Characteristics of opioid-using pregnant women who accept or refuse participation in a clinical trial: screening results from the MOTHER study

Am J Drug Alcohol Abuse. 2009;35(6):429-33. doi: 10.3109/00952990903374080.

Abstract

Background: Although concerns arise about the generalizability of results from Randomized Controlled Trials (RCTs), few studies systematically examine this issue.

Objectives: This study compared the characteristics of 427 opioid-using pregnant women who did (n = 208) and did not consent (n = 219) to enrollment in a multicenter clinical trial of agonist medications (i.e., the MOTHER study).

Methods: Logistic regression models were used to compare consenters and non-consenters to examine the effect of screening variables on the likelihood of consenting.

Results: Of nine characteristics examined, most differences did not reach statistical significance. Consenting participants were less likely than non-consenting women to be currently enrolled in a methadone maintenance program (74.5% vs. 84.5%, p =.01).

Conclusion and scientific significance: These data show that the recruited sample of drug-dependent pregnant women enrolled in an intensive RCT is representative of the larger population of treated opioid-dependent patients and supports the generalizability of randomized controlled trials in this population.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Demography
  • Female
  • Humans
  • Methadone / therapeutic use
  • Opioid-Related Disorders / drug therapy
  • Opioid-Related Disorders / psychology*
  • Patient Selection*
  • Pregnancy
  • Randomized Controlled Trials as Topic / psychology*
  • Research Subjects / psychology*

Substances

  • Methadone