title: A randomized trial comparing telephone versus in-person brief intervention to reduce the risk of an alcohol-exposed pregnancy.
abstract: Brief, effective interventions are needed to reduce the risk of an alcohol-exposed pregnancy in women who drink and do not use effective contraception. The Healthy Choices study compared telephone and in-person administration of a brief intervention. In addition to indicators of alcohol use and effective contraception, compliance with the intervention was examined. Women between the ages of 18 and 44 who were drinking above recommended levels and not using effective contraception were randomly assigned to either a telephone (n=68) or in-person (n=63) brief (two sessions) intervention. Overall, participants showed small but significant reductions in alcohol use and larger increases in effective use of contraception. Risk of alcohol-exposed pregnancy was thus significantly reduced, largely due to improved contraception with minor reductions in alcohol use. There was no significant difference in success of the intervention between the two conditions (telephone versus in-person). These findings suggest telephone-based brief intervention may be equally successful and cost-effective in reducing the risk of an alcohol-exposed pregnancy and thus fetal alcohol syndrome.
authors.affiliation: University of Wisconsin School of Medicine and Public Health. Electronic address: georgiana.wilton@fammed.wisc.edu.
authors.forename: Georgiana
authors.initials: G
authors.lastname: Wilton
authors.forename: D Paul
authors.initials: DP
authors.lastname: Moberg
authors.forename: Kit R
authors.initials: KR
authors.lastname: Van Stelle
authors.forename: Lyric L
authors.initials: LL
authors.lastname: Dold
authors.forename: Kristi
authors.initials: K
authors.lastname: Obmascher
authors.forename: Janae
authors.initials: J
authors.lastname: Goodrich
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology / Q000517:prevention & control*; D003267:Contraception / Q000706:statistics & numerical data; D003362:Cost-Benefit Analysis; D000431:Ethanol / Q000008:administration & dosage* / Q000009:adverse effects; D005260:Female; D063647:Fetal Alcohol Spectrum Disorders / Q000517:prevention & control*; D005500:Follow-Up Studies; D006801:Humans; D010349:Patient Compliance; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control*; D011614:Psychotherapy, Brief / Q000191:economics / Q000379:methods; D012306:Risk; D013689:Telephone; D055815:Young Adult
chemical_list: D000431:Ethanol
keywords: Alcohol; Brief intervention; Fetal alcohol syndrome; Pregnancy
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