Measuring self-efficacy in substance abuse intervention in obstetric practices.
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.
Schumacher
J E
JE
Department of Obstetrics and Gynecology, University of Alabama at Birmingham School of Medicine, USA.
Engle
M
M
Reynolds
K
K
Houser
S
S
Mukherjee
S
S
Caldwell
E
E
Kohler
C
C
Phelan
S
S
Raczynski
J M
JM
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