1. Brief motivational enhancement intervention to prevent or reduce postpartum alcohol use: A single-blinded, randomized controlled effectiveness trial.
- Author
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Rubio, Doris McGartland, Day, Nancy L., Conigliaro, Joseph, Hanusa, Barbara H., Larkby, Cynthia, McNeil, Melissa, Cohen, Elan, Jones, Bobby, Watt-Morse, Margaret, Gilmour, Carol, Lancet, Michelle, and Kraemer, Kevin L.
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ALCOHOL use in pregnancy , *MOTIVATIONAL interviewing , *RANDOMIZED controlled trials , *PUERPERIUM , *TREATMENT effectiveness , *PREVENTION of alcoholism , *GESTATIONAL age - Abstract
Abstract: Aims: The aim of this study is to assess the effect of brief motivational enhancement intervention postpartum alcohol use. Design: This study is a single-blinded, randomized controlled effectiveness trial in which pregnant women were assigned to receive usual care or up to 5 face-to-face brief motivational enhancement sessions lasting 10–30minutes each and occurring at study enrollment, 4 and 8weeks after enrollment, 32weeks of gestation, and 6weeks postpartum. Setting: The setting is in a large, urban, obstetrics clinic. Participants: Participants were women who were ≥18years old, <20weeks of gestation, and consumed alcohol during pregnancy. Of 3438 women screened, 330 eligible women were assigned to usual care (n = 165) or intervention (n =165). Due to missing data, we analyzed 125 in the intervention group and 126 in the usual care group. Measurements: The measurements were the proportion of women with any alcohol use and the number of drinks per day, reported via follow-up telephone interviews at 4 and 8weeks after enrollment, 32weeks of gestation, and 6weeks, 6months, and 12months postpartum. Findings: In random effects models adjusted for confounders, the intervention group was less likely to use any alcohol (odds ratio 0.50; 95% confidence interval [CI], 0.23–1.09; P =0.08) and consumed fewer drinks per day (coefficient −0.11; 95% CI −0.23–0.01; P =0.07) than, the usual care group in the postpartum period but these differences were non-significant. Missing data during the prenatal period prevented us from modeling prenatal alcohol use. Conclusions: Brief motivational enhancement intervention delivered in an obstetrical outpatient setting did not conclusively decrease alcohol use during the postpartum period. [Copyright &y& Elsevier]
- Published
- 2014
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