Preventing FAS/ARND in Russian Children

预防俄罗斯儿童 FAS/ARND

• 批准号: 8532076
• 负责人: TATIANA N BALACHOVA
• 金额: $ 8.88万
• 依托单位: UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-20 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8532076
• 关键词: Adverse effects; Affect; Alcohol consumption; Alcohol-Related Neurodevelopmental Disorder; Alcohol-related birth defects; Alcohols; Animals; Applied Psychology; Behavior; Belief; Brain; Centers for Disease Control and Prevention (U.S.); Child; Clinic; Collaborations; Conceptions; Contraception Behavior; Contraceptive methods; Country; Data; Development; Diagnosis; Epidemiology; Exhibits; Faculty; Family Planning; Female of child bearing age; Fetal Alcohol Exposure; Fetal Alcohol Spectrum Disorder; Fetal Alcohol Syndrome; Fostering; Funding; Goals; Gynecologist; Health Sciences; Health behavior; Healthcare Systems; Human; Injury; Institutes; Interdisciplinary Study; International; Intervention; Knowledge; Mediating; Medical; Medicine; Mental Retardation; Monitor; Neuraxis; Oklahoma; Performance; Phase; Physicians; Pregnancy; Pregnant Women; Prevention; Prevention Protocols; Prevention Research; Prevention approach; Preventive Intervention; Primary Prevention; Printing; Provider; Psychology; Public Health; Randomized; Randomized Controlled Trials; Reporting; Research; Research Personnel; Research Project Grants; Risk; Risk Behaviors; Route; Russia; Scientist; Site; Source; Teratogens; Testing; Time; Training; Translating; United States National Institutes of Health; Universities; Woman; alcohol consumption during pregnancy; alcohol risk; arm; base; behavior change; binge drinking; brief motivational intervention; child bearing; design; disorder prevention; drinking; health belief; high risk drinking; in utero; international center; pregnant; prevent; programs; randomized trial; sexually active; social; standard care; theories

This proposal extends a line of international collaborative research for preventing Fetal Alcohol Syndrome (FAS) and Alcohol Related Neurodevelopmental Disorder (ARND) in Russia. Russia is a country with very high rates of alcohol use (WHO, 1999), including among women in their childbearing years. FAS/ARND are completely preventable by avoiding alcohol use during pregnancy. Our prior studies have suggested that although many Russian women reduce alcohol consumption after pregnancy is diagnosed, few recognize the risks involved in combining alcohol use with the potential to become pregnant, prior to the diagnosis of pregnancy, and therefore may be at risk for substantial fetal alcohol exposure during the early weeks of pregnancy. Therefore, a preconception dual-focus (alcohol use/pregnancy risk) approach targeting at-risk women is indicated for primary prevention of alcohol exposed pregnancies (AEP). The overarching aim of the study is to reduce risk for AEP in Russia. The proposed study is a two-arm, 20- site, site-randomized trial testing a Brief Physician Intervention (BPI) for at-risk women (at-risk drinking childbearing age women who are heterosexually active, and not consistently using contraception). The trial will determine whether physicians, trained in a dual-focused brief motivational intervention and monitored for performance, can foster greater reduction of women's risk behaviors compared to standard care. If effective, the BPI primary prevention protocol could be disseminated throughout the existing Russian health care system and public women's clinics. The project builds on two current research projects funded by the NIH and CDC and an established collaboration between scientists from medicine, psychology, and public health in the US and Russia. The project will be conducted through a consortium between the University of Oklahoma Health Sciences Center, St. Petersburg State University, and the Nizhniy Novgorod Institute for Applied Psychology/Nizhniy Novgorod State Pedagogical University in Russia. The first phase of the collaboration involved capacity building and obtaining data critical to developing FAS/ARND prevention Russia. The second phase involved developing professional training and public print materials for primary prevention. In our prior studies, Russian women identified OBG physicians as a major influence on their health behaviors, supporting the selection of BPI as the primary prevention intervention for this proposal. The project is designed to increase the sustainable capacity of Russian researchers to pursue FAS/ARND prevention research and to strengthen our existing international multidisciplinary collaboration. The proposed study would be the first randomized trial targeted at alcohol exposed pregnancies and preventing FAS/ARND in Russia.

这项建议扩展了预防胎儿酒精综合征的国际合作研究

项目成果

Latent Class Analysis of HIV Risk Behaviors Among Russian Women at Risk for Alcohol-Exposed Pregnancies.

• DOI: 10.1007/s10461-017-1929-9
• 发表时间: 2017-11
• 期刊: AIDS and behavior
• 影响因子: 4.4
• 作者: Bohora S;Chaffin M;Shaboltas A;Bonner B;Isurina G;Batluk J;Bard D;Tsvetkova L;Skitnevskaya L;Volkova E;Balachova T
• 通讯作者: Balachova T

Improving Recognition of Children Affected by Prenatal Alcohol Exposure: Detection of Exposure in Pediatric Care.

提高对受产前酒精暴露影响的儿童的识别：儿科护理中的暴露检测。

• DOI: 10.1007/s40474-015-0057-3
• 发表时间: 2015
• 期刊: Current developmental disorders reports
• 影响因子: 2
• 作者: Bax,AmiC;Geurts,CarrieD;Balachova,TatianaN
• 通讯作者: Balachova,TatianaN

Using a single binge drinking question to identify Russian women at risk for an alcohol-exposed pregnancy.

使用单个酗酒问题来识别有酒精暴露怀孕风险的俄罗斯女性。

• DOI: 10.1016/j.addbeh.2015.03.003
• 发表时间: 2015
• 期刊: Addictive behaviors
• 影响因子: 4.4
• 作者: Balachova,Tatiana;Sobell,LindaCarter;Agrawal,Sangeeta;Isurina,Galina;Tsvetkova,Larissa;Volkova,Elena;Bohora,Som
• 通讯作者: Bohora,Som

Alcohol and HIV Risk Among Russian Women of Childbearing Age.

• DOI: 10.1007/s10461-016-1542-3
• 发表时间: 2017-07
• 期刊: AIDS and behavior
• 影响因子: 4.4
• 作者: Balachova T;Shaboltas A;Nasledov A;Chaffin M;Batluk J;Bohora S;Bonner B;Bryant K;Tsvetkova L;Volkova E
• 通讯作者: Volkova E