Using Drink Size to Talk about Drinking during Pregnancy: Early Start Plus

Witbrodt, Jane; Kaskutas, Lee Ann; Diehl, Sue; Armstrong, Mary Anne; Escobar, Gabriel J.; Taillac, Cosette; Osejo, Veronica Gonzales

doi:10.1080/10884600701699420

Cited by 6 publications

(14 citation statements)

References 27 publications

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“…The reasons for only a small number of ICD-9 codes for prenatal alcohol consumption are unclear, although they may relate to a reluctance among providers to screen for prenatal alcohol exposure due to social stigma behind it (Davis, Thake, & Vilhena, 2010; Lange, Shield, Koren, Rehm, & Popova, 2014; Northcote & Livingston, 2011), or because other substance use might be easier to extrapolate (i.e., smoking) or might be of greater concern (i.e., drugs). Our results did not provide important data regarding prenatal alcohol exposure, such as drink size and low/moderate drinking versus binge drinking (Dawson, 2011; Witbrodt et al, 2007). …”

Section: Discussioncontrasting

confidence: 62%

Epidemiology of Substance-Exposed Pregnancies at One Great Lakes Hospital

Hanson

Jensen

Campbell

et al. 2016

AIANMHR

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Objective The purpose of this research was to determine the prevalence of substance-exposed pregnancies at a hospital in the Great Lakes region of the U.S. Method Data were collected via retrospective chart abstractions of patients who were seen for delivery at one Great Lakes region hospital during a 1-year period who were given at least one of the International Classification of Diseases codes related to substance use. Results A total of 342 medical records were included in the analysis, and, while much race/ethnicity data were missing, a large percentage of those in our analysis identified as American Indian. The prevalence of substance-exposed pregnancies at this hospital during a 1-year period was 34.5%. The majority (84.8%) were tobacco users, and many were found to have multiple substance exposures. Also, 48.5% were found to have a mental health diagnosis in addition to substance use. Conclusions Data from this project can be used in prevention efforts, including preconception care for women at risk for substance use and mental health issues.

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Section: Discussioncontrasting

confidence: 62%

Epidemiology of Substance-Exposed Pregnancies at One Great Lakes Hospital

Hanson

Jensen

Campbell

et al. 2016

AIANMHR

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“…Awareness of drink alcohol content variation, particularly aspects related to larger amounts are also relevant to alcoholic beverage labeling, server training, consumer education regarding safe drinking limits, and interventions (Witbrodt et al, 2007), particularly those that help drinkers become aware of their actual intake. Although most studies continue to assume that all “drinks” contain the same amount of alcohol, it is increasingly clear that drink alcohol content varies by beverage type and a variety of individual factors (Kerr et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Alcohol Content Variation of Bar and Restaurant Drinks in Northern California

Kerr

Patterson

Koenen

et al. 2008

Alcoholism Clin & Exp Res

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Objective To estimate the average of, and sources of variation in, the alcohol content of drinks served on-premise in 10 Northern California counties. Methods Focus groups of bartenders were conducted to evaluate potential sources of drink alcohol content variation. In the main study, 80 establishments were visited by a team of research personnel who purchased and measured the volume of particular beer, wine and spirits drinks. Brand or analysis of a sample of the drink was used to determine the alcohol concentration by volume. Results The average wine drink was found to be 43% larger than a standard drink with no difference between red and white wine. The average draught beer was 22% larger than the standard. Spirits drinks differed by type with the average shot being equal to one standard drink while mixed drinks were 42% larger. Variation in alcohol content was particularly wide for wine and mixed spirits drinks. No significant differences in mean drink alcohol content were seen by county for beer or spirits but one county was lower than two others for wine. Conclusions On premise drinks typically contained more alcohol than the standard drink with the exception of shots and bottled beers. Wine and mixed spirits drinks were the largest with nearly 1.5 times the alcohol of a standard drink on average. Consumers should be made aware of these substantial differences and key sources of variation in drink alcohol content and research studies should utilize this information in the interpretation of reported numbers of drinks.

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“…A follow-up intervention was conducted later in the pregnancy when possible but was not required for inclusion in this analysis. See Witbrodt et al (2007a) for a more detailed description of the vessels drink size assessment and intervention. The women in all three study groups were interviewed twice by telephone regarding their alcohol use.…”

Section: Methodsmentioning

confidence: 99%

“…In this cluster randomized clinical trial, 15 obstetric clinics in KPNC offering standard prenatal care services augmented by Early Start were randomized to one of two study groups: the enhanced intervention group called Early Start Plus (receiving Early Start counseling plus a drink size assessment and intervention aimed at reducing risk) (Witbrodt et al, 2007a) or the usual care group (receiving Early Start counseling but no drink size assessment or intervention). Randomization was stratified by clinic size to ensure equal numbers of women in each arm.…”

Section: Methodsmentioning

confidence: 99%

Using Drink Size to Talk About Drinking During Pregnancy: A Randomized Clinical Trial of Early Start Plus

Armstrong

Kaskutas

Witbrodt

et al. 2009

Social Work in Health Care

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This clinical trial compared two brief alcohol use interventions in prenatal clinics: Early Start (ES), a substance abuse screening and treatment program integrated with prenatal care focused on abstention (n=298), and Early Start Plus (ESP), adding a computerized drink-size assessment tool and intervention focused on drinking less (n=266). Controls were untreated alcohol users (n=344). Controls had higher adverse neonatal and maternal outcome rates. Findings favored ESP for preterm labor and ES for low birth weight. No differences between ES and ESP were statistically significant. ESP provides clinicians with an innovative assessment tool that creates open dialogue about drinking during pregnancy.

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Using Drink Size to Talk about Drinking during Pregnancy: Early Start Plus

Cited by 6 publications

References 27 publications

Epidemiology of Substance-Exposed Pregnancies at One Great Lakes Hospital

Epidemiology of Substance-Exposed Pregnancies at One Great Lakes Hospital

Alcohol Content Variation of Bar and Restaurant Drinks in Northern California

Using Drink Size to Talk About Drinking During Pregnancy: A Randomized Clinical Trial of Early Start Plus

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