Computer-delivered screening and brief intervention (e-SBI) for postpartum drug use: a randomized trial.
Electronic screening and brief intervention (e-SBI) approaches for substance use have shown early promise. This trial was designed to replicate previous findings from a single 20-minute e-SBI for drug use among postpartum women. A total of 143 postpartum, primarily low-income African-American women meeting criteria for drug use, were randomly assigned to either a tailored e-SBI or a time-matched control condition. Blinded follow-up evaluation 3- and 6-months following childbirth revealed strong effects for confirmed illicit drug use abstinence at the 3-month observation (OR=3.3, p=.01), as did hair analysis at 6months (OR=4.8, p=.018). Additional primary outcomes suggested small to moderate effect sizes in favor of the e-SBI, but did not reach significance. This result replicates previous findings but fails to show durable effects. Assessment reactivity, e-SBI design, and possible extension of e-SBI via tailored messaging all merit careful consideration.
Wayne State University, Detroit, MI 48202, USA. Electronic address: s.ondersma@wayne.edu.
Steven J
SJ
Ondersma
Dace S
DS
Svikis
Leroy R
LR
Thacker
Jessica R
JR
Beatty
Nancy
N
Lockhart
D000328:Adult; D001741:Black or African American; D003936:Diagnosis, Computer-Assisted / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D049590:Postpartum Period; D011203:Poverty; D011247:Pregnancy; D011614:Psychotherapy, Brief / Q000379:methods*; D016037:Single-Blind Method; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000534:rehabilitation*; D013997:Time Factors; D055815:Young Adult
Brief intervention; Computers; Drug abuse screening; Drug users; Motivation; Pregnancy