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Journal Article Critique

Journal Article Critique: Peer-Reviewed Article


on 27 September 2012

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Transcript of Journal Article Critique

The Effect of Postdetoxification Drug-Free Residential Living on Birth Outcome Catherine Vernon The effect of postdetoxification drug-free living on birth outcome of the pregnant drug abuser. Statement of Problem/Issue Statistical Data: Number Drug-Exposed Neonates & U.S. Dollars spent annually

Scientific connections between drugs and birth outcome:Weight , length and Stay in nursery Literature Review -Deficiency in research:the need for a type of program that will:
A) Preserve the probable advantages of a totally residential program
B) Eliminate the barriers identified in this study

-Deficiency in existing research: The need for a type of program that will preserve the probable advantages of a totally residential program while eliminating the barriers identified by the study In-hospital detoxification and stabilization from drug use followed by a drug-free residential living with appropriate prenatal care will improve birth outcome, compared to a similar group of patients cared for at our clinic and hospital who received only outpatient substance abuse treatment. Hypothesis Will in Hospital Detoxification and stabilization from drug use followed by drug-free residential living with prenatal care improve birth outcome in the pregnant drug abuser?
Research Question The research strategy for this study was explanatory and implied cross-sectional research design based off the findings. Research Strategy (Design) Collection Methods: Prenatal care, self referrals, and urine toxicological screens at every prenatal visit Data Collection/Recording 9/27/12 Data Analyzed Systematically: Variables and client profile characteristics documented, findings documented Collection Methods: Appropiate,
Proper-Drug Screening, Recording Methods: prenatal care documentation and visits, communication with nurses providing care Systematically organized by category and group Chi-square test and/or Fisher's exact test for categorical data in addition to the Student's t test or analysis of variance for continuous data Data Analysis Procedures Procedures were applied to make comparisons between the data Client Profiles & Infant data was displayed in table format Procedures to analyze: thoroughly explained, specific, and included use of presentation formats. Establish model to evaluate whether residential living would improve the birth outcome

Publicize the effectiveness of their mode of care so that other care takers could utilize Ethics Control of ethical issues:
withdrawal from treatment at anytime, findings kept confidential, non intrusive data collection,

Problem with ethics:
Disconnection from families in residential living, adherence to program, withholding treatment Limitations:Out of the 152 women who were evaluated during prescreening, eighty percent of those who were found unsuitable did not want to participate in the study for various reasons outside of the purpose and procedures of the study. Limitations NOT Mentioned:
intrusive, stress inflicted disruption of natural environment, forced participation, pressure and responsibility to normalize pregnancy, awareness of required drug testing Limitations Discussed:
Reluctance, realistic, bias, hinder size and amount of data

detoxification of a pregnant addict followed by a totally drug-free supervised residential living with suitable accommodation and nutrition leads to significantly heavier babies who are discharged home with their mothers sooner than babies of a similar group of substance abusing non residential aftercare mothers who were given a similar prenatal care without alteration to their usual lifestyle Significance of Study: Effective model for drug abuse management, study can be used for replication, findings in this study can be used with others to ensure validity of intervention,

Study is unique and provides cost effective approach, funding, proposed development in other agencies Contributing to Social Work Knowledgebase:
Kyei-Aboagye, K., Acker, D. B., & MacBain, D. (1998). The effect of postdetoxification drug-free residential living on birth outcome in the pregnant drug abuser. Substance Abuse, 19(3), 123-128. doi: 10.1023/A:1021355213104 Reference:
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