Preconceptional motivational interviewing interventions to reduce alcohol-exposed pregnancy risk
Preconceptional motivational interviewing interventions to reduce alcohol-exposed pregnancy risk
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DOI：
10.1016/j.jsat.2012.10.001
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发表时间：
2013-04-01
影响因子：
3.9
通讯作者：
Penberthy, J. Kim
中科院分区：
文献类型：
--
作者：
Ingersoll, Karen S.;Ceperich, Sherry D.;Penberthy, J. Kim
酒精暴露妊娠(AEP)是可预防的出生缺陷的主要原因。虽然随机对照试验(RCT)表明，基于多个疗程的动机访谈的干预措施可以降低AEP风险，但一个疗程的干预措施可以促进更广泛的实施。这项研究的目的是：(1)测试针对社区妇女的一次会议激励性AEP预防干预；(2)将结果与以前的随机对照试验进行比较。有AEP风险的参与者(N=217)被随机分为动机访谈+评估反馈(早期)、信息视频或信息手册条件。结果是每天饮酒量(DDD)，无效避孕率，以及3个月和6个月的AEP风险。所有干预措施都与DDD降低、避孕率无效和AEP风险相关。接受早期治疗的参与者在无效避孕和AEP风险方面有更大的绝对风险降低，但没有DDD。效应大小与以前的随机对照试验进行了比较。在社区妇女中，单次早期干预的效果不如多次AEP预防干预，但可能在连续的预防护理中提供一种新的选择。(C)2013 Elsevier Inc.保留所有权利。
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. (C) 2013 Elsevier Inc. All rights reserved.