A randomized phase I trial of a brief computer-delivered intervention for alcohol use during pregnancy.

A randomized phase I trial of a brief computer-delivered intervention for alcohol use during pregnancy.
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一项随机 I 期试验,对怀孕期间饮酒进行简短的计算机干预。

DOI:
10.1089/jwh.2011.2732
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发表时间:
2011
期刊:
Journal of women's health (2002)
影响因子:
--
通讯作者:
Ondersma,StevenJ
Ondersma,StevenJ
中科院分区:
--
文献类型:
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作者:
Tzilos,GolfoK;Sokol,RobertJ;Ondersma,StevenJ

文献摘要

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背景:怀孕期间饮酒对发育中的胎儿有一系列负面影响。筛查和简单干预方法有很大的前景,但其对人口的影响可能受到一系列实施挑战的限制。因此,我们对孕期酒精使用的计算机控制的短暂干预进行了初步的可接受性和可行性评估。方法:参与者是50名孕妇,她们在常规产前门诊中筛查出危险饮酒阳性,并被随机分配到计算机控制的短暂干预或仅接受评估的条件下。结果:干预的易用性、帮助和其他因素的评分很高(1-5分,4.7-5.0)。两种情况下的参与者在随访时都显著减少了酒精使用,没有组间差异;然而,干预组妇女所生婴儿的出生体重显著高于对照组(p<0.05,d=0.62)。结论:有必要进一步发展和研究计算机传输的孕期酒精使用筛查和干预。
Background:Drinking alcohol during pregnancy has a range of negative consequences for the developing fetus. Screening and brief intervention approaches have significant promise, but their population impact may be limited by a range of challenges to implementation. We, therefore, conducted preliminary acceptability and feasibility evaluation of a computer-delivered brief intervention for alcohol use during pregnancy.Methods:Participants were 50 pregnant women who screened positive for risky drinking during a routine prenatal clinic visit and were randomly assigned to computer-delivered brief intervention or assessment-only conditions.Results:Ratings of intervention ease of use, helpfulness, and other factors were high (4.7–5.0 on a 1–5 scale). Participants in both conditions significantly decreased alcohol use at follow-up, with no group differences; however, birth weights for infants born to women in the intervention group were significantly higher (p<0.05,d=0.62).Conclusions:Further development and study of computer-delivered screening and intervention for alcohol use during pregnancy are warranted.