A Pilot RCT of an Internet Intervention to Reduce the Risk of Alcohol-Exposed Pregnancy

Autor: Lee M. Ritterband, Christina Frederick, Brogan Jones, Kirsten MacDonnell, Holly R. Lord, Karen S. Ingersoll, Lauren Truwit
Rok vydání: 2018
Předmět:
Adult
medicine.medical_specialty
Adolescent
Alcohol Drinking
020205 medical informatics
Psychological intervention
Unprotected sex
Medicine (miscellaneous)
Pilot Projects
02 engineering and technology
Computer-assisted web interviewing
Toxicology
Article
law.invention
Young Adult
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
Pregnancy
law
Intervention (counseling)
Internal medicine
0202 electrical engineering
electronic engineering
information engineering
Humans
Medicine
Prospective Studies
030212 general & internal medicine
Internet
Unsafe Sex
business.industry
Alcohol exposed pregnancy
Incidence (epidemiology)
Virginia
Psychiatry and Mental health
Fetal Alcohol Spectrum Disorders
Prenatal Exposure Delayed Effects
Therapy
Computer-Assisted
Female
business
Patient education
Zdroj: Alcoholism: Clinical and Experimental Research. 42:1132-1144
ISSN: 0145-6008
Popis: BACKGROUND Preventing alcohol-exposed pregnancies (AEPs) could reduce the incidence of fetal alcohol spectrum disorders. Previous face-to-face interventions significantly reduced risk for AEP, but a scalable intervention is needed to reach more women at risk. METHODS This study compared a 6 Core automated, interactive, and tailored Internet intervention, the Contraception and Alcohol Risk Reduction Internet Intervention (CARRII), to a static patient education (PE) website for its effect on AEP risk. Participants were recruited online to a pilot randomized clinical trial (RCT) with baseline, 9 weeks posttreatment, and 6-month (6-M) follow-up assessments. Seventy-one women completed online questionnaires and telephone interviews and were randomized to CARRII (n = 36) or PE (n = 35). Primary outcomes were rates of risky drinking, unprotected sex episodes, and AEP risk, collected from online prospective diaries. RESULTS CARRII participants showed significant reductions in rate of unprotected sex from pretreatment (88.9%) to posttreatment (70.6%) (p
Databáze: OpenAIRE
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