{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:16:35Z","timestamp":1772165795430,"version":"3.50.1"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,4,19]],"date-time":"2024-04-19T00:00:00Z","timestamp":1713484800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,4,19]],"date-time":"2024-04-19T00:00:00Z","timestamp":1713484800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1R41DA050408-01"],"award-info":[{"award-number":["1R41DA050408-01"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1R41DA050408-01"],"award-info":[{"award-number":["1R41DA050408-01"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1R41DA050408-01"],"award-info":[{"award-number":["1R41DA050408-01"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1R41DA050408-01"],"award-info":[{"award-number":["1R41DA050408-01"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1R41DA050408-01"],"award-info":[{"award-number":["1R41DA050408-01"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1R41DA050408-01"],"award-info":[{"award-number":["1R41DA050408-01"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100019945","name":"University of New Mexico Clinical & Translational Science Center","doi-asserted-by":"crossref","award":["UL1TR001449"],"award-info":[{"award-number":["UL1TR001449"]}],"id":[{"id":"10.13039\/100019945","id-type":"DOI","asserted-by":"crossref"}]},{"name":"UNM Pediatric Clinical Trials Center in IDeA States Pediatric Clinical Trials Network Office of the Director, NIH","award":["UG1OD024947"],"award-info":[{"award-number":["UG1OD024947"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pediatr"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The incidence of neonatal opiate withdrawal syndrome (NOWS) in the US has grown dramatically over the past two decades. Many rural hospitals not equipped to manage these patients transfer them to hospitals in bigger cities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We created a curriculum, the NOWS-NM Program, a web-based curriculum training in best practices. To evaluate the curriculum, we conducted pre- and post-surveys of NOWS knowledge, attitudes, and care practices, plus post-curriculum interviews and focus groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fourteen participants completed both pre- and post-curriculum surveys. They indicated an increase in knowledge and care practices. A small number of respondents expressed negative attitudes about parents of infants with NOWS at pre-test, the training curriculum appeared to have no impact on such attitudes at post-test. Sixteen participants participated in focus groups or interviews. Qualitative data reinforced the positive quantitative results and contradicted the negative survey results, respondents reported that the program did reduce stigma and improve provider\/staff interactions with patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This curriculum demonstrated positive impacts on NOWS knowledge and care practices. Incorporating focus on core concepts of trauma-informed care and self-regulation in future iterations of the curriculum may strengthen the opportunity to change attitudes and address the needs expressed by participants and improve care of families and babies with NOWS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12887-024-04710-5","type":"journal-article","created":{"date-parts":[[2024,4,19]],"date-time":"2024-04-19T04:01:51Z","timestamp":1713499311000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating a web-based training curriculum for disseminating best practices for the care of newborns with neonatal opioid withdrawal syndrome in a rural hospital, the NOWS-NM Program"],"prefix":"10.1186","volume":"24","author":[{"given":"Heather","family":"Pratt-Chavez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heidi","family":"Rishel Brakey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah G.","family":"Sanders","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juhee","family":"Patel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Ozechowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chloe","family":"Stoffel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew L.","family":"Sussman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessie","family":"Marquez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David R.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberta S.","family":"Kong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,4,19]]},"reference":[{"key":"4710_CR1","doi-asserted-by":"publisher","unstructured":"Haight SC. Opioid Use Disorder documented at delivery hospitalization \u2014 United States, 1999\u20132014. MMWR Morb Mortal Wkly Rep. 2018;67. https:\/\/doi.org\/10.15585\/mmwr.mm6731a1.","DOI":"10.15585\/mmwr.mm6731a1"},{"issue":"1","key":"4710_CR2","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1542\/hpeds.2017-0077","volume":"8","author":"CE Milliren","year":"2018","unstructured":"Milliren CE, Gupta M, Graham DA, Melvin P, Jorina M, Ozonoff A. Hospital variation in neonatal abstinence syndrome incidence, treatment modalities, Resource Use, and Costs across Pediatric Hospitals in the United States, 2013 to 2016. Hosp Pediatr. 2018;8(1):15\u201320. https:\/\/doi.org\/10.1542\/hpeds.2017-0077.","journal-title":"Hosp Pediatr"},{"issue":"2","key":"4710_CR3","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1001\/jamapediatrics.2016.3750","volume":"171","author":"NLG Villapiano","year":"2017","unstructured":"Villapiano NLG, Winkelman TNA, Kozhimannil KB, Davis MM, Patrick SW. Rural and urban differences in neonatal abstinence syndrome and maternal opioid use, 2004 to 2013. JAMA Pediatr. 2017;171(2):194\u20136. https:\/\/doi.org\/10.1001\/jamapediatrics.2016.3750.","journal-title":"JAMA Pediatr"},{"key":"4710_CR4","unstructured":"Saavedra LG. Neonatal abstinence syndrome surveillance in New Mexico. N M Epidemiol. 2018;2018(10). https:\/\/www.nmhealth.org\/data\/view\/report\/2194\/."},{"issue":"2","key":"4710_CR5","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1001\/jamapediatrics.2019.4791","volume":"174","author":"AE Strahan","year":"2020","unstructured":"Strahan AE, Guy GP, Bohm M, Frey M, Ko JY. Neonatal abstinence syndrome incidence and Health Care costs in the United States, 2016. 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Adv Neonatal Care. 2012;12(5):281\u20135. https:\/\/doi.org\/10.1097\/ANC.0B013E3182677BC1.","journal-title":"Adv Neonatal Care"}],"container-title":["BMC Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12887-024-04710-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12887-024-04710-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12887-024-04710-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,19]],"date-time":"2024-04-19T04:06:39Z","timestamp":1713499599000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpediatr.biomedcentral.com\/articles\/10.1186\/s12887-024-04710-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,19]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["4710"],"URL":"https:\/\/doi.org\/10.1186\/s12887-024-04710-5","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-2531394\/v1","asserted-by":"object"}]},"ISSN":["1471-2431"],"issn-type":[{"value":"1471-2431","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,19]]},"assertion":[{"value":"30 January 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 March 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 April 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Pre- and post-survey data was collected under Exempt Category 2 Protocol 18\u2013270, NOWS-NM Training Initiative - Optimizing care for Neonates at risk for Opiate Withdrawal Syndrome, approved by the University of New Mexico Health Sciences Office of Research Human Research Protections Program Human Research Review Committee (UNM HRRC). Qualitative data was collected under Exempt Category 2 Protocol 19\u2013468, A Mobile\/Web-based Training Curriculum for Disseminating Best Practices for the Care of Newborns with Neonatal Opioid Withdrawal Syndrome, approved by the UNM HRRC. Under both protocols, all methods were carried out in accordance with relevant guidelines and regulations. Informed consent was obtained from all subjects (no subjects under the age of 18 were included).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"258"}}