title: Measuring self-efficacy in substance abuse intervention in obstetric practices.
abstract: BACKGROUND
  This study presents findings on the effect of an office-based obstetrics training program (given the acronym OBIWOM) on substance use assessment, management, and referral self-efficacy among obstetricians and staff of private, community-based obstetric practices.
  
  
  METHODS
  Participants were obstetricians and staff from 10 of 27 available community-based, private obstetric practices in the target areas, for a practice participation rate of 37%. This study used a delayed treatment design to compare self-efficacy between practice staff randomly assigned to an immediate or delayed intervention group.
  
  
  RESULTS
  Self-efficacy increased significantly after intervention from baseline to first follow-up for the immediate group, while no change was shown for the delayed (control) group. The impact of the intervention on self-efficacy was replicated in the assessment construct only after the intervention for the delayed group.
  
  
  CONCLUSIONS
  This research shows that education and training can effectively improve self-efficacy in obstetricians and their staff in the management of substance use and pregnancy.
authors.affiliation: Department of Obstetrics and Gynecology, University of Alabama at Birmingham School of Medicine, USA.
authors.forename: J E
authors.initials: JE
authors.lastname: Schumacher
authors.forename: M
authors.initials: M
authors.lastname: Engle
authors.forename: K
authors.initials: K
authors.lastname: Reynolds
authors.forename: S
authors.initials: S
authors.lastname: Houser
authors.forename: S
authors.initials: S
authors.lastname: Mukherjee
authors.forename: E
authors.initials: E
authors.lastname: Caldwell
authors.forename: C
authors.initials: C
authors.lastname: Kohler
authors.forename: S
authors.initials: S
authors.lastname: Phelan
authors.forename: J M
authors.initials: JM
authors.lastname: Raczynski
mesh_terms: D000328:Adult; D000407:Alabama; D005260:Female; D006801:Humans; D008297:Male; D008427:Maternal Health Services; D008875:Middle Aged; D009774:Obstetrics; D011247:Pregnancy; D020377:Self Efficacy; D015813:Substance Abuse Detection