STEPuP: Prenatal Provider Education and Training to Improve Medication-assisted Treatment Use During Pregnancy

This research will test the effectiveness of a prenatal provider education and training program designed to facilitate provider adoption of evidence-based practices for the treatment of OUD during pregnancy. Findings from this research will provide high quality evidence about how to increase evidence-based treatment for pregnant women with OUD and subsequent maternal-child health outcomes.

Inclusion Criteria: Providers: 1. provides prenatal care (i.e. obstetricians, nurse midwives, advanced practice providers) at obstetric sites, 2. provides care to pregnant women with OUD 3. English speaking Patient: Maternal and child outcome data will be collected from the Electronic Health Record (EHR) and individual patients will not be recruited to participate in the randomized controlled trial (RCT). Inclusion criteria for a small subset of pregnant women will be recruited for a one-time qualitative interview (n=50): 1. meet The Diagnostic and Statistical Manual of Mental Disorders (DSM-V) criteria for OUD 2. received care at participating sites while pregnant during the study time period and 3. speak English Exclusion Criteria: * None