A culturally tailored intervention to reduce risk of alcohol-exposed pregnancies in American Indian communities: Rationale, design, and methods.
A culturally tailored intervention to reduce risk of alcohol-exposed pregnancies in American Indian communities: Rationale, design, and methods.
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一项文化量身定制的干预措施，可降低美洲印第安人社区酒精曝光妊娠的风险：基本原理，设计和方法。
DOI：
10.1016/j.cct.2021.106351
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发表时间：
2021-05
影响因子：
2.2
通讯作者：
Buchwald D
中科院分区：
文献类型：
--
作者：
Hanson JD;Oziel K;Sarche M;MacLehose RF;Rosenman R;Buchwald D
产前暴露于酒精可导致胎儿酒精综合征和其他胎儿酒精谱系障碍（FASD）形式的终身身体和认知挑战。因此，预防产前酒精暴露是一个公共卫生优先事项-而且应该考虑到包括美洲印第安人/阿拉斯加原住民（AI/AN）社区在内的亚群体的特殊需求。在怀孕之前，酒精暴露的怀孕预防是通过鼓励减少或消除危险的酒精使用和/或促进可能怀孕的危险饮酒者使用有效的避孕措施来实现的。目前的研究建立在关于疾病控制和预防中心的影响有希望的发现选择干预与AI/AN社区通过实施随机对照试验的本土选择，选择的文化适应，与AI/AN妇女在农村保留社区。正在招募年龄在18 - 44岁之间有酒精暴露怀孕风险的人工授精/人工授精妇女。参与者以1：1的比例随机分配到干预和照常服务，等待控制条件。本机选择干预包括2个动机访谈（MI）会议，一个选择性避孕咨询会议，和电子消息，以提高MI的影响。在基线和基线后6周、3个月和6个月收集数据。在完成6个月基线后数据收集后，分配至对照组的受试者有资格入组Native CHOICES。除了测试干预措施的有效性外，该研究还旨在进行全面的经济评估，这将为服务于AI/AN的医疗保健系统提供有关原生选择的财务可行性和可持续性的重要信息。
Prenatal exposure to alcohol can cause lifelong physical and cognitive challenges in the form of fetal alcohol syndrome and other fetal alcohol spectrum disorders (FASDs). The prevention of prenatal alcohol exposure is thus a public health priority – and one that should account for the particular needs of subpopulations, including in American Indian/Alaska Native (AI/AN) communities. Prior to conception, alcohol-exposed pregnancy prevention is accomplished by encouraging the reduction or elimination of risky alcohol use and/or promoting effective contraceptive use among risky drinkers who could become pregnant. The current study builds on promising findings about the impact of the Centers for Disease Control and Prevention CHOICES intervention with AI/AN communities by implementing a randomized control trial of Native CHOICES, a cultural adaptation of CHOICES, with AI/AN women in a rural reservation community. AI/AN women aged 18–44 who are at-risk for an alcohol-exposed pregnancy are being recruited. Participants are randomized in 1:1 proportion to the intervention and a services-as-usual, waitlist control condition. The Native CHOICES intervention consists of 2 motivational interviewing (MI) sessions, an elective contraception counseling session, and electronic messaging to boost the effects of MI. Data are collected at baseline and at 6 weeks, 3 months, and 6 months post-baseline. Those assigned to the control group are eligible to enroll in Native CHOICES following the completion of the 6 months post-baseline data collection. In addition to testing intervention effectiveness, the study is designed to yield a comprehensive economic evaluation, which will provide important information regarding the financial feasibility and sustainability of Native CHOICES for healthcare systems serving AI/ANs.
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DOI：
10.1097/dbp.0b013e3182905587
发表时间：
2013-06
期刊：
Journal of developmental and behavioral pediatrics : JDBP
影响因子：
--
作者：
May PA;Tabachnick BG;Gossage JP;Kalberg WO;Marais AS;Robinson LK;Manning MA;Blankenship J;Buckley D;Hoyme HE;Adnams CM
通讯作者：
Adnams CM
影响因子：
17.7
作者：
Beals, J;Novins, DK;Manson, SM
通讯作者：
Manson, SM
影响因子：
2.8
作者：
Barbosa, Carolina;Godfrey, Christine;Parrott, Steve
通讯作者：
Parrott, Steve
DOI：
10.1097/01.alc.0000153789.59228.fc
发表时间：
2005-01-01
影响因子：
3.2
作者：
O'Connell, JM;Novins, DK;Spicer, P
通讯作者：
Spicer, P
DOI：
10.1089/152460999319048
发表时间：
1999-07-01
期刊：
JOURNAL OF WOMENS HEALTH & GENDER-BASED MEDICINE
影响因子：
--
作者：
Floyd, RL;Ebrahim, SH;Boyle, CA
通讯作者：
Boyle, CA