Funding Source

National Center for Complementary and Integrative Health (NCCIH), R33AT010117

Project Period

9/20/2018 - 9/19/2023

Principal Investigator

Sarah Lord, PhD (Geisel School of Medicine at Dartmouth College)

Other Project Staff

Daisy Goodman, CNM, DNP, MPH (Dartmouth Hitchcock Medical Center); Julie Frew, M.D. (Dartmouth Hitchcock Medical Center); Holly Black (Lead Yoga Instructor)

Project Summary

In the first-phase of the project (R21), we developed a yoga-based mindfulness intervention grounded in Mindfulness Based Relapse Prevention and a prototype digital companion (Mindful Moms in Recovery: MMORE) through iterative co-design and feedback from representative end-users.

In the second-phase of the project (R33), we are conducting a randomized controlled trial to evaluate the efficacy and implementation of the MMORE intervention with a sample of 150 pregnant women with identified opioid use disorder receiving medication for opioid use disorder treatment at partner maternity care practices. We will evaluate the impact of MMORE as an adjunct to treatment as usual on retention in treatment, and relapse-related risks, examine mechanisms of impact, and identify facilitators and barriers to sustained implementation of the intervention.

Public Health Relevance

Building capacity for providing treatment and care to pregnant and parenting women with OUD in obstetric settings is a priority of the New Hampshire State Targeted Response (STR) to the Opioid Crisis. If successful, MMORE will offer a non- pharmacological alternative to support recovery and improve the lives of pregnant and parenting women with OUD and their infant children.