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J Stud Alcohol. 1999 Mar;60(2):285-7.

Findings of a pilot study of motivational interviewing with pregnant drinkers.

Author information

1
Department of Psychology, University of New Mexico, Albuquerque 87131-1161, USA.

Abstract

OBJECTIVE:

Cost-effective interventions are needed for counseling pregnant drinkers, in order to reduce risk of fetal alcohol effects.

METHOD:

42 pregnant women who reported alcohol consumption participated in this pilot study of motivational interviewing. Following a comprehensive alcohol use assessment, the participants were randomly assigned to receive either written information about the risks related to drinking during pregnancy or a one-hour motivational interview. The motivational interview was an empathic, client-centered, but directive session focusing on the health of the participants' unborn babies.

RESULTS:

At the end of a 2-month follow-up period, the 34 women (81%) who remained in the study showed a significant reduction in alcohol consumption and peak intoxication levels. Women who had reported the highest blood alcohol concentration (BAC) levels during early pregnancy showed a significantly greater reduction in their estimated BACs at follow-up (during later pregnancy) if assigned to the treatment rather than the control condition.

CONCLUSIONS:

Motivational interviewing shows promise as a specific intervention for initiating a reduction in drinking among pregnant women who are at greatest risk. Simpler assessment and advice may suffice for women with lower initial consumption levels.

PMID:
10091968
DOI:
10.15288/jsa.1999.60.285
[Indexed for MEDLINE]

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