Genevieve Sive
Research Mentor(s): Clayton Shuman
Mentor Department: Systems, Populations, and Leadership
Authors: Genevieve Sive, Clayton Shuman, Bethany Emery
Session: Session 2 (10:00am – 10:50am)
Presentation Type: Poster 32
Abstract
Stigma toward pregnant individuals affected by perinatal substance use (PSU) can hinder compassionate care and result in adverse maternal-infant outcomes. ArtSpective, an arts-based, perspective taking intervention, aims to reduce stigma in nurses. This study evaluated the intervention’s acceptability, perceived benefits, and impact on stigma. Twelve ArtSpectiveâ„¢ participants were randomly selected from the experimental arm of a pilot randomized controlled trial (RCT) and completed 20-30-minute post-intervention interviews using a semi-structured guide. We also included the twelve participants’ acceptability (modified Abbreviated Acceptability Rating Profile), satisfaction, and pre- and post-intervention stigma scores (Modified Attitude About Drug Use in Pregnancy scale) to address the aims. Three investigators conducted rapid qualitative analysis (RQA) to identify themes. Descriptive statistics described survey data. Participants were mostly white and had a mean age of 37.7 years (SD=8.9). Prior to completing ArtSpective, the mean stigma score was 2.63 (0.28). After ArtSpectiveâ„¢, mean stigma score improved to 3.57 (0.38) representing an absolute mean change of 0.94 (range, -0.21 to 1.71) on a 1-5 scale (5 being the least amount of stigma). Participants rated ArtSpective as highly acceptable (M=4.06; SD=0.39; 1-5 scale), and 100% of participants reported favorable satisfaction (scores >3). Themes of self-reflection, bias awareness, NAS/substance use, visual components, interactive learning, ease of participation, financial incentives, desire for clarity, application to practice, and program outcomes were identified through RQA. ArtSpective demonstrated high acceptability and showed effectiveness in reducing stigma among healthcare providers caring for individuals affected by PSU. The improvement in stigma scores across participants highlights the intervention’s potential to transform attitudes toward pregnant individuals with substance use disorders. This arts-based intervention holds promise for addressing stigma in maternal-infant health settings and serves as a model for other healthcare contexts where stigma impedes quality care.
