Computer-delivered screening and brief intervention (e-SBI) for postpartum drug use: A randomized trial

Steven J. Ondersma, Dace S. Svikis, Leroy R. Thacker, Jessica R. Beatty, Nancy Lockhart

Research output: Contribution to journalArticlepeer-review


Electronic screening and brief intervention (e-SBI) approaches for substance use have shown early promise. This trial was designed to replicate previous findings from a single 20-minute e-SBI for drug use among postpartum women. A total of 143 postpartum, primarily low-income African-American women meeting criteria for drug use, were randomly assigned to either a tailored e-SBI or a time-matched control condition. Blinded follow-up evaluation 3- and 6-months following childbirth revealed strong effects for confirmed illicit drug use abstinence at the 3-month observation (OR. = 3.3, p= .01), as did hair analysis at 6. months (OR. = 4.8, p= .018). Additional primary outcomes suggested small to moderate effect sizes in favor of the e-SBI, but did not reach significance. This result replicates previous findings but fails to show durable effects. Assessment reactivity, e-SBI design, and possible extension of e-SBI via tailored messaging all merit careful consideration.

Original languageEnglish (US)
Pages (from-to)52-59
Number of pages8
JournalJournal of Substance Abuse Treatment
Issue number1
StatePublished - Jan 2014
Externally publishedYes


  • Brief intervention
  • Computers
  • Drug abuse screening
  • Drug users
  • Motivation
  • Pregnancy

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health


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