title: Brief intervention for prenatal alcohol use: the role of drinking goal selection.
abstract: The behavioral problems and cognitive deficits resulting from even small amounts of prenatal alcohol exposure can be significant and enduring but completely preventable. The purpose of this study was to examine the impact of a prenatal drinking goal selected during a brief intervention for 115 pregnant women and their partners on subsequent consumption. Higher proportions of women having their first pregnancy chose abstinence as a goal over drinking reduction. Goal selection was highly predictive of subsequent drinking behavior. Interestingly, the participants who were abstinent at enrollment and who chose to remain abstinent had the highest rates of abstinence. In contrast, the women who chose cutting down on drinking were the least likely to drink less subsequently, despite recognizing more situations putting them at risk for drinking and identifying more alternatives to consumption. We conclude that goal choice in behavioral self-management of alcohol use by pregnant women is critical.
authors.affiliation: Brigham and Women's Hospital, Boston, MA 02115, USA. gchang@partners.org
authors.forename: Grace
authors.initials: G
authors.lastname: Chang
authors.forename: Tay K
authors.initials: TK
authors.lastname: McNamara
authors.forename: E John
authors.initials: EJ
authors.lastname: Orav
authors.forename: Louise
authors.initials: L
authors.lastname: Wilkins-Haug
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects / Q000523:psychology*; D001521:Behavior Therapy; D002755:Choice Behavior; D005260:Female; D063647:Fetal Alcohol Spectrum Disorders / Q000517:prevention & control* / Q000523:psychology; D005500:Follow-Up Studies; D006040:Goals; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011295:Prenatal Care; D011614:Psychotherapy, Brief; D012307:Risk Factors; D012932:Social Facilitation; D013695:Temperance / Q000523:psychology*