Motivational interviewing + feedback intervention to reduce alcohol-exposed pregnancy risk among college binge drinkers: determinants and patterns of response
Many college women are at risk for pregnancy, and binge drinking college women are often at risk for alcohol-exposed pregnancy. Brief interventions with sustainable outcomes are needed, particularly for college women who are binge drinking, at risk for pregnancy, and at increased risk of alcohol-exp...
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| Veröffentlicht in: | Journal of behavioral medicine 2011-10, Vol.34 (5), p.381-395 |
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| description | Many college women are at risk for pregnancy, and binge drinking college women are often at risk for alcohol-exposed pregnancy. Brief interventions with sustainable outcomes are needed, particularly for college women who are binge drinking, at risk for pregnancy, and at increased risk of alcohol-exposed pregnancy. Two-hundred-twenty-eight women at a Mid-Atlantic urban university at risk for alcohol-exposed pregnancy enrolled in the randomized clinical trial, and 207 completed the 4 month follow-up. The BALANCE intervention used Motivational Interviewing plus feedback to target drinking and contraception behaviors. Main outcome measures included (1) the rate of risk for alcohol-exposed pregnancy, (2) the rate of risk drinking, and (3) the rate of pregnancy risk. At 4-month follow-up, the rate of alcohol-exposed pregnancy risk was significantly lower in the intervention (20.2%) than the control condition (34.9%), (
P
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| doi_str_mv | 10.1007/s10865-010-9308-2 |
| format | Article |
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P
< .02). Assignment to the intervention condition halved the odds of women remaining at risk for alcohol-exposed pregnancy, while not receiving the intervention doubled the odds of continued alcohol-exposed pregnancy risk (OR = 2.18; 95% CI = 1.16–4.09). A baseline history of blackouts, continued high blood alcohol drinking days at 1 month, and continued risk for pregnancy at 1 month independently contributed to a multivariate model of continued alcohol-exposed pregnancy risk at 4 month follow-up. BALANCE reduced alcohol-exposed pregnancy risk, with similar outcomes to longer interventions. Because early response predicted sustained alcohol-exposed pregnancy risk reduction, those who fail to achieve initial change could be identified for further intervention. The BALANCE intervention could be adopted into existing student health or university alcohol programs. The risks of unintended pregnancy and alcohol-exposed pregnancy among binge drinking women in college merit greater prevention efforts.</description><identifier>ISSN: 0160-7715</identifier><identifier>EISSN: 1573-3521</identifier><identifier>DOI: 10.1007/s10865-010-9308-2</identifier><identifier>PMID: 21318412</identifier><identifier>CODEN: JBMEDD</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Addictive behaviors ; Adolescent ; Adult and adolescent clinical studies ; Alcohol ; Alcohol consumption ; Alcohol Drinking ; Alcohol-Related Disorders - psychology ; Alcoholism ; At risk ; Binge drinking ; Biological and medical sciences ; Birth control ; Clinical trials ; Contraception Behavior ; Counseling - methods ; Ethanol - poisoning ; Family Medicine ; Feedback ; Feedback, Psychological ; Female ; Fetuses ; Follow-Up Studies ; General Practice ; Health Psychology ; Humans ; Intervention ; Interview, Psychological ; Medical sciences ; Medicine ; Medicine & Public Health ; Mental health ; Motivation ; Pregnancy ; Pregnancy Complications - prevention & control ; Pregnancy, Unwanted ; Pregnant women ; Prevention ; Prevention. Health policy. Planification ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Risk Reduction Behavior ; Social psychiatry. Ethnopsychiatry ; Treatment Outcome ; Undergraduate students ; Womens health ; Young Adult</subject><ispartof>Journal of behavioral medicine, 2011-10, Vol.34 (5), p.381-395</ispartof><rights>Springer Science+Business Media, LLC 2011</rights><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2011 Springer</rights><rights>Springer Science+Business Media, LLC 2011 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5512-a4d57e546f61e2823d1577425864365c777c2951b9bfd3d4440d6a13958db9023</citedby><cites>FETCH-LOGICAL-c5512-a4d57e546f61e2823d1577425864365c777c2951b9bfd3d4440d6a13958db9023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10865-010-9308-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10865-010-9308-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,12846,27924,27925,30999,31000,41488,42557,51319</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24618421$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21318412$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ceperich, Sherry Dyche</creatorcontrib><creatorcontrib>Ingersoll, Karen S.