{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T23:14:07Z","timestamp":1784934847698,"version":"3.55.0"},"reference-count":9,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,1,4]],"date-time":"2021-01-04T00:00:00Z","timestamp":1609718400000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ACR Open Rheumatology"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>We sought to evaluate and improve knowledge of lactation compatibility of medications commonly used to treat rheumatic diseases among rheumatology, obstetric, and newborn providers practicing at an academic safety net hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Baseline knowledge of rheumatic disease medication compatibility with lactation among 49 providers was obtained via a multiple\u2010choice questionnaire. Following initial evaluation, providers were given a rheumatic diseases and lactation information card. The questionnaire was readministered at the time of card distribution and 5 months later.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At baseline, more rheumatology providers correctly identified a higher number of lactation\u2010compatible and noncompatible medications than nonrheumatology providers (78% and 65% vs 31% and 46%, respectively; <jats:italic>P<\/jats:italic> &lt; 0.0001). After the intervention, rheumatology providers correctly identified lactation\u2010compatible and noncompatible medications 98% and 100% of the time, compared with 78% and 65% of the time before the intervention (<jats:italic>P<\/jats:italic> &lt; 0.0001 and <jats:italic>P<\/jats:italic> &lt; 0.0001). This improvement was durable because rheumatology providers correctly identified lactation\u2010compatible and noncompatible medications 96% and 98% of the time 5 months following the initial intervention (<jats:italic>P<\/jats:italic> = 0.0021 and <jats:italic>P<\/jats:italic> &lt; 0.0001). Nonrheumatology providers correctly identified lactation\u2010compatible and noncompatible medications 31% and 46% of the time before the intervention and 95% and 100% of the time after the intervention (<jats:italic>P<\/jats:italic> &lt; 0.0001 and <jats:italic>P<\/jats:italic> &lt; 0.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Rheumatology providers had better baseline knowledge than obstetric and newborn providers of the breastfeeding compatibility of medications used to treat rheumatic diseases. However, all providers had knowledge gaps. After a simple educational intervention, the knowledge gap was significantly narrowed in all provider groups. This improvement was durable because repeat testing of the rheumatology provider subset 5 months post intervention continued to show significant improvement.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr2.11214","type":"journal-article","created":{"date-parts":[[2021,1,4]],"date-time":"2021-01-04T12:56:07Z","timestamp":1609764967000},"page":"50-54","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Improving Knowledge of Lactation Compatibility of Antirheumatic Medications Among Providers Who Care for Patients With Rheumatic Disease"],"prefix":"10.1002","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1001-9402","authenticated-orcid":false,"given":"Brooke S.","family":"Mills","sequence":"first","affiliation":[{"name":"The University of Texas Southwestern Medical Center Dallas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonnie L.","family":"Bermas","sequence":"additional","affiliation":[{"name":"The University of Texas Southwestern Medical Center Dallas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01024-7"},{"key":"e_1_2_7_3_1","first-page":"203","article-title":"Breastfeeding, the immune response, and long\u2010term health","volume":"106","author":"Jackson KM","year":"2006","journal-title":"J Am Osteopath Assoc"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3552"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.181067"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.41191"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753495X18771266"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-020-05173-6"},{"issue":"10","key":"e_1_2_7_9_1","article-title":"Impact of the Healthy Outcomes in Pregnancy with SLE Through Education of Providers ( HOP\u2010STEP ) program: a mixed methods approach [abstract]","volume":"71","author":"Njagu R","year":"2019","journal-title":"Arthritis Rheumatol"},{"issue":"2","key":"e_1_2_7_10_1","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.1136\/annrheumdis-2019-eular.4173","article-title":"Online education improves physicians\u2019 knowledge of family planning and pregnancy management in women with chronic inflammatory rheumatic diseases [abstract]","volume":"78","author":"Bell E","year":"2019","journal-title":"Ann Rheum Dis"}],"container-title":["ACR Open Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr2.11214","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/acr2.11214","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr2.11214","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T15:25:37Z","timestamp":1759418737000},"score":1,"resource":{"primary":{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/10.1002\/acr2.11214"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1002\/acr2.11214"],"URL":"https:\/\/doi.org\/10.1002\/acr2.11214","archive":["Portico"],"relation":{},"ISSN":["2578-5745","2578-5745"],"issn-type":[{"value":"2578-5745","type":"print"},{"value":"2578-5745","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]},"assertion":[{"value":"2020-11-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}