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J Subst Abuse Treat. 2014 Mar;46(3):382-9. doi: 10.1016/j.jsat.2013.10.009. Epub 2013 Oct 14.

Brief motivational enhancement intervention to prevent or reduce postpartum alcohol use: a single-blinded, randomized controlled effectiveness trial.

Author information

1
Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Data Center, Center for Research on Health Care, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. Electronic address: rubiodm@upmc.edu.
2
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
3
Department of Medicine, New York University, New York, NY, USA.
4
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
5
Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
6
Data Center, Center for Research on Health Care, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
7
Department of Obstetrics and Gynecology, Magee Women's Hospital, Pittsburgh, PA, USA.
8
Neonatology, UPMC Hamot Women's Hospital, Erie, PA, USA.

Abstract

AIMS:

The aim of this study is to assess the effect of brief motivational enhancement intervention postpartum alcohol use.

DESIGN:

This study is a single-blinded, randomized controlled effectiveness trial in which pregnant women were assigned to receive usual care or up to 5 face-to-face brief motivational enhancement sessions lasting 10-30 minutes each and occurring at study enrollment, 4 and 8 weeks after enrollment, 32 weeks of gestation, and 6 weeks postpartum.

SETTING:

The setting is in a large, urban, obstetrics clinic.

PARTICIPANTS:

Participants were women who were ≥ 18 years old, <20 weeks of gestation, and consumed alcohol during pregnancy. Of 3438 women screened, 330 eligible women were assigned to usual care (n = 165) or intervention (n=165). Due to missing data, we analyzed 125 in the intervention group and 126 in the usual care group.

MEASUREMENTS:

The measurements were the proportion of women with any alcohol use and the number of drinks per day, reported via follow-up telephone interviews at 4 and 8 weeks after enrollment, 32 weeks of gestation, and 6 weeks, 6 months, and 12 months postpartum.

FINDINGS:

In random effects models adjusted for confounders, the intervention group was less likely to use any alcohol (odds ratio 0.50; 95% confidence interval [CI], 0.23-1.09; P=0.08) and consumed fewer drinks per day (coefficient -0.11; 95% CI -0.23-0.01; P=0.07) than, the usual care group in the postpartum period but these differences were non-significant. Missing data during the prenatal period prevented us from modeling prenatal alcohol use.

CONCLUSIONS:

Brief motivational enhancement intervention delivered in an obstetrical outpatient setting did not conclusively decrease alcohol use during the postpartum period.

KEYWORDS:

Brief motivational enhancement; Comparative effectiveness; Postpartum alcohol use; Randomized trial

PMID:
24315218
PMCID:
PMC3947008
DOI:
10.1016/j.jsat.2013.10.009
[Indexed for MEDLINE]
Free PMC Article

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