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

J Womens Health (Larchmt). 2011 Oct;20(10):1517-24. doi: 10.1089/jwh.2011.2732. Epub 2011 Aug 8.

Abstract

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.

Publication types

  • Clinical Trial, Phase I
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Alcohol Drinking / epidemiology
  • Alcohol Drinking / therapy*
  • Feasibility Studies
  • Female
  • Humans
  • Mass Screening / methods*
  • Middle Aged
  • Pregnancy
  • United States / epidemiology
  • User-Computer Interface*
  • Young Adult