A Web-Based Intervention to Reduce Alcohol-Exposed Pregnancies in the Community

Tenkku, Leigh E.; Mengel, Mark B.; Nicholson, Robert A.; Hile, Matthew G.; Morris, Daniel S.; Salas, Joanne

doi:10.1177/1090198110385773

Cited by 18 publications

(34 citation statements)

References 45 publications

(59 reference statements)

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“…Mass media, 26 print and web based, 11 and three of four interpersonal interventions 10,12,18 showed a positive impact on contraception use. However, identified studies of web, text messaging, and interpersonal interventions did not show a benefit for condom use, other than one text messaging intervention showing increased condom use with new partners only in the prior 3 months.…”

Section: Discussionmentioning

confidence: 94%

“…The Gold study from the updated review also showed downsides to text messaging, such as being annoying to participants. 15 The two web-based interventions identified were conducted in combination with other modalities but showed positive effects in contraception use 11 and use of family planning services. 31 Surprisingly, no social media—based interventions were identified either in the prior or current review.…”

Section: Discussionmentioning

confidence: 99%

“…18 One study assessed a mass media campaign 14 ; three studies assessed print media/mailing campaigns. 11,14,16 One study assessed web-based education. 11 One study assessed text messaging.…”

Section: Evidence Synthesismentioning

confidence: 99%

“…11,14,16 One study assessed web-based education. 11 One study assessed text messaging. 15 Five studies assessed interpersonal community education interventions.…”

Section: Evidence Synthesismentioning

confidence: 99%

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Community Education and Engagement in Family Planning: Updated Systematic Review

Sharma

Frederiksen

Malcolm

et al. 2018

American Journal of Preventive Medicine

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Context: Community education and engagement are important for informing family planning projects. The objective of this study was to update two prior systematic reviews assessing the impact of community education and engagement interventions on family planning outcomes. Evidence acquisition: Sixteen electronic databases were searched for studies relevant to a priori determined inclusion/exclusion criteria in high development settings, published from March 2011 through April 2016, updating two reviews that included studies from 1985 through February 2011. Evidence synthesis: Nine relevant studies were included in this updated review related to community education, in addition to 17 from the prior review. No new community engagement studies met inclusion criteria, as occurred in the prior review. Of new studies, community education modalities included mass media, print/mail, web-based, text messaging, and interpersonal interventions. One study on mass media intervention demonstrated a positive impact on reducing teen and unintended pregnancies. Three of four studies on interpersonal interventions demonstrated positive impacts on medium-term family planning outcomes, such as contraception and condom use. Three new studies demonstrated mostly positive, but inconsistent, results on short-term family planning outcomes. Conclusions: Findings from this systematic review update are in line with a previous review showing the positive impact of community education using traditional modalities on short-term family planning outcomes, identifying additional impacts on long-term outcomes, and highlighting new evidence for education using modern modalities, such as text messaging and web-based education. More research is necessary to provide a stronger evidence base for directing community education and engagement efforts in family planning contexts. Theme information: This article is part of a theme issue entitled Updating the Systematic Reviews Used to Develop the U.S. Recommendations for Providing Quality Family Planning Services, which is sponsored by the Office of Population Affairs, U.S. Department of Health and Human Services.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Evidence Synthesismentioning

confidence: 99%

“…11,14,16 One study assessed web-based education. 11 One study assessed text messaging. 15 Five studies assessed interpersonal community education interventions.…”

Section: Evidence Synthesismentioning

confidence: 99%

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Community Education and Engagement in Family Planning: Updated Systematic Review

Sharma

Frederiksen

Malcolm

et al. 2018

American Journal of Preventive Medicine

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“…Brief interventions by telephone may be equally successful [29]. Web-based self-directed interventions [30] have also shown promising results, reducing alcohol consumption and increasing effective contraception use among both pregnant and non-pregnant women. However, these might be population-specific in terms of users' opportunities to use the telephone or the Internet and benefit from the interventions.…”

Section: Introductionmentioning

confidence: 99%

Preventing Alcohol Consumption during Pregnancy: A Randomized Controlled Trial

Bortes¹,

Geidne²,

Eriksson³

2015

Health

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The aim of this study is to report on a brief alcohol intervention for preventing drinking during pregnancy. The Women's Organizations Committee on Alcohol and Drug Issues (WOCAD) in Sweden developed an informational brochure about alcohol during pregnancy, intended to reach pregnant women before their first visit at a prenatal clinic. A randomized controlled trial was conducted between 2004 and 2005 to measure whether the brochure had any effect. A total of 564 pregnant women between 17 and 46 years of age are included in the study. Differences between the intervention and control groups were analyzed with cross-tabulations and chi-squared tests. A multiple logistic regression analysis was also conducted to determine predictors of abstention from alcohol at the first prenatal visit. Findings show that significantly more of the women who received the brochure abstained completely from alcohol then of those who did not receive it (92% vs. 82%, p = 0.005). It was 2.6 times more likely that those who received the brochure had abstained completely from alcohol since pregnancy recognition at their first prenatal visit compared with those who did not receive it (OR = 2.6, CI 1.3 -5.1, p = 0.005). We conclude that the informational brochure developed by WOCAD can be used in prenatal care to get more women to abstain from alcohol during pregnancy.

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Prevention of Exposure During the Preconception Period

Hanson

2023

Fetal Alcohol Spectrum Disorders

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A Web-Based Intervention to Reduce Alcohol-Exposed Pregnancies in the Community

Cited by 18 publications

References 45 publications

Community Education and Engagement in Family Planning: Updated Systematic Review

Community Education and Engagement in Family Planning: Updated Systematic Review

Preventing Alcohol Consumption during Pregnancy: A Randomized Controlled Trial

Prevention of Exposure During the Preconception Period

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