Acceptability of a Computerized Brief Intervention for Alcohol among Abstinent but At-Risk Pregnant Women

Pollick, Sarah A.; Beatty, Jessica R.; Sokol, Robert J.; Strickler, Ronald C.; Chang, Grace; Svikis, Dace S.; Tzilos, Golfo K.; Ondersma, Steven J.

doi:10.1080/08897077.2013.857631

Cited by 25 publications

(20 citation statements)

References 23 publications

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“…Computer-delivered interventions can vary in as many ways as can person-delivered approaches; even subtle variations in the content and how it is presented could result in different outcomes. For example, the alcohol intervention in the present study did not include videos, which add a highly engaging element to interventions of this type and which have been well-received in prior successful interventions [28,54]. Notably, participant ratings of helpfulness, ease of use, etc., at 3.4 to 3.9 on a 5-point scale, were lower for this alcohol brief intervention than for previous tobacco and drug use brief interventions developed by our group (satisfaction ratings for which have consistently hovered near 4.5; e.g.…”

Section: Discussionmentioning

confidence: 99%

A randomised trial of a computer-delivered screening and brief intervention for postpartum alcohol use

Ondersma

Svikis

Thacker

et al. 2016

Drug and Alcohol Review

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Introduction and Aims Most women cut down or quit alcohol use during pregnancy, but return to pre-pregnancy levels of use after giving birth. Universal screening and brief intervention (SBI) for alcohol use has shown promise, but has proven challenging to implement and has rarely been evaluated with postpartum women. This trial evaluated a single 20-minute, electronic SBI (e-SBI) for alcohol use among postpartum women. Design and Methods In this parallel group randomised trial, 123 postpartum, low-income, primarily African-American women meeting criteria for unhealthy alcohol use were randomly assigned to either a tailored e-SBI (n=61) or a time-matched control condition (n=62), with follow-up at 3 and 6 months. Hypotheses predicted that 7-day point-prevalence abstinence and drinking days would favour the e-SBI condition. Results No group differences were significant. Blinded follow-up evaluation revealed 7-day point prevalence of 75% for the e-SBI condition vs. 82% for control at 3 months (odds ratio = 1.6) and 72% vs. 73%, respectively, at 6 months. Drinking days in the past 90 and mean number of drinks per week also showed no significant differences. Discussion and Conclusions This pilot trial failed to support a single-session e-SBI for alcohol use among postpartum women, although findings at the three month time point suggested that greater power might confirm transient effects of the e-SBI. As efficacy is likely to vary with e-SBI content and approach, future research should leverage technology’s reproducibility and modularity to isolate key components.

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Section: Discussionmentioning

confidence: 99%

A randomised trial of a computer-delivered screening and brief intervention for postpartum alcohol use

Ondersma

Svikis

Thacker

et al. 2016

Drug and Alcohol Review

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“…Multiple versions of each video were available and were tailored based on three participant characteristics: quit status, self-efficacy, and frequency of binge drinking. Second, given evidence from the initial trial that most women screening positive for alcohol risk report having quit drinking upon becoming aware of their pregnancy, we targeted this group for feedback and revised the intervention accordingly prior to beginning the trial (see Pollick et al., 2013). Third, a series of three tailored mailings was added to extend contact with the participant.…”

Section: Methodsmentioning

confidence: 99%

Computer‐Delivered Screening and Brief Intervention for Alcohol Use in Pregnancy: A Pilot Randomized Trial

