Individual-level interventions focused on coordinated clinical care models, detoxification/tapering from (MOUD), and prenatal education. Interpersonal interventions included clinician education and group therapy. Community-level interventions targeted regional coordination of services, while society level studies examined the impact of policy change on MOUD access. Conclusion We identified a wide range of prenatal OUD interventions with varying approaches and summarized each by SEM implementation level. While MOUD access remains crucial, community-based interventions that address broader social determinants, and societal barriers may have the greatest impact in improving maternal health outcomes. Systematic Review Registration https://osf.io/ , identifier 10.17605/OSF.IO/8ZUAB
Interpersonal communication · Intervention (counseling · MEDLINE · Opioid use disorder · Pregnancy · Prenatal care · Psychological intervention · Public health · Opioid Use Disorder Treatment · Prenatal Substance Exposure Effects · Reproductive Health and Contraception
Steps for Conducting a Scoping Review
RE-AIM Planning and Evaluation Framework
Scoping reviews
An Interactive Game with Virtual Reality Immersion to Improve Cultural Sensitivity in Health Care
Opioid Addiction/Pregnancy and Neonatal Abstinence Syndrome (NAS)
A Comparison of Pregnancy-Only versus Mixed-Gender Group Therapy among Pregnant Women with Opioid Use Disorder
Racial and Ethnic Disparities in Maternal and Infant Outcomes Among Opioid-Exposed Mother–Infant Dyads in Massachusetts (2017–2019)
Medicaid Coverage of Methadone Maintenance and the Use of Opioid Agonist Therapy Among Pregnant Women in Specialty Treatment
Scoping studies
| Citation velocity | historical |
|---|---|
| Highly cited | No |