287 Translation to practice: Tailoring a parenting education program for postpartum parenting women receiving medications for opioid use disorder (MOUD) in outpatient clinics

Objectives/Goals: Summarize literature on treatment outcomes among postpartum women with OUD. Describe a model Assessment, Decision, Adaptation, Production, Topical Experts, Integration, Training, and Testing (ADAPT-ITT) guiding the adaptation of Baby & Me. Assess preliminary effectiveness and implementation outcomes of the adapted version of Baby & Me. Methods/Study Population: We used the ADAPT-ITT model to tailor Baby & Me, a brief education and skills-based parenting program, for postpartum women receiving MOUD in the Women’s Mental Health Program (WMHP) at UAMS. Originally delivered for Women, Infants, & Children offices, Baby & Me targets parenting stress and well-being to prevent child abuse/neglect. Adaptations focused on the unique parenting-related needs of postpartum women receiving MOUD. We will pilot the adapted program with 10 participants, receiving care at the WMHP using a pre- and post-test design with surveys and interviews to assess preliminary effectiveness (i.e., perceived parenting stress, postpartum depression, and substance use) and implementation outcomes (acceptability, appropriateness, and feasibility). Results/Anticipated Results: We anticipate that participation in the Baby & Me program will be associated with reductions in perceived parenting stress, postpartum depression symptoms, and substance use from baseline to follow-up among postpartum parenting women with opioid use disorder. Qualitative interviews are expected to reveal that recipients find the intervention to be acceptable, appropriate, and feasible for delivery in outpatient treatment settings, yet inform further refinements prior to larger-scale testing. Discussion/Significance of Impact: Parenting programs in outpatient treatment settings can potentially improve maternal mental health, strengthen mother–infant bonds, and recovery outcomes. Yet most are home-based, lengthy, and cover a broad range of child developmental stages. Embedding brief, tailored programs into clinical care may boost acceptability and impact.