PREVENTING ALCOHOL EXPOSED PREGNANCY AFTER A JAIL TERM

预防出狱后因饮酒而怀孕

• 批准号: 6051969
• 负责人: PATRICIA DOLAN MULLEN
• 金额: $ 38.65万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-30 至 2002-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6051969
• 关键词: African American; Hispanic Americans; Native Americans; alcoholic beverage consumption; alcoholism /alcohol abuse prevention; behavior therapy; behavioral /social science research tag; caucasian American; clinical research; community health services; correctional institutions; disease /disorder proneness /risk; family planning; female; health behavior; health care referral /consultation; health care service evaluation; health services research tag; human subject; human therapy evaluation; motivation; outcomes research; pregnancy; sex behavior; women's health

This 3-year demonstration and evaluation study will design, implement, and test the efficacy of a dual focus motivational enhancement intervention spanning the transition from jail to the community for women who are completing their sentences and are at risk of an alcohol exposed pregnancy. Prior behavior indicates many inmates will be at risk for an unplanned pregnancy with heavy and/or binge drinking after release. Based on preliminary studies, the composition of the group of eligible women is estimated to be, approximately one-third white, one-third African American, and one-third Native American and Hispanic. Capitalizing on jail-imposed abstinence from alcohol and other drugs and risky sex, the intervention will draw on two effective behavior change models that have been used together with various behaviors in diverse populations and settings to build motivation for a new start. The transtheoretical model (TTM) identifies mechanisms that promote behavior change and are amenable to intervention; motivational enhancement therapy (MET) is a goal-oriented approach that facilitates change by focusing on client ambivalence about a behavior and emphasizing individual choice and responsibility. "New Start" components are two sessions before and two after release with a trained counselor, greater than 1 visits to Planned Parenthood for individualized birth control education and optional gynecologic and birth control services, and an optional meeting with a community resources expert. Based on the team's experience with the Jail population and alcohol and sexual risk behavior and with MET and TIM- tailored feedback and self-change exercises, this project proposes a framework process, and content for a brief intervention and a method for refining it based on a pilot study and data now being collected. The study will use an RCT design (n=270) to test the intervention's effect on alcohol consumption and birth control use 6 months after release.

这项为期三年的演示和评估研究将设计，实施和测试双重焦点动机增强干预措施的功效，该干预措施涵盖了从监狱到社区的过渡到社区的过渡，这些妇女正在完成刑期，并有可能发生饮酒的风险。 先前的行为表明，许多囚犯将有释放后重量和/或暴饮暴食的计划外怀孕的风险。 根据初步研究，据估计，符合条件的妇女的组成约为三分之一白人，三分之一的非洲裔美国人和三分之一的美国原住民和西班牙裔。该干预措施利用了对酒精和其他毒品的禁欲以及危险性的性行为，将利用两种有效的行为改变模型，这些模型已与各种人群和环境中的各种行为一起使用，以建立一个新开始的动力。 跨理论模型（TTM）确定了促进行为变化并且可以接受干预的机制；动机增强疗法（MET）是一种面向目标的方法，它通过关注客户对行为的矛盾情绪并强调个人选择和责任来促进变化。 “新起点”组件是两次会议之前，两次与训练有素的辅导员进行了两次释放，对计划生育教育和可选的妇科和节育服务的计划生育大于1次访问，以及与社区资源专家的可选会议。 根据该团队在监狱人口，酒精和性风险行为以及MET和量身定制的反馈和自我改变练习的经验，该项目提出了一个框架过程，以及用于简短干预的内容以及基于试点研究和目前收集的数据来完善它的方法。 该研究将使用RCT设计（n = 270）来测试干预对饮酒的影响，并在释放后6个月对生育量使用。