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

Armstrong, Mary Anne; Kaskutas, Lee Ann; Witbrodt, Jane; Taillac, Cosette; Hung, Yun‐Yi; Osejo, Veronica Gonzales; Escobar, Gabriel J.

doi:10.1080/00981380802451210

Cited by 29 publications

(58 citation statements)

References 27 publications

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“…Comparisons of self-reported pregnancy drinking with the use of vessels (varying sizes of beer, wine and other glasses) to visualize the amount of alcohol consumed have found an underestimation of alcohol consumption resulting from self-report27. Further, studies comparing pregnancy drinking as measured by antenatal self-report and retrospective self-report have documented an under-reporting for antenatal assessment, especially among heavy drinkers28, 29.…”

Section: Commentmentioning

confidence: 99%

Do multivitamin supplements modify the relationship between prenatal alcohol intake and miscarriage?

Avalos

Kaskutas

Block

et al. 2009

American Journal of Obstetrics and Gynecology

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Objective-To determine whether multivitamin supplements modify the relationship between alcohol consumption during pregnancy and the risk of miscarriage.Study Design-We utilized data from a population-based cohort study of pregnant women (n=1061; response rate=39%). Participants were asked about their alcohol consumption and vitamin intake during pregnancy.Results-Among multivitamin nonusers, women who drank alcohol during their pregnancy were more likely to have a miscarriage compared to women who abstained (adjusted Hazard Ratio (aHR): 1.67, 95%CI: 1.04, 2.69). However among multivitamin users, there was no difference in the risk of miscarriage between alcohol consumers and abstainers. Results suggest the volume of alcohol as well as the timing of multivitamin supplementation may also be important.Conclusions-Our findings suggest that a woman of child-bearing years might decrease her risk of miscarriage associated with alcohol intake by taking multivitamin supplements. However, our findings should be interpreted with caution and future research replicating these findings is necessary.

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Section: Commentmentioning

confidence: 99%

Do multivitamin supplements modify the relationship between prenatal alcohol intake and miscarriage?

Avalos

Kaskutas

Block

et al. 2009

American Journal of Obstetrics and Gynecology

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“…Para evaluar el consumo de alcohol se incluyeron preguntas de cantidad y frecuencia en el 57% de los trabajos empíricos (9,11,12,18,21,23,24,(25)(26)(27)(28)(29). El T-ACE fue el instrumento de tamizaje más recomendado y utilizado, incluyéndose en el 34% de los trabajos empíricos y siendo seleccionado entre las mejores opciones para tamizar consumo de alcohol durante la gestación en el 64% de los trabajos de reflexión.…”

Section: Selección De Estudios Se Hallaron 156 Artículosunclassified

Investigación en intervención breve y consumo de alcohol durante la gestación: productividad e impacto

Lichtenberger¹,

Conde²,

Cremonte³

2016

Rev. chil. obstet. ginecol.

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RESUMENObjetivo: Describir la producción científica de las Intervenciones Breves (IB) para disminuir el consumo de alcohol durante la gestación y cuantificarla mediante indicadores bibliométricos. Método: Se realizó un estudio de investigación secundaria con un diseño de revisión estructurada que consistió en búsquedas sistemáticas en las bases de datos Lilacs, PsycINFO, PubMed, Scielo y Scopus. Para el análisis se accedió al documento completo y se registraron características y procedimientos de aplicación de IB de los documentos seleccionados. Resultados: Se analizaron 45 artículos, la mayoría de los Estados Unidos. La primera publicación fue en 1999 registrándose un incremento progresivo hasta la actualidad. La revista con más publicaciones fue Obstetrics and Gynecology y el idioma predominante el inglés. El 52% de los artí-culos corresponden a trabajos empíricos, y el resto a trabajos de reflexión y revisiones que en su mayoría, promueven la abstinencia durante la gestación. En los trabajos experimentales se compararon dos grupos, intervención y control, y se registraron dos modalidades: vía web y cara a cara (71%). Para tamizar consumo de alcohol el T-ACE fue el instrumento más recomendado y utilizado, junto con preguntas de cantidad y frecuencia. Conclusiones: La necesidad de contar con estrategias efectivas para evitar el consumo de alcohol durante la gestación está siendo cada vez más reconocida. Se espera que en los próximos años el crecimiento del número de publicaciones impacte en nuestro contexto latinoamericano donde hay escasez de publicaciones, aparentemente nulas en habla hispana, y donde existe una relevante necesidad de evidencia sobre estrategias efectivas en esta población. PALABRAS CLAVES: Intervenciones breves, bebidas alcohólicas, promoción de la salud, embarazo, indicadores bibliométricos SUMMARY Aims:To describe the scientific production of the Brief Interventions (BI) to reduce alcohol consumption during pregnancy and quantify it by bibliometric indicators. Method: A secondary research study was conducted with a structured design review. A systematic search of Lilacs, PsycINFO, PubMed, Scopus and Scielo databases was made. For the analysis, we accessed to the full document and then concentrated on the application and procedures of the BI characterized in the articles. Results: Forty-five articles, most from the United States were analyzed. In 1999 was the first publication and it has been a gradual increase until today. The journal which published more was Obstetrics and Gynecology and the language of all publications was above all English. Half of the articles were empirical works, and the rest, opinion articles, and reviews. Most of them promote alcohol abstinence during pregnancy. In all experimental works, two groups were compared: intervention and control and the BI was implemented by two procedures: via web or face to face (71%). Among all the alcohol consumption screening instruments, the most recommended 56 REV CHIL OBSTET GINECOL 2016; 81(1): 56 -62

