Preconceptional motivational interviewing interventions to reduce alcohol-exposed pregnancy risk.

Abstract:

:Alcohol exposed pregnancy (AEP) is a leading cause of preventable birth defects. While randomized controlled trials (RCTs) have shown that multi-session motivational interviewing-based interventions reduce AEP risk, a one-session intervention could facilitate broader implementation. The purposes of this study were to: (1) test a one-session motivational AEP prevention intervention for community women and (2) compare outcomes to previous RCTs. Participants at risk for AEP (N=217) were randomized to motivational interviewing+assessment feedback (EARLY), informational video, or informational brochure conditions. Outcomes were drinks per drinking day (DDD), ineffective contraception rate, and AEP risk at 3 and 6 months. All interventions were associated with decreased DDD, ineffective contraception rate, and AEP risk. Participants who received EARLY had larger absolute risk reductions in ineffective contraception and AEP risk, but not DDD. Effect sizes were compared to previous RCTs. The one-session EARLY intervention had less powerful effects than multi-session AEP prevention interventions among community women, but may provide a new option in a continuum of preventive care.

journal_name

J Subst Abuse Treat

authors

Ingersoll KS,Ceperich SD,Hettema JE,Farrell-Carnahan L,Penberthy JK

doi

10.1016/j.jsat.2012.10.001

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

407-16

issue

4

eissn

0740-5472

issn

1873-6483

pii

S0740-5472(12)00417-5

journal_volume

44

pub_type

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