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Missingness patterns in a comprehensive instrument identifying psychosocial and substance use risk in antenatal care.

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Title: Missingness patterns in a comprehensive instrument identifying psychosocial and substance use risk in antenatal care.
Authors: Preis, Heidi, Djurić, Petar M., Ajirak, Marzieh, Mane, Vibha, Garry, David J., Garretto, Diana, Herrera, Kimberly, Heiselman, Cassandra, Marci, Lobel
Source: Journal of Reproductive & Infant Psychology. Sep2023, Vol. 41 Issue 4, p376-390. 15p. 1 Diagram, 2 Charts, 1 Graph.
Subjects: Substance abuse diagnosis, Statistics, Social support, Psychology of mothers, Clinics, Mental health, Diseases, Retrospective studies, Acquisition of data, Risk assessment, Pregnancy outcomes, Financial stress, Medical records, Questionnaires, Disease susceptibility, Research funding, Prenatal care, Medical appointments, Cluster analysis (Statistics)
Abstract: Psychosocial vulnerabilities (e.g. inadequate social support, financial insecurity, stress) and substance use elevate risks for adverse perinatal outcomes and maternal mental health morbidities. However, various barriers, including paucity of validated, simple and usable comprehensive instruments, impede execution of the recommendations to screen for such vulnerabilities in the first antenatal care visit. The current study presents findings from a newly implemented self-report tool created to overcome screening barriers in outpatient antenatal clinics. This was a retrospective chart-review of 904 women who completed the Profile for Maternal & Obstetric Treatment Effectiveness (PROMOTE) during their first antenatal visit between June and December 2019. The PROMOTE includes the 4-item NIDA Quick Screen and 15 additional items that each assess a different psychosocial vulnerability. Statistical analysis included evaluation of missing data, and exploration of missing data patterns using univariate correlations and hierarchical clustering. Three quarters of women (70.0%) had no missing items. In the entire sample, all but four PROMOTE items (opioid use, planned pregnancy, educational level, and financial state) had < 5% missing values, suggesting good acceptability and feasibility. Several respondent-related characteristics such as lower education, less family support, and greater stress were associated with greater likelihood of missing items. Instrument-related characteristics associated with missing values were completing the PROMOTE in Spanish or question positioning at the end of the instrument. Conducting a comprehensive screening of theoretically and clinically meaningful vulnerabilities in an outpatient setting is feasible. Study findings will inform modifications of the PROMOTE and subsequent digitisation. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Reproductive & Infant Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Missingness patterns in a comprehensive instrument identifying psychosocial and substance use risk in antenatal care.
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– Name: Abstract
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  Data: Psychosocial vulnerabilities (e.g. inadequate social support, financial insecurity, stress) and substance use elevate risks for adverse perinatal outcomes and maternal mental health morbidities. However, various barriers, including paucity of validated, simple and usable comprehensive instruments, impede execution of the recommendations to screen for such vulnerabilities in the first antenatal care visit. The current study presents findings from a newly implemented self-report tool created to overcome screening barriers in outpatient antenatal clinics. This was a retrospective chart-review of 904 women who completed the Profile for Maternal &amp; Obstetric Treatment Effectiveness (PROMOTE) during their first antenatal visit between June and December 2019. The PROMOTE includes the 4-item NIDA Quick Screen and 15 additional items that each assess a different psychosocial vulnerability. Statistical analysis included evaluation of missing data, and exploration of missing data patterns using univariate correlations and hierarchical clustering. Three quarters of women (70.0%) had no missing items. In the entire sample, all but four PROMOTE items (opioid use, planned pregnancy, educational level, and financial state) had &lt; 5% missing values, suggesting good acceptability and feasibility. Several respondent-related characteristics such as lower education, less family support, and greater stress were associated with greater likelihood of missing items. Instrument-related characteristics associated with missing values were completing the PROMOTE in Spanish or question positioning at the end of the instrument. Conducting a comprehensive screening of theoretically and clinically meaningful vulnerabilities in an outpatient setting is feasible. Study findings will inform modifications of the PROMOTE and subsequent digitisation. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Reproductive &amp; Infant Psychology is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=164784315
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/02646838.2021.2004302
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 15
        StartPage: 376
    Subjects:
      – SubjectFull: Substance abuse diagnosis
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Psychology of mothers
        Type: general
      – SubjectFull: Clinics
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Diseases
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Acquisition of data
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Pregnancy outcomes
        Type: general
      – SubjectFull: Financial stress
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Disease susceptibility
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Prenatal care
        Type: general
      – SubjectFull: Medical appointments
        Type: general
      – SubjectFull: Cluster analysis (Statistics)
        Type: general
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      – TitleFull: Missingness patterns in a comprehensive instrument identifying psychosocial and substance use risk in antenatal care.
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            – D: 01
              M: 09
              Text: Sep2023
              Type: published
              Y: 2023
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