A Dual-Focus Motivational Intervention to Reduce the Risk of Alcohol-Exposed Pregnancy.
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.
Velasquez
Mary M
MM
University of Texas at Austin.
Ingersoll
Karen S
KS
Sobell
Mark B
MB
Floyd
R Louise
RL
Sobell
Linda Carter
LC
von Sternberg
Kirk
K
JAMA. 1997 Apr 2;277(13):1039-45
9091691
J Consult Clin Psychol. 1999 Dec;67(6):989-94
10596521
Soc Work. 1998 Sep;43(5):470-3
9739634
Am J Prev Med. 2002 Oct;23(3):166-73
12350448
Pediatrics. 2000 Aug;106(2 Pt 1):358-61
10920168
Pediatrics. 2003 May;111(5 Pt 2):1131-5
12728125
Alcohol Clin Exp Res. 1998 Sep;22(6):1300-11
9756046
Fam Plann Perspect. 1998 Jan-Feb;30(1):24-9, 46
9494812
Am J Prev Med. 1999 Aug;17(2):101-7
10490051
Drug Alcohol Rev. 1996 Mar;15(1):29-38
16203349
Am J Prev Med. 2007 Jan;32(1):1-10
17218187
Am J Public Health. 1994 Feb;84(2):215-21
8296943
Am J Prev Med. 1997 Nov-Dec;13(6):464-70
9415794
J Consult Clin Psychol. 1998 Aug;66(4):604-15
9735576
JAMA. 2003 Dec 10;290(22):2996-9
14665662
MMWR Morb Mortal Wkly Rep. 2002 Apr 5;51(13):273-6
11952279
J Stud Alcohol. 1999 Mar;60(2):285-7
10091968