Alcohol Use, Contraception, Smoking
Conditions
Keywords
alcohol-exposed pregnancy, tobacco-exposed pregnancy, alcohol, contraception, smoking, pregnancy
Brief summary
Choices Plus, a randomized controlled study, will determine the efficacy of the Project CHOICES intervention plus a referral to an evidence-based smoking cessation program in reducing the risk of alcohol- and tobacco-exposed pregnancies.
Detailed description
This randomized controlled study will examine the effect of the ChoicesPlus intervention compared to Treatment as Usual (TAU) in: reducing alcohol use below established risk levels; increasing consistent use of effective contraception; increasing engagement in smoking cessation treatment and increasing smoking cessation. In addition, our examination of the incremental costs of the ChoicesPlus intervention (e.g., staff time, materials, administrative services, total medical charges pre- and post-intervention) will provide a basis for future cost/benefit analyses that will inform policymakers and healthcare organizations of the potential benefits of implementing ChoicesPlus. Results from this study will inform and advance future efforts in the service of promoting healthy prenatal behavior and reducing the prevalence of alcohol and tobacco-exposed pregnancies.
Interventions
BEHAVIORALChoices Plus
Participants in this condition will receive two brief, motivational-interviewing-based counseling sessions.
BEHAVIORALInformation
Participants are provided with informational materials about healthy lifestyle and local resources.
Sponsors
Centers for Disease Control and Prevention
University of Texas at Austin
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 44 Years
Healthy volunteers
Yes
Inclusion criteria
* Have no condition causing infertility * Are not pregnant or planning to become pregnant in the next 9 months * Have had vaginal intercourse during the previous 3 months with a fertile man without using effective contraception * Are drinking at risk levels; and 5) are available for the follow-up period.
Exclusion criteria
* Infertile * Pregnant * Insufficient locator information * Language other than English or Spanish
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Risk of alcohol-exposed pregnancy | 9 months | Timeline Followback |
Secondary
| Measure | Time frame |
|---|---|
| Marin Acculturation Scale, AUDIT, Time-Line Follow Back, University of Rhode Island Change Assessment Scale, Decisional Balance, Process of Change, Temptation, Confidence, Smoking Staging Algorithm, and Brief Symptom Inventory-18 | 9 months |
Countries
United States
Outcome results
None listed