Knowledge, Opinions, and Practice Patterns of Obstetrician-Gynecologists Regarding Their Patients' Use of Alcohol

Anderson, Britta L.; Dang, Elizabeth; Floyd, R. Louise; Sokol, Robert J.; Mahoney, Jeanne; Schulkin, Jay

doi:10.1097/adm.0b013e3181b95015

Cited by 55 publications

(54 citation statements)

References 15 publications

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“…One study found, for example, that primary care providers would need to spend 4.4 h per work day to complete all recommended screening and prevention tasks [63]. A more recent survey of obstetric practitioners found little change over time in use of SBIRT to treat alcohol use in pregnancy [64]. More than half reported they did not use a standardized screening tool (57.8%), and older practitioners felt more prepared to screen for hazardous drinking than younger practitioners.…”

Section: Screening and Brief Interventionmentioning

confidence: 96%

Treatment of Cocaine Abuse During Pregnancy: Translating Research to Clinical Practice

Hull

May

Farrell-Moore

et al. 2010

Curr Psychiatry Rep

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In the late-1980s and early-1990s, much attention in America was focused on cocaine abuse. In particular, the effects of prenatal cocaine use on mothers and infants were in the news spotlight. Risks of adverse effects prompted funding for novel treatment programs. More recently, media attention has shifted elsewhere, and specialized treatment resources have grown scarce. This redirection of funding is unfortunate, as social stigma and fear of legal consequences continue to encourage cocaine-abusing pregnant women to hide drug use and avoid prenatal care. The purpose of this article is to summarize the most prominent adverse maternal and fetal/infant effects associated with prenatal cocaine use; review treatment options, focusing on comprehensive care programs of the 1990s as well as recent research on evidence-based practices and their applicability to pregnant women; and highlight the population of prenatal cocaine-abusing women uninterested in treatment, with a focus on promising strategies to promote drug abstinence and other positive health behaviors.

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Section: Screening and Brief Interventionmentioning

confidence: 96%

Treatment of Cocaine Abuse During Pregnancy: Translating Research to Clinical Practice

Hull

May

Farrell-Moore

et al. 2010

Curr Psychiatry Rep

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“…Such findings may be in part explained by growing evidence that SBIRT approaches are challenging to implement due to the time, training, and commitment they require (Yarnall et al, 2003, van Beurden et al, 2012, Kaner et al, 2013, Aalto et al, 2005, DePue et al, 2002). In prenatal care settings, many obstetricians report obstacles such as insufficient time and limited confidence in addressing alcohol use (Anderson et al., 2010). …”

Section: Introductionmentioning

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

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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“…19 Similar findings have been reported by multiple surveys of physicians providing care for pregnant women, suggesting that few of them fully implement recommended brief intervention strategies. [20][21][22] Advantages of computer delivery Computer-delivered screening and brief intervention may address some of these obstacles and has a number of potential advantages over current approaches. First, some evidence has suggested that only a third of women are assessed for alcohol use during prenatal care visits.…”

Section: Introductionmentioning

confidence: 99%

A Randomized Phase I Trial of a Brief Computer-Delivered Intervention for Alcohol Use During Pregnancy

Tzilos

Sokol

Ondersma

2011

Journal of Women's Health

115

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Knowledge, Opinions, and Practice Patterns of Obstetrician-Gynecologists Regarding Their Patients' Use of Alcohol

Abstract: There are few changes in the alcohol-related screening and treatment patterns of ob-gyns since 1999; although perceived barriers and needs have changed. Interventions, including referral resources and continuing medical education training, are warranted.

Cited by 55 publications

References 15 publications

Treatment of Cocaine Abuse During Pregnancy: Translating Research to Clinical Practice

Treatment of Cocaine Abuse During Pregnancy: Translating Research to Clinical Practice

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

A Randomized Phase I Trial of a Brief Computer-Delivered Intervention for Alcohol Use During Pregnancy

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