Document Detail


Reducing the risk of alcohol-exposed pregnancies: a study of a motivational intervention in community settings.
MedLine Citation:
PMID:  12728125     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To test the feasibility and impact of a motivational intervention in reducing drinking and/or increasing effective contraception in women who are at risk for an alcohol-exposed pregnancy.
METHODS: A multisite single-arm pilot study was conducted in 6 community settings in 3 large cities. A total of 2384 women were screened for eligibility; 230 were eligible on the basis of their alcohol use and lack of contraception. Of the eligible women, 190 consented and were enrolled, and 143 (75.3%) completed the 6-month follow-up. The intervention consisted of 4 manual-guided motivational counseling sessions delivered by mental health clinicians and 1 contraceptive counseling session delivered by a family planning clinician. Outcome measures include intervention completion rates, alcohol use (frequency, quantity, and bingeing), contraceptive use and effectiveness, and risk for alcohol-exposed pregnancy.
RESULTS: Among women who completed the 6-month follow-up, 68.5% were no longer at risk of having an alcohol-exposed pregnancy; 12.6% of women who completed the program reduced drinking only; 23.1% used effective contraception only; and 32.9% reported both. Results were consistent across the 6 diverse high-risk settings.
CONCLUSIONS: This study provides evidence that providing 4 sessions of motivational interviewing plus a contraception counseling session is feasible and strongly suggests that this intervention can decrease the risk of alcohol-exposed pregnancy in women in high-risk settings. Additional investigation in a randomized controlled trial is warranted.
Authors:
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Pediatrics     Volume:  111     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-02     Completed Date:  2003-05-09     Revised Date:  2013-02-21    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1131-5     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Alcohol Drinking
Alcohol-Related Disorders / prevention & control
Alcoholic Intoxication / prevention & control*
Alcoholism / therapy*
Contraception Behavior*
Counseling / methods*
Female
Fetal Alcohol Syndrome / prevention & control*
Humans
Motivation
Pilot Projects
Pregnancy
Pregnancy Complications / prevention & control*
Risk
Investigator
Investigator/Affiliation:
Karen Ingersoll / ; Louise Floyd / ; Mark Sobell / ; Mary M Velasquez / ; Jon Baio / ; Joseph Carbonari / ; Jasjeet Sidhu / ; Kirk von Sternberg / ; Jon Baio / ; Shahul Ebrahim / ; Louise Floyd / ; Deborah Gould / ; Elizabeth Luman / ; Jasjeet S Sidhu / ; Burt G Bolton / ; G Stephen Bowen / ; Liane Dornheim / ; Kenneth E Johnson / ; Ian T Kravitz / ; Linda C Sobell / ; Mark B Sobell / ; Joseph P Carbonari / ; Raul Carvajal / ; A Gaye Cummins / ; Patricia Dolan Mullen / ; Kirk von Sternberg / ; Mary Marden Velasquez / ; Joseph Borzelleca / ; Daphne Bryan / ; Sherry D Ceperich / ; Kerry Descalzi / ; Karen S Ingersoll / ; Mary D Nettleman / ; Olivia Chiang / ; Jennifer Kaplan / ; Lori Gutmann / ; Pamela Planthara / ; Elizabeth Pullium / ; Scott Scotilla / ; Erika Stricklin-Parker / ; Janet Zwiebel /

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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