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“…Five brief intervention trials have been conducted with pregnant women in the USA [22-26]. Two trials were small (pilot) studies [23,25], with assessment and/or brief intervention procedures that were much longer in duration (1 to 2 hours) than the time available in antenatal care in the UK [23-25].…”

Section: Introductionmentioning

confidence: 99%

“…Two trials were small (pilot) studies [23,25], with assessment and/or brief intervention procedures that were much longer in duration (1 to 2 hours) than the time available in antenatal care in the UK [23-25]. Four trials were based in obstetric settings [22-25], and three used specialist practitioners to deliver brief intervention [22,24,25]. Two trials included a single session of brief intervention, one of 10 to 15 minutes [26] and the other of 25 minutes in duration [23].…”

Section: Introductionmentioning

confidence: 99%

“…The former reported significant effects of brief intervention [26], whereas the latter reported reduced drinking in both the control and intervention groups [23]. Finally, one study found that women in antenatal care receiving brief interventions were significantly less likely than women receiving no treatment to have an infant with low birth weight or to suffer preterm labor problems, while another study found positive effects of brief intervention on prenatal drinking in women with higher initial rates of consumption [22,23]. Most recently, a trial of brief interventions in antenatal clinics in South Africa found that women who received a brief intervention had significantly greater reductions in scores on the Alcohol Use Disorders Identification Test (AUDIT) screening tool [27] by their third trimester, compared with women receiving assessment only [28].…”

Section: Introductionmentioning

confidence: 99%

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Brief intervention to reduce risky drinking in pregnancy: study protocol for a randomized controlled trial

Wilson

McGovern

Antony

et al. 2012

Trials

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BackgroundRisky drinking in pregnancy by UK women is likely to result in many alcohol-exposed pregnancies. Studies from the USA suggest that brief intervention has promise for alcohol risk reduction in antenatal care. However, further research is needed to establish whether this evidence from the USA is applicable to the UK. This pilot study aims to investigate whether pregnant women can be recruited and retained in a randomized controlled trial of brief intervention aimed at reducing risky drinking in women receiving antenatal care.MethodsThe trial will rehearse the parallel-group, non-blinded design and procedures of a subsequent definitive trial. Over 8 months, women aged 18 years and over (target number 2,742) attending their booking appointment with a community midwife (n = 31) in north-east England will be screened for alcohol consumption using the consumption questions of the Alcohol Use Disorders Identification Test (AUDIT-C). Those screening positive, without a history of substance use or alcohol dependence, with no pregnancy complication, and able to give informed consent, will be invited to participate in the trial (target number 120). Midwives will be randomized in a 1:1 ratio to deliver either treatment as usual (control) or structured brief advice and referral for a 20-minute motivational interviewing session with an alcohol health worker (intervention). As well as demographic and health information, baseline measures will include two 7-day time line follow-back questionnaires and the EuroQoL EQ-5D-3 L questionnaire. Measures will be repeated in telephone follow-ups in the third trimester and at 6 months post-partum, when a questionnaire on use of National Health Service and social care resources will also be completed. Information on pregnancy outcomes and stillbirths will be accessed from central health service records before the follow-ups. Primary outcomes will be rates of eligibility, recruitment, intervention delivery, and retention in the study population, to inform power calculations for a definitive trial. The health-economics component will establish how cost-effectiveness will be assessed, and examine which data on health service resource use should be collected in a main trial. Participants’ views on instruments and procedures will be sought to confirm their acceptability.DiscussionThe study will produce a full trial protocol with robust sample-size calculations to extend evidence on effectiveness of screening and brief intervention.Trial RegistrationCurrent Controlled Trials ISRCTN43218782

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

Cited by 29 publications

References 27 publications

Do multivitamin supplements modify the relationship between prenatal alcohol intake and miscarriage?

Do multivitamin supplements modify the relationship between prenatal alcohol intake and miscarriage?

Investigación en intervención breve y consumo de alcohol durante la gestación: productividad e impacto

Brief intervention to reduce risky drinking in pregnancy: study protocol for a randomized controlled trial

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