</creatorcontrib><title>Motivational interviewing + feedback intervention to reduce alcohol-exposed pregnancy risk among college binge drinkers: determinants and patterns of response</title><title>Journal of behavioral medicine</title><addtitle>J Behav Med</addtitle><addtitle>J Behav Med</addtitle><description>Many college women are at risk for pregnancy, and binge drinking college women are often at risk for alcohol-exposed pregnancy. Brief interventions with sustainable outcomes are needed, particularly for college women who are binge drinking, at risk for pregnancy, and at increased risk of alcohol-exposed pregnancy. Two-hundred-twenty-eight women at a Mid-Atlantic urban university at risk for alcohol-exposed pregnancy enrolled in the randomized clinical trial, and 207 completed the 4 month follow-up. The BALANCE intervention used Motivational Interviewing plus feedback to target drinking and contraception behaviors. Main outcome measures included (1) the rate of risk for alcohol-exposed pregnancy, (2) the rate of risk drinking, and (3) the rate of pregnancy risk. At 4-month follow-up, the rate of alcohol-exposed pregnancy risk was significantly lower in the intervention (20.2%) than the control condition (34.9%), (
P
< .02). Assignment to the intervention condition halved the odds of women remaining at risk for alcohol-exposed pregnancy, while not receiving the intervention doubled the odds of continued alcohol-exposed pregnancy risk (OR = 2.18; 95% CI = 1.16–4.09). A baseline history of blackouts, continued high blood alcohol drinking days at 1 month, and continued risk for pregnancy at 1 month independently contributed to a multivariate model of continued alcohol-exposed pregnancy risk at 4 month follow-up. BALANCE reduced alcohol-exposed pregnancy risk, with similar outcomes to longer interventions. Because early response predicted sustained alcohol-exposed pregnancy risk reduction, those who fail to achieve initial change could be identified for further intervention. The BALANCE intervention could be adopted into existing student health or university alcohol programs. The risks of unintended pregnancy and alcohol-exposed pregnancy among binge drinking women in college merit greater prevention efforts.</description><subject>Addictive behaviors</subject><subject>Adolescent</subject><subject>Adult and adolescent clinical studies</subject><subject>Alcohol</subject><subject>Alcohol consumption</subject><subject>Alcohol Drinking</subject><subject>Alcohol-Related Disorders - psychology</subject><subject>Alcoholism</subject><subject>At risk</subject><subject>Binge drinking</subject><subject>Biological and medical sciences</subject><subject>Birth control</subject><subject>Clinical trials</subject><subject>Contraception Behavior</subject><subject>Counseling - methods</subject><subject>Ethanol - poisoning</subject><subject>Family Medicine</subject><subject>Feedback</subject><subject>Feedback, Psychological</subject><subject>Female</subject><subject>Fetuses</subject><subject>Follow-Up Studies</subject><subject>General Practice</subject><subject>Health Psychology</subject><subject>Humans</subject><subject>Intervention</subject><subject>Interview, Psychological</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental health</subject><subject>Motivation</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - prevention & control</subject><subject>Pregnancy, Unwanted</subject><subject>Pregnant women</subject><subject>Prevention</subject><subject>Prevention. Health policy. Planification</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Risk Reduction Behavior</subject><subject>Social psychiatry. Ethnopsychiatry</subject><subject>Treatment Outcome</subject><subject>Undergraduate students</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>0160-7715</issn><issn>1573-3521</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kt9qFDEUxgdR7Lr6AN5IUARBpubvZMYLoRT_QcUbvQ6Z5Mw03ZlkTWZX-zb7LH0yM-zaWqnkIpDz-76TnHxF8ZTgY4KxfJMIritRYoLLhuG6pPeKBRGSlUxQcr9YYFLhUkoijopHKV1gjKuGNw-LI0oYqTmhi2L3JUxuqycXvB6Q8xPErYOfzvdXu9dXuw7AttqsDhXwM4imgCLYjQGkBxPOw1DCr3VIYNE6Qu-1N5courRCegy-RyYMA_SA2uwKyEbnVxDTW2Qhe44u81NC2me1nvKJTyh0uUFaB5_gcfGg00OCJ4d9WXz_8P7b6afy7OvHz6cnZ6URgtBScyskCF51FQFaU2bzICSnoq44q4SRUhraCNI2bWeZ5ZxjW2nCGlHbtsGULYt3e9_1ph3BmvzUqAe1jm7U8VIF7dTtinfnqg9bld2ZlCwbvDoYxPBjA2lSo0sGhkF7CJukCCY1mz-jyejzf9CLsIn5A5KqG0aFkLXI0Is91OsBlPNdyG3N7KlOGBdYMszna5d3UD14yHcMHjqXj2_xx3fweVkYnblTQPYCE0NKEbrrkRCs5hSqfQpVTqGaU6hmzbO_Z3mt-BO7DLw8ADoZPXQxR8alG45Xmcv0sqB7LuVSDk-8GdT_u_8G07b3fg</recordid><startdate>201110</startdate><enddate>201110</enddate><creator>Ceperich, Sherry Dyche</creator><creator>Ingersoll, Karen S.</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>5PM</scope></search><sort><creationdate>201110</creationdate><title>Motivational interviewing + feedback intervention to reduce alcohol-exposed pregnancy risk among college binge drinkers: determinants and patterns of response</title><author>Ceperich, Sherry Dyche ; Ingersoll, Karen S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5512-a4d57e546f61e2823d1577425864365c777c2951b9bfd3d4440d6a13958db9023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Addictive behaviors</topic><topic>Adolescent</topic><topic>Adult and adolescent clinical studies</topic><topic>Alcohol</topic><topic>Alcohol consumption</topic><topic>Alcohol Drinking</topic><topic>Alcohol-Related Disorders - psychology</topic><topic>Alcoholism</topic><topic>At risk</topic><topic>Binge drinking</topic><topic>Biological and medical sciences</topic><topic>Birth control</topic><topic>Clinical trials</topic><topic>Contraception