Design of a mobile application for universal screening for women of child-bearing age engaged in comprehensive addiction and recovery environments (WE-CARE) for substance use and women from the general population

Research Comments Off on Design of a mobile application for universal screening for women of child-bearing age engaged in comprehensive addiction and recovery environments (WE-CARE) for substance use and women from the general population

This study explores the development of WE-CARE, a mobile health (mHealth) application designed to provide universal screening for alcohol and substance use, depression, and anxiety among women of childbearing age (WOCA, 18–44 years old). The research aimed to address the barriers women face in accessing screening and care, particularly for those in residential treatment programs and the general population.

Key Findings:

• Barriers to Screening & Treatment: Women reported fear of stigma, lack of knowledge, cost, and limited social support as major obstacles to seeking help.

• Healthcare Provider Challenges: Many healthcare providers (HCPs) do not conduct screenings due to time constraints, lack of standardized tools, and concerns about damaging patient relationships.

• The WE-CARE App: Designed based on e-surveys, focus groups, and provider interviews, the app includes educational resources, e-screenings, a moderated discussion forum, FAQs, and a chatbot to encourage treatment-seeking behavior.

• Technology & Accessibility: The app aims to increase privacy and accessibility, allowing users to complete screenings anonymously, access resources, and receive tailored referrals for support.

• Addressing Stigma: The research highlights the need to reduce stigma in healthcare settings and develop non-threatening, supportive interventions to encourage women to seek help.

• Future Implementation: The app is undergoing pilot testing, with future iterations expected to refine security features, personalization options, and user engagement strategies.

Reflection Questions for FASD Prevention Conversation Facilitators

1. What are the biggest challenges women of childbearing age face when seeking help for substance use, and how can we address them in FASD prevention efforts?

2. How can digital tools like the WE-CARE app improve early screening and intervention for substance use during pregnancy?

3. What role does stigma play in preventing women from seeking support, and how can healthcare providers and community programs work to reduce it?

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