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Computer-Delivered Screening and Brief Intervention for Alcohol Use in Pregnancy: A Pilot Randomized Trial
- Source :
- Alcoholism: Clinical and Experimental Research. 39:1219-1226
- Publication Year :
- 2015
- Publisher :
- Wiley, 2015.
-
Abstract
- Background Although screening and brief intervention (SBI) for unhealthy alcohol use has demonstrated efficacy in some trials, its implementation has been limited. Technology-delivered approaches are a promising alternative, particularly during pregnancy when the importance of alcohol use is amplified. The present trial evaluated the feasibility and acceptability of an interactive, empathic, video-enhanced, and computer-delivered SBI (e-SBI) plus 3 tailored mailings, and estimated intervention effects. Methods We recruited 48 pregnant women who screened positive for alcohol risk at an urban prenatal care clinic. Participants were randomly assigned to the e-SBI plus mailings or to a control session on infant nutrition, and were re-evaluated during their postpartum hospitalization. The primary outcome was 90-day period prevalence abstinence as measured by timeline follow-back interview. Results Participants rated the intervention as easy to use and helpful (4.7 to 5.0 on a 5-point scale). Blinded follow-up evaluation at childbirth revealed medium-size intervention effects on 90-day period prevalence abstinence (OR = 3.4); similarly, intervention effects on a combined healthy pregnancy outcome variable (live birth, normal birthweight, and no neonatal intensive care unit stay) were also of moderate magnitude in favor of e-SBI participants (OR = 3.3). As expected in this intentionally underpowered pilot trial, these effects were nonsignificant (p = 0.19 and 0.09, respectively). Conclusions This pilot trial demonstrated the acceptability and preliminary efficacy of e-SBI plus tailored mailings for alcohol use in pregnancy. These findings mirror the promising results of other trials using a similar approach and should be confirmed in a fully powered trial.
- Subjects :
- Adult
medicine.medical_specialty
Neonatal intensive care unit
Adolescent
Alcohol Drinking
media_common.quotation_subject
Medicine (miscellaneous)
Pilot Projects
Prenatal care
Toxicology
Article
law.invention
Young Adult
Randomized controlled trial
Pregnancy
law
medicine
Humans
Mass Screening
Childbirth
media_common
business.industry
Patient Acceptance of Health Care
Abstinence
medicine.disease
Psychiatry and Mental health
Therapy, Computer-Assisted
Physical therapy
Female
Brief intervention
Live birth
business
Subjects
Details
- ISSN :
- 01456008
- Volume :
- 39
- Database :
- OpenAIRE
- Journal :
- Alcoholism: Clinical and Experimental Research
- Accession number :
- edsair.doi.dedup.....812024d0785f6e16fe3a4feead20ef0d