Behavior</topic><topic>Counseling - methods</topic><topic>Ethanol - poisoning</topic><topic>Family Medicine</topic><topic>Feedback</topic><topic>Feedback, Psychological</topic><topic>Female</topic><topic>Fetuses</topic><topic>Follow-Up Studies</topic><topic>General Practice</topic><topic>Health Psychology</topic><topic>Humans</topic><topic>Intervention</topic><topic>Interview, Psychological</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental health</topic><topic>Motivation</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - prevention & control</topic><topic>Pregnancy, Unwanted</topic><topic>Pregnant women</topic><topic>Prevention</topic><topic>Prevention. Health policy. Planification</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Risk Reduction Behavior</topic><topic>Social psychiatry. Ethnopsychiatry</topic><topic>Treatment Outcome</topic><topic>Undergraduate students</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ceperich, Sherry Dyche</creatorcontrib><creatorcontrib>Ingersoll, Karen S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database (Proquest)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database (ProQuest)</collection><collection>ProQuest_Research Library</collection><collection>Sociology Database (ProQuest)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of behavioral medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ceperich, Sherry Dyche</au><au>Ingersoll, Karen S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Motivational interviewing + feedback intervention to reduce alcohol-exposed pregnancy risk among college binge drinkers: determinants and patterns of response</atitle><jtitle>Journal of behavioral medicine</jtitle><stitle>J Behav Med</stitle><addtitle>J Behav Med</addtitle><date>2011-10</date><risdate>2011</risdate><volume>34</volume><issue>5</issue><spage>381</spage><epage>395</epage><pages>381-395</pages><issn>0160-7715</issn><eissn>1573-3521</eissn><coden>JBMEDD</coden><abstract>Many college women are at risk for pregnancy, and binge drinking college women are often at risk for alcohol-exposed pregnancy. Brief interventions with sustainable outcomes are needed, particularly for college women who are binge drinking, at risk for pregnancy, and at increased risk of alcohol-exposed pregnancy. Two-hundred-twenty-eight women at a Mid-Atlantic urban university at risk for alcohol-exposed pregnancy enrolled in the randomized clinical trial, and 207 completed the 4 month follow-up. The BALANCE intervention used Motivational Interviewing plus feedback to target drinking and contraception behaviors. Main outcome measures included (1) the rate of risk for alcohol-exposed pregnancy, (2) the rate of risk drinking, and (3) the rate of pregnancy risk. At 4-month follow-up, the rate of alcohol-exposed pregnancy risk was significantly lower in the intervention (20.2%) than the control condition (34.9%), (
P
< .02). Assignment to the intervention condition halved the odds of women remaining at risk for alcohol-exposed pregnancy, while not receiving the intervention doubled the odds of continued alcohol-exposed pregnancy risk (OR = 2.18; 95% CI = 1.16–4.09). A baseline history of blackouts, continued high blood alcohol drinking days at 1 month, and continued risk for pregnancy at 1 month independently contributed to a multivariate model of continued alcohol-exposed pregnancy risk at 4 month follow-up. BALANCE reduced alcohol-exposed pregnancy risk, with similar outcomes to longer interventions. Because early response predicted sustained alcohol-exposed pregnancy risk reduction, those who fail to achieve initial change could be identified for further intervention. The BALANCE intervention could be adopted into existing student health or university alcohol programs. The risks of unintended pregnancy and alcohol-exposed pregnancy among binge drinking women in college merit greater prevention efforts.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>21318412</pmid><doi>10.1007/s10865-010-9308-2</doi><tpages>15</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of behavioral medicine, 2011-10, Vol.34 (5), p.381-395 |
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| subjects | Addictive behaviors Adolescent Adult and adolescent clinical studies Alcohol Alcohol consumption Alcohol Drinking Alcohol-Related Disorders - psychology Alcoholism At risk Binge drinking Biological and medical sciences Birth control Clinical trials Contraception Behavior Counseling - methods Ethanol - poisoning Family Medicine Feedback Feedback, Psychological Female Fetuses Follow-Up Studies General Practice Health Psychology Humans Intervention Interview, Psychological Medical sciences Medicine Medicine & Public Health Mental health Motivation Pregnancy Pregnancy Complications - prevention & control Pregnancy, Unwanted Pregnant women Prevention Prevention. Health policy. Planification Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Risk Reduction Behavior Social psychiatry. Ethnopsychiatry Treatment Outcome Undergraduate students Womens health Young Adult |
| title | Motivational interviewing + feedback intervention to reduce alcohol-exposed pregnancy risk among college binge drinkers: determinants and patterns of response |
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