Testing an Arts-based Program to Reduce Nurse Stigma Towards Perinatal Substance Use

NCT06410287 | Completed Results

• 2 other identifiers: HUM00248695R21DA055067
• Study Type: interventional
• Target: 99
• Locations: 1 country
• Sites: 2

Brief Summary

The goal of this pilot clinical trial is to evaluate the feasibility and limited effectiveness of a digital, arts-based educational intervention addressing nurse stigma towards perinatal substance use. The main questions it aims to answer are:

• What is the the feasibility of delivering the training through an asynchronous, web-based platform?
• What is the limited effectiveness of the program on nurse stigma towards perinatal substance use? Participants will access and complete the training, including completion of a perinatal substance use stigma scale at baseline, immediately post, and 1-2 months month later. Participants will also be invited to participate in an interview. Researchers will compare the intervention and control groups to see if the training reduces nurse stigma towards perinatal substance use.

Conditions

Nurse's Role; Stigma, Social; Implicit Bias

Outcome Measures

Primary Outcomes (1)

• Nurse Stigma Toward Perinatal Substance Use

  Negative or stigmatizing attitudes and/or beliefs registered nurses have towards perinatal substance use; measured using the Modified Attitudes About Drug Use in Pregnancy Scale. Total scores range between 1 and 5, with scores closer to 1 associated with a more positive outcome.

  Baseline (Phase 1a); immediately post intervention (Site 1) or 7-30 days post baseline (Site 2) (Phase 1b); immediately post (Site 2) or 30 days post intervention (Site 1) (Phase 2); 30 days post (Site 2) or 60 days post intervention (Site 1) (Phase 3)

Secondary Outcomes (1)

• Acceptability

  immediately post intervention (Site 1= Phase 1b; Site 2 = Phase 2)

Study Arms (2)

Site 1

EXPERIMENTAL

Participants from the hospital randomized to the experimental group will be first to receive an invitation to complete the web-based educational program. The program will be open for one month. Thirty days after a participant completes the program, they will be sent a link to a follow up survey (web-based). At 60 days, participants who completed the program and the first follow up survey will be randomized to complete a second follow up survey or participate in a 1:1 interview.

Other: ArtSpective

Site 2

OTHER

Participants from the hospital randomized to the control setting will receive an invitation to complete a survey that collects baseline data for the outcome (stigma toward perinatal substance use) and demographic information. After thirty days, participants will be invited to complete the web-based educational program. Thirty days after completion, they will receive a link to a web-based follow up survey.

Other: ArtSpective

Interventions

ArtSpective OTHER

ArtSpective is an interactive, educational program that uses art and museum-based pedagogy. The intervention is delivered asynchronously using a web-based platform. Participants engage with artwork, watch short educational videos, and read short clinical vignettes. After completing the program, participants receive a certificate of completion.

Site 1; Site 2

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 18 years or older
• Licensed as a registered nurse
• Works at least part time
• Works on a labor, postpartum, nursery, neonatal intensive care, or pediatric unit in one of the participating hospitals

You may not qualify if:

• Works as per diem or agency nurse
• Not employed by a participating hospital
• Not a perinatal/pediatric nurse

Sponsors & Collaborators

• University of Michigan: lead
• National Institute on Drug Abuse (NIDA): collaborator

Study Sites (2)

St. Cloud Hospital

Saint Cloud, Minnesota, 56303, United States

Location

ProMedica Toledo Hospital

Toledo, Ohio, 43606, United States

Location

MeSH Terms

Conditions

Social Stigma; Bias, Implicit

Condition Hierarchy (Ancestors)

Social Behavior; Behavior; Prejudice

Results Point of Contact

• Title: Clayton Shuman, PhD, MSN, RN; Associate Professor
• Organization: University of Michigan

clayshu@umich.edu

734-763-1302

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: May 7, 2024
• First Posted: May 13, 2024
• Study Start: July 1, 2024
• Primary Completion: November 30, 2024
• Study Completion: November 30, 2024
• Last Updated: March 11, 2026
• Results First Posted: March 11, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)