Computer-based brief motivational intervention for perinatal drug use

Abstract

Computer-based brief motivational interventions may be able to reach a high proportion of at-risk individuals and thus have potential for significant population impact. The present studies were conducted to determine the acceptability and preliminary efficacy of a computer-based brief motivational intervention (the motivation enhancement system, or MES). In Study 1, quantitative and qualitative feedback from 30 postpartum women and 17 women in treatment for drug use were used to modify the software. In Study 2, 50 urban postpartum women who reported drug use in the month before pregnancy completed the intervention and provided repeated within-session ratings of state motivation. In Study 3, 30 women were randomly assigned to intervention or control conditions with 1-month follow-up. Overall, women rated the MES as highly acceptable and easy to use and reported significant increases in state motivation at postintervention and at 1-month follow-up (d = .49). These preliminary results are encouraging and suggest that further work in this area is warranted.

A Randomized Trial of Computer-Delivered Brief Intervention and Low-Intensity Contingency Management for Smoking During Pregnancy

“…These items, which were rated by participants on a 1 (not at all) to 5 (very much) Likert scale, were based on those used successfully in previous research (Ondersma et al, 2005). In addition, participants assigned to the CD-5As condition responded to five items (on a 1-10 scale, where "1" = not at all, and "10" = very much) evaluating their likelihood of quitting while pregnant, intentions to quit while pregnant, confidence in ability to quit, readiness to quit, and desire to quit.…”

“…In addition, participants assigned to the CD-5As condition responded to five items (on a 1-10 scale, where "1" = not at all, and "10" = very much) evaluating their likelihood of quitting while pregnant, intentions to quit while pregnant, confidence in ability to quit, readiness to quit, and desire to quit. These items (taken from Ondersma et al, 2005) were completed before and after completing the brief computerdelivered motivational intervention in order to evaluate any immediate changes in state motivation; Cronbach's alpha for these items in this study was .89.…”

“…The software platform utilized for this study (described in detail in Ondersma, Chase, Svikis, & Schuster, 2005) features an interactive three-dimensional narrator, clear and relevant graphics, and aural presentation of all content and has received high ratings for ease of use from similar samples of low-income women (Ondersma et al, 2005). Participants used headphones for privacy while working with the computer.…”

LIFELAX – diet and LIFEstyle versus LAXatives in the management of chronic constipation in older people: randomised controlled trial

“…Brief motivational interviewing techniques have been used with success in brief interventions in primary care in a range of topics, for example perinatal drug use, 171 to improve dietary adherence in adolescents 172 and psychiatric patients' attitudes to their care, motivation to change, compliance and outcome. 173 There are a number of key elements that characterise a successful brief intervention and these should be apparent to anyone observing such a consultation.…”

Computer and mobile technology-based interventions for substance use disorders: An organizing framework

“…Our primary area of focus, substance use disorders (SUDs), is no exception. Relative to face-to-face interventions for SUDs, technology-based interventions (TBIs) may afford numerous advantages (Ondersma, Chase, Svikis, & Schuster, 2005). Primary among these is TBIs' portability, flexibility, and therefore, disseminability.…”