title: A Dual-Focus Motivational Intervention to Reduce the Risk of Alcohol-Exposed Pregnancy.
abstract: Project CHOICES developed an integrated behavioral intervention for prevention of prenatal alcohol exposure in women at high risk for alcohol-exposed pregnancies. Settings included primary care, university-hospital based obstetrical/gynecology practices, an urban jail, substance abuse treatment settings, and a media-recruited sample in three large cities. The intervention was based on motivational interviewing and targeted both adoption of effective contraception and reduction of alcohol use. Treatment included 4 manual-guided sessions delivered by mental health clinicians and 1 contraceptive counseling session delivered by a family planning clinician. This paper describes the rationale for treatment; the use of motivational interviewing and the transtheoretical model for a dual-focused approach to behavior change; the development of the Project CHOICES intervention; development of the study protocol and treatment manual; and selection, training, supervision, and monitoring of study counselors. Implications for future applications of the intervention are discussed.
authors.affiliation: University of Texas at Austin.
authors.forename: Mary M
authors.initials: MM
authors.lastname: Velasquez
authors.forename: Karen S
authors.initials: KS
authors.lastname: Ingersoll
authors.forename: Mark B
authors.initials: MB
authors.lastname: Sobell
authors.forename: R Louise
authors.initials: RL
authors.lastname: Floyd
authors.forename: Linda Carter
authors.initials: LC
authors.lastname: Sobell
authors.forename: Kirk
authors.initials: K
authors.lastname: von Sternberg
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