Ondersma

Beatty

Svikis

et al. 2015

Alcoholism Clin & Exp Res

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101

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Background Although screening and brief intervention (SBI) for unhealthy alcohol use has demonstrated efficacy in some trials, its implementation has been limited. Technology-delivered approaches are a promising alternative, particularly during pregnancy when the importance of alcohol use is amplified. The present trial evaluated the feasibility and acceptability of an interactive, empathic, video-enhanced, and computer-delivered SBI (e-SBI) plus three separate tailored mailings, and estimated intervention effects. Methods We recruited 48 pregnant women who screened positive for alcohol risk at an urban prenatal care clinic. Participants were randomly assigned to the e-SBI plus mailings or to a control session on infant nutrition, and were reevaluated during their postpartum hospitalization. The primary outcome was 90-day period-prevalence abstinence as measured by timeline follow-back interview. Results Participants rated the intervention as easy to use and helpful (4.7-5.0 on a 5-point scale). Blinded follow-up evaluation at childbirth revealed medium-size intervention effects on 90-day period prevalence abstinence (OR = 3.4); similarly, intervention effects on a combined healthy pregnancy outcome variable (live birth, normal birthweight, and no NICU stay) were also of moderate magnitude in favor of e-SBI participants (OR=3.3). As expected in this intentionally under-powered pilot trial, these effects were non-significant (p = .19 and .09, respectively). Conclusions This pilot trial demonstrated the acceptability and preliminary efficacy of a computer-delivered screening and brief intervention (e-SBI) plus tailored mailings for alcohol use in pregnancy. These findings mirror the promising results of other trials using a similar approach, and should be confirmed in a fully-powered trial.

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“…Ondersma and colleagues studied screening and brief intervention platforms targeting substance abuse and smoking in pregnant and postpartum women using motivational enhancement and motivational interviewing. Results showed high acceptability and improved motivation to reduce substance use (Ondersma et al, 2005; Pollick et al, 2013), as well as actual substance use reduction (Ondersma et al, 2012; Ondersma et al, 2007). However, in a randomized controlled trial of a web-based alcohol treatment program among 44 rural women, no significant difference was detected between web-based and standard care groups at 3 month follow-up (Finfgeld-Connett and Madsen, 2008).…”

Section: Introductionmentioning

confidence: 99%

Gender-based Outcomes and Acceptability of a Computer-assisted Psychosocial Intervention for Substance Use Disorders

Campbell¹,

Nunes²,

Pavlicová³

et al. 2015

Journal of Substance Abuse Treatment

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Background Digital technologies show promise for increasing treatment accessibility and improving quality of care, but little is known about gender differences. This secondary analysis uses data from a multi-site effectiveness trial of a computer-assisted behavioral intervention, conducted within NIDA's National Drug Abuse Clinical Trials Network, to explore gender differences in intervention acceptability and treatment outcomes. Methods Men (n=314) and women (n=192) were randomly assigned to 12-weeks of treatment-as-usual (TAU) or modified TAU + Therapeutic Education System (TES), whereby TES substituted for 2 hours of TAU per week. TES is comprised of 62 web-delivered, multimedia modules, covering skills for achieving and maintaining abstinence plus prize-based incentives contingent on abstinence and treatment adherence. Outcomes were: (1) abstinence from drugs and heavy drinking in the last 4 weeks of treatment, (2) retention, (3) social functioning, and (4) drug and alcohol craving. Acceptability was the mean score across five indicators (i.e., interesting, useful, novel, easy to understand, and satisfaction). Results Gender did not moderate the effect of treatment on any outcome. Women reported higher acceptability scores at week 4 (p=.02), but no gender differences were detected at weeks 8 or 12. Acceptability was positively associated with abstinence, but only among women (p=.01). Conclusions Findings suggest that men and women derive similar benefits from participating in a computer-assisted intervention, a promising outcome as technology-based treatments expand. Acceptability was associated with abstinence outcomes among women. Future research should explore characteristics of women who report less satisfaction with this modality of treatment and ways to improve overall acceptability.

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Acceptability of a Computerized Brief Intervention for Alcohol among Abstinent but At-Risk Pregnant Women

Cited by 25 publications

References 23 publications

A randomised trial of a computer-delivered screening and brief intervention for postpartum alcohol use

A randomised trial of a computer-delivered screening and brief intervention for postpartum alcohol use

Computer‐Delivered Screening and Brief Intervention for Alcohol Use in Pregnancy: A Pilot Randomized Trial

Gender-based Outcomes and Acceptability of a Computer-assisted Psychosocial Intervention for Substance Use Disorders

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