Increasing prenatal care and healthy behaviors in pregnant substance users.
Evidence suggests that prenatal care, healthy behaviors such as exercise and nutrition, and general stress level are associated with fetal and maternal health but there is a relative dearth of research on interventions to improve these factors in pregnant substance users. Two hundred pregnant substance users entering outpatient substance abuse treatment were randomized to receive either three individual sessions of Motivational Enhancement Therapy for pregnant substance users (MET-PS) or the first three individual sessions normally provided by the program. The present study evaluated the relative efficacy of MET-PS, compared to treatment as usual, on modifiable healthy behaviors and the impact of treatment when the groups were pooled. The results suggest that MET-PS was not more effective than treatment as usual in improving modifiable healthy behaviors. When the treatment groups were pooled, the results suggest that there were significant increases in prenatal care utilization and prenatal/multi-vitamin and water consumption, and a significant decrease in stress. Limitations and recommendations for further research are discussed.
Kropp
Frankie
F
Cincinnati Addictions Research Center, 3210 Jefferson Avenue, Cincinnati, Ohio, 45220, USA. kropp@carc.uc.edu
Winhusen
Theresa
T
Lewis
Daniel
D
Hague
Diane
D
Somoza
Eugene
E
D000293:Adolescent; D000328:Adult; D015928:Cognitive Behavioral Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009042:Motivation; D011247:Pregnancy; D011248:Pregnancy Complications; D019966:Substance-Related Disorders / Q000523:psychology* / Q000534:rehabilitation*; D016896:Treatment Outcome; D055815:Young Adult
J Subst Abuse Treat. 2006 Jan;30(1):31-8
16377450
J Subst Abuse Treat. 2008 Sep;35(2):161-73
18083322
Am J Drug Alcohol Abuse. 1996 Aug;22(3):439-48
8841690
J Subst Abuse. 1996;8(4):487-95
9058361
Early Hum Dev. 2002 Dec;70(1-2):3-14
12441200
Am J Obstet Gynecol. 1992 Jun;166(6 Pt 1):1747-54; discussion 1754-6
1615983
Am J Clin Nutr. 1994 Feb;59(2 Suppl):446S-452S; discussion 452S-453S
8304282
Psychoneuroendocrinology. 2002 Jan-Feb;27(1-2):221-30
11750780
Prev Sci. 2000 Jun;1(2):89-106
11521962
J Psychoactive Drugs. 1995 Oct-Dec;27(4):325-37
8788689
J Matern Fetal Neonatal Med. 2003 Nov;14(5):329-32
14986807
Addict Behav. 1995 Jul-Aug;20(4):533-42
7484335
Am J Public Health. 1994 Sep;84(9):1414-20
8092364
Am J Addict. 2004 Jul-Sep;13(4):342-57
15370933
Obstet Gynecol. 1988 Mar;71(3 Pt 1):399-404
3347426
Addict Behav. 1998 Jan-Feb;23(1):57-64
9468743
Obstet Gynecol. 1997 Jul;90(1):142-7
9207829
Drug Alcohol Depend. 1993 Jun;33(1):1-9
8396528
Matern Child Health J. 2007 Mar;11(2):173-9
17091398
J Perinatol. 2003 Jul-Aug;23(5):354-60
12847528
J Subst Abuse Treat. 1996 Jul-Aug;13(4):321-9
9076650
J Subst Abuse Treat. 1992 Fall;9(4):327-30
1479630
JAMA. 1993 Oct 6;270(13):1581-6
8371469
J Fam Pract. 1990 Feb;30(2):185-9
2405095
J Subst Abuse. 1997;9:63-76
9494939
J Community Health. 1991 Oct;16(5):283-95
1955579
Future Child. 1995 Spring;5(1):121-38
7633859
Aust N Z J Obstet Gynaecol. 2007 Apr;47(2):122-7
17355301
Adolescence. 1997 Spring;32(125):93-100
9105494