AN ENHANCED BRIEF INTERVENTION FOR PRENATAL ALCOHOL USE

没有普遍安全的产前饮酒水平已确定。 怀孕期间饮酒的后果从微妙的发育问题到胎儿酒精综合征不等。 然而，近年来，孕妇频繁饮酒的比例大幅上升。通常建议将简短的干预措施作为治疗轻度至中度酒精问题的首要方法，并且几项精心设计的研究证明了其有效性。考虑到产前饮酒的潜在后果以及这一人群中依赖酒精使用的频率相对较低，面临产前饮酒风险的孕妇是特别适合接受简短干预的群体。我们以前的努力，以提高识别和修改酒精使用在怀孕期间已经证明了较高的比例禁欲的妇女随机接受简短的干预。本研究的目的是测试一个增强的简短干预的有效性，涉及一个人选择的孕妇。 这一支持伙伴将协助维持和应用通过简短干预学到的技能。 300名开始产前护理的孕妇，酒精筛查呈阳性，目前饮酒，或在以前怀孕期间饮酒，或在怀孕前每天至少饮酒一次，将被随机分配到评估或仅评估的强化简短干预组。这项拟议的随机临床试验的具体目的是检验一个假设，即70%的妇女在加强的短暂干预后将禁欲，而仅在评估后只有50%的妇女禁欲。 这项拟议的研究旨在采取干预措施，防止孕妇饮酒，并建立在我们以前的研究基础上，结合女性心理学的进步，认识到关系在女性生活中的重要性。

No universally safe level of prenatal alcohol consumption has been identified. The consequences of drinking while pregnant range from subtle developmental problems to fetal alcohol syndrome. Yet, the rate of frequent drinking by pregnant women has increased substantially in recent years. Brief interventions have been generally recommended as the first approach to treatment for mild to moderate alcohol problems, and their effectiveness documented in several well designed studies. Pregnant women at risk for antenatal consumption are an especially appropriate group to receive brief interventions, given the potential consequences of prenatal drinking and the relative infrequency of dependent alcohol use in this population. Our previous efforts to improve the identification and modification of alcohol use in pregnancy have demonstrated higher rates of abstinence among women randomized to a brief intervention. The purpose of this study is to test the effectiveness of an enhanced brief intervention involving an individual chosen by the pregnant woman. This support partner will assist in the maintenance and application of skills learned as a result of the brief intervention. Three hundred pregnant women initiating prenatal care, who are alcohol screen positive and currently drinking, or drank during a previous pregnancy, or drank at least one drink daily before pregnancy will be randomized to either the enhanced brief intervention with assessment or assessment only. The aim specific to this proposed randomized clinical trial is to test the hypothesis that 70 percent of the women will be abstinent after the enhanced brief intervention in contrast to 50 percent of the women after the assessment only. This proposed study seeks interventions to prevent drinking by pregnant women, and builds upon our previous research by incorporating advances in feminine psychology which recognize the importance of relationships in women's lives.