CHOICES: an integrated behavioral intervention to prevent alcohol-exposed pregnancies among high-risk women in community settings.
CHOICES: an integrated behavioral intervention to prevent alcohol-exposed pregnancies among high-risk women in community settings.
复制标题
选择：综合行为干预措施，防止社区环境中高危妇女酒精暴露怀孕。
DOI：
10.1080/19371918.2013.759011
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发表时间：
2013
影响因子：
2.5
通讯作者：
Parrish,DanielleE
中科院分区：
文献类型：
--
作者：
Velasquez,MaryM;vonSternberg,Kirk;Parrish,DanielleE
CHOICES是一种综合性的行为干预措施，用于预防孕期酒精暴露高危妇女的产前酒精暴露。这项干预使用了激励性访谈和认知行为策略，目标是采用有效的避孕措施和减少酒精使用。选择干预包括由行为健康顾问提供的四次手动指导咨询课程，以及与计划生育临床医生进行的一次避孕课程。CHOICES的有效性是通过一系列随机对照试验确定的，这些环境包括初级保健、以大学医院为基础的产科/妇科实践、城市监狱、药物滥用治疗环境和三个大城市的媒体招募样本。本文介绍了选择的研究路线，包括流行病学、可行性和有效性研究。它还详细介绍了每一次会议的选择、干预和组成部分。此外，作者描述了目前测试选择干预修改的研究，到目前为止的传播努力，以及对社会工作实践的影响。
CHOICES is an integrated behavioral intervention for prevention of prenatal alcohol exposure in women at high risk for alcohol-exposed pregnancies. The intervention uses motivational interviewing and cognitive-behavioral strategies, and targets adoption of effective contraception and reduction of alcohol use. The CHOICES intervention includes four manual-guided counseling sessions delivered by behavioral health counselors and one contraceptive session with a family planning clinician. CHOICES's efficacy has been established through a series of randomized controlled trials in settings including primary care, university hospital–based obstetrical/gynecology practices, urban jails, substance abuse treatment settings, and a media-recruited sample in three large cities. This article describes the CHOICES line of research including the epidemiology, feasibility, and efficacy studies. It also details the CHOICES intervention and the components of each session. In addition, the authors describe current studies testing modifications of the CHOICES intervention, the dissemination efforts to date, and implications for social work practice.