Computer-Delivered Screening and Brief Intervention for Alcohol Use in Pregnancy

A Pilot Randomized Trial

Steven J. Ondersma, Jessica R. Beatty, Dace S. Svikis, Ronald C. Strickler, Golfo K. Tzilos, Grace Chang, George W. Divine, Andrew R. Taylor, Robert J. Sokol

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)1219-1226
Number of pages8
JournalAlcoholism: Clinical and Experimental Research
Volume39
Issue number7
DOIs
StatePublished - Jul 1 2015
Externally publishedYes

Fingerprint

Screening
Alcohols
Pregnancy
Prenatal Care
Neonatal Intensive Care Units
Live Birth
Pregnancy Outcome
Postpartum Period
Pregnant Women
Intensive care units
Hospitalization
Parturition
Interviews
Nutrition
Technology
Mirrors

Keywords

  • Brief Intervention
  • Fetal Alcohol Spectrum Disorder
  • Pregnancy
  • Randomized Trial
  • Technology

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health
  • Toxicology

Cite this

Ondersma, S. J., Beatty, J. R., Svikis, D. S., Strickler, R. C., Tzilos, G. K., Chang, G., ... Sokol, R. J. (2015). Computer-Delivered Screening and Brief Intervention for Alcohol Use in Pregnancy: A Pilot Randomized Trial. Alcoholism: Clinical and Experimental Research, 39(7), 1219-1226. https://doi.org/10.1111/acer.12747

Computer-Delivered Screening and Brief Intervention for Alcohol Use in Pregnancy : A Pilot Randomized Trial. / Ondersma, Steven J.; Beatty, Jessica R.; Svikis, Dace S.; Strickler, Ronald C.; Tzilos, Golfo K.; Chang, Grace; Divine, George W.; Taylor, Andrew R.; Sokol, Robert J.

In: Alcoholism: Clinical and Experimental Research, Vol. 39, No. 7, 01.07.2015, p. 1219-1226.

Research output: Contribution to journalArticle

Ondersma, SJ, Beatty, JR, Svikis, DS, Strickler, RC, Tzilos, GK, Chang, G, Divine, GW, Taylor, AR & Sokol, RJ 2015, 'Computer-Delivered Screening and Brief Intervention for Alcohol Use in Pregnancy: A Pilot Randomized Trial', Alcoholism: Clinical and Experimental Research, vol. 39, no. 7, pp. 1219-1226. https://doi.org/10.1111/acer.12747
Ondersma, Steven J. ; Beatty, Jessica R. ; Svikis, Dace S. ; Strickler, Ronald C. ; Tzilos, Golfo K. ; Chang, Grace ; Divine, George W. ; Taylor, Andrew R. ; Sokol, Robert J. / Computer-Delivered Screening and Brief Intervention for Alcohol Use in Pregnancy : A Pilot Randomized Trial. In: Alcoholism: Clinical and Experimental Research. 2015 ; Vol. 39, No. 7. pp. 1219-1226.
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