title: Feasibility and acceptability of a novel, computerized screening and brief intervention (SBI) for alcohol and sweetened beverage use in pregnancy.
abstract: BACKGROUND
  Recommended screening and brief intervention (SBI) for alcohol use during pregnancy is impeded by high patient loads and limited resources in public health settings. We evaluated the feasibility, acceptability and validity of a new self-administered, single-session, bilingual, computerized Screening and Brief Intervention (SBI) program for alcohol and sugar sweetened beverage (SSB) use in pregnancy.
  
  
  METHODS
  We developed and tested the computerized SBI program at a public health clinic with 290 pregnant women. Feasibility, acceptability, and validity measures were included in the program which had several modules, including those on demographics, health and beverage use. Time to complete the program and user experience items were used to determine program feasibility and acceptability. Validity analyses compared proportions of prenatal alcohol use identified by the program versus in-person screening by clinic staff.
  
  
  RESULTS
  Most program users (87%, n = 251) completed the entire program; 91% (n = 263) completed the key screening and brief intervention modules. Most users also completed the program in ten to fifteen minutes. Program users reported that the program was easy to use (97%), they learned something new (88%), and that they would share what they learned with others (83%) and with their doctors or clinic staff (76%). Program acceptability did not differ by age, education, or type of beverage intervention received. The program identified alcohol use in pregnancy among 21% of users, a higher rate than the 13% (p < .01) found via screening by clinic staff.
  
  
  CONCLUSIONS
  Computerized Screening and Brief Intervention for alcohol and SSB use in public health clinics is feasible and acceptable to English and Spanish speaking pregnant women and can efficiently identify prenatal alcohol use.
authors.forename: Madhabika B
authors.initials: MB
authors.lastname: Nayak
authors.forename: Rachael A
authors.initials: RA
authors.lastname: Korcha
authors.forename: Lee A
authors.initials: LA
authors.lastname: Kaskutas
authors.forename: Lee A
authors.initials: LA
authors.lastname: Kaskustas
authors.forename: Lyndsay A
authors.initials: LA
authors.lastname: Avalos
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000517:prevention & control*; D002253:Carbonated Beverages / Q000009:adverse effects / Q000706:statistics & numerical data*; D003201:Computers / Q000706:statistics & numerical data*; D003376:Counseling / Q000379:methods*; D004040:Dietary Carbohydrates / Q000009:adverse effects*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D020380:Needs Assessment; D010342:Patient Acceptance of Health Care; D010865:Pilot Projects; D011247:Pregnancy; D018570:Risk Assessment; D012959:Socioeconomic Factors; D014481:United States; D055815:Young Adult
chemical_list: D004040:Dietary Carbohydrates