title: Using drink size to talk about drinking during pregnancy: a randomized clinical trial of Early Start Plus.
abstract: 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.
authors.affiliation: Kaiser Permanente Division of Research, Oakland, California 94612, USA. maryanne.armstrong@kp.org
authors.forename: Mary Anne
authors.initials: MA
authors.lastname: Armstrong
authors.forename: Lee Ann
authors.initials: LA
authors.lastname: Kaskutas
authors.forename: Jane
authors.initials: J
authors.lastname: Witbrodt
authors.forename: Cosette J
authors.initials: CJ
authors.lastname: Taillac
authors.forename: Yun-Yi
authors.initials: YY
authors.lastname: Hung
authors.forename: Veronica M
authors.initials: VM
authors.lastname: Osejo
authors.forename: Gabriel J
authors.initials: GJ
authors.lastname: Escobar
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects / Q000517:prevention & control* / Q000523:psychology; D019973:Alcohol-Related Disorders / Q000517:prevention & control* / Q000523:psychology; D005260:Female; D006801:Humans; D008403:Mass Screening; D010353:Patient Education as Topic / Q000379:methods; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000517:prevention & control*; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011295:Prenatal Care / Q000379:methods*; D055815:Young Adult