The development of care model for pregnant women used methamphetamine during pregnancy in public hospitals in Phetchabun Province.

Abstract

This research and development study aimed to develop and evaluate a care model for pregnant women using methamphetamine during pregnancy in government hospitals in Phetchabun Province. The study involved 40 pregnant women who used methamphetamine and 30 personnel involved in their care system. Data were collected using questionnaires and in-depth interviews between October and December 2024. Quantitative data were analyzed using the chi-square test, while qualitative data were analyzed through content analysis. The developed model consisted of four steps: Planning – Identifying issues, reviewing existing practices, and collaboratively formulating solutions with stakeholders. Implementation – Applying the developed care model over six weeks. Observation and Evaluation – Monitoring health records revealed that within 28 days of implementing the model, 17 participants in the experimental group sought repeat treatment, compared to 9 in the control group, a statistically significant difference (p-value = 0.05). Additionally, 3 participants in the experimental group resumed methamphetamine use within six weeks, fewer than the 5 in the control group, though this difference was not statistically significant (p-value = 0.05). Reflection – Sharing treatment outcomes with stakeholders. The study recommends promoting proactive screening systems, enhancing motivation to remain in treatment, improving service accessibility, reducing stigma, and providing personalized care. The model should be adapted for other districts in Phetchabun Province, with further studies on maternal and child quality of life.