一项针对怀孕期间饮酒的简短计算机干预措施的随机 I 期试验。
A randomized phase I trial of a brief computer-delivered intervention for alcohol use during pregnancy.
机构信息
Wayne State University, Department of Psychology, Detroit, Michigan, USA.
出版信息
J Womens Health (Larchmt). 2011 Oct;20(10):1517-24. doi: 10.1089/jwh.2011.2732. Epub 2011 Aug 8.
Abstract
BACKGROUND
Drinking alcohol during pregnancy has a range of negative consequences for the developing fetus. Screening and brief intervention approaches have significant promise, but their population impact may be limited by a range of challenges to implementation. We, therefore, conducted preliminary acceptability and feasibility evaluation of a computer-delivered brief intervention for alcohol use during pregnancy.
METHODS
Participants were 50 pregnant women who screened positive for risky drinking during a routine prenatal clinic visit and were randomly assigned to computer-delivered brief intervention or assessment-only conditions.
RESULTS
Ratings of intervention ease of use, helpfulness, and other factors were high (4.7-5.0 on a 1-5 scale). Participants in both conditions significantly decreased alcohol use at follow-up, with no group differences; however, birth weights for infants born to women in the intervention group were significantly higher (p<0.05, d = 0.62).
CONCLUSIONS
Further development and study of computer-delivered screening and intervention for alcohol use during pregnancy are warranted.
摘要
背景
怀孕期间饮酒会对胎儿的发育产生一系列负面影响。筛查和简短干预方法具有很大的前景，但由于实施过程中存在一系列挑战，其对人群的影响可能有限。因此，我们对一种用于怀孕期间饮酒的计算机辅助简短干预措施进行了初步的可接受性和可行性评估。
方法
参与者为 50 名在常规产前诊所就诊时筛查出有风险饮酒的孕妇，他们被随机分配到计算机辅助简短干预或仅评估条件。
结果
干预易用性、有用性和其他因素的评分很高（1-5 分制的 4.7-5.0 分）。随访时，两组参与者的饮酒量均显著减少，且无组间差异；然而，干预组婴儿的出生体重显著更高（p<0.05，d=0.62）。
结论
有必要进一步开发和研究用于怀孕期间饮酒的计算机辅助筛查和干预措施。
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