The effect of brief interventions on the drinking behaviour of pregnant women in a high‐risk rural South African community: a cluster randomised trial

Marais, Sandra; Jordaan, Esmè; Viljoen, Dennis; Olivier, Leana; Waal, Johanna de; Poole, Caroline

doi:10.1080/03004430903450392

Cited by 36 publications

(61 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recent reviews of interventions in educational settings to reduce the harm associated with adolescent substance use outlined the positive potential of brief alcohol intervention with young people (Toumbourou et al, 2007;Carney and Myers, 2012;Mitchell et al, 2013). Individual studies also show effect in emergency departments and general hospital wards (Nilsen et al, 2008;McQueen et al, 2011) and with pregnant women within antenatal care (O'Connor and Whaley, 2007;Marais et al, 2011).…”

Section: Brief Interventionsmentioning

confidence: 99%

Brief Alcohol Interventions in Social Service and Criminal Justice Settings: A Critical Commentary

Schmidt

McGovern

Schulte

et al. 2014

British Journal of Social Work

View full text Add to dashboard Cite

Screening and brief interventions (BI) have been shown to be effective in the management of alcohol consumption for non-treatment-seeking heavy drinkers, who are at physical and social risk, but not yet dependent. The robust evidence base for the effectiveness of BI in primary health care suggests an implementation in other settings could be beneficial. Given the association between alcohol and social problems, social work has a long history of working with persons with alcohol-use disorders, and social workers are often the first service provider to come into contact with heavy-drinking individuals. This critical commentary summarises the existing literature on BI effectiveness in social services and criminal justice settings, and discusses to which extent the social work field might be a promising area for BI delivery.

show abstract

Section: Brief Interventionsmentioning

confidence: 99%

Brief Alcohol Interventions in Social Service and Criminal Justice Settings: A Critical Commentary

Schmidt

McGovern

Schulte

et al. 2014

British Journal of Social Work

View full text Add to dashboard Cite

show abstract

“…Finally, one study found that women in antenatal care receiving brief interventions were significantly less likely than women receiving no treatment to have an infant with low birth weight or to suffer preterm labor problems, while another study found positive effects of brief intervention on prenatal drinking in women with higher initial rates of consumption [22,23]. Most recently, a trial of brief interventions in antenatal clinics in South Africa found that women who received a brief intervention had significantly greater reductions in scores on the Alcohol Use Disorders Identification Test (AUDIT) screening tool [27] by their third trimester, compared with women receiving assessment only [28]. Taken together, this evidence suggests that brief intervention is a promising approach for alcohol risk reduction in antenatal care.…”

Section: Introductionmentioning

confidence: 99%

Brief intervention to reduce risky drinking in pregnancy: study protocol for a randomized controlled trial

Wilson

McGovern

Antony

et al. 2012

Trials

View full text Add to dashboard Cite

BackgroundRisky drinking in pregnancy by UK women is likely to result in many alcohol-exposed pregnancies. Studies from the USA suggest that brief intervention has promise for alcohol risk reduction in antenatal care. However, further research is needed to establish whether this evidence from the USA is applicable to the UK. This pilot study aims to investigate whether pregnant women can be recruited and retained in a randomized controlled trial of brief intervention aimed at reducing risky drinking in women receiving antenatal care.MethodsThe trial will rehearse the parallel-group, non-blinded design and procedures of a subsequent definitive trial. Over 8 months, women aged 18 years and over (target number 2,742) attending their booking appointment with a community midwife (n = 31) in north-east England will be screened for alcohol consumption using the consumption questions of the Alcohol Use Disorders Identification Test (AUDIT-C). Those screening positive, without a history of substance use or alcohol dependence, with no pregnancy complication, and able to give informed consent, will be invited to participate in the trial (target number 120). Midwives will be randomized in a 1:1 ratio to deliver either treatment as usual (control) or structured brief advice and referral for a 20-minute motivational interviewing session with an alcohol health worker (intervention). As well as demographic and health information, baseline measures will include two 7-day time line follow-back questionnaires and the EuroQoL EQ-5D-3 L questionnaire. Measures will be repeated in telephone follow-ups in the third trimester and at 6 months post-partum, when a questionnaire on use of National Health Service and social care resources will also be completed. Information on pregnancy outcomes and stillbirths will be accessed from central health service records before the follow-ups. Primary outcomes will be rates of eligibility, recruitment, intervention delivery, and retention in the study population, to inform power calculations for a definitive trial. The health-economics component will establish how cost-effectiveness will be assessed, and examine which data on health service resource use should be collected in a main trial. Participants’ views on instruments and procedures will be sought to confirm their acceptability.DiscussionThe study will produce a full trial protocol with robust sample-size calculations to extend evidence on effectiveness of screening and brief intervention.Trial RegistrationCurrent Controlled Trials ISRCTN43218782

show abstract

“…Despite effective treatments for mental health and substance use disorders (Baker et al, 2010;Marais et al, 2011;May et al, 2013;Meyer, Johnston, Crocker, & Heil, 2015), only 10.3% to 39% of pregnant women with these complex health issues receive treatment (Cook et al, 2010;Glasheen, Colpe, Hoffman, & Warren, 2015;Le Strat et al, 2011, Rosen, Tolman, & Warner, 2004Song, Sands, & Wong, 2004;Vesga-Lopez et al, 2008 (Ondersma, Simpson, Brestan, &Ward, 2000), making prenatal substance use a significant public health problem.…”

Section: Recommendationsmentioning

confidence: 99%

“…On the other hand, this may indicate that pregnant women did not access treatment until the severity of their substance use became paramount, suggesting a delayed access to treatment due to numerous barriers (CSAT, 2009). Given that alcohol abuse was the most common substance use disorder among pregnant women in the current study, screening and brief intervention are recommended to help pregnant women decrease antenatal alcohol consumption (Marais et al, 2011).…”

Section: Need Factors Predicting Treatment Receiptmentioning

confidence: 99%

“…Prenatal illicit drug use is associated with medical and obstetric complications (Lambert & Bauer, 2012;Metz & Stickrath, 2015), impaired neurodevelopment in prenatally exposed infants (Jaques et al, 2014), and costs related to their prolonged hospitalization (Patrick, Davis, Lehmann, & Cooper, 2015), and child protective services (Ondersma, Simpson, Brestan, & Ward, 2000). Yet, mental health and substance use disorders continue to be unrecognized and undertreated in pregnant women (Connelly et al, 2013;Glasheen, Colpe, Hoffman, & Warren, 2015;Ko, Farr, Dietz, & Robbins, 2012;Vesga-Lopez et al, 2008), irrespective of ongoing screening initiatives (Agency for Healthcare Research and Quality, 2016) (Baker et al, 2010;Marais et al, 2011;May et al, 2013;Meyer, Johnston, Crocker, & Heil, 2015).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Mental health and substance use disorders and treatment receipt among pregnant women in the United States, 2008-2014 : trend analysis, likelihood of treatment receipt, and ethnic disparities in mental health treatment.

Salameh

View full text Add to dashboard Cite

Pregnant women and their children are at risk for devastating health consequences when pregnancy is associated with poor mental health and substance use problems. Yet, most of what is known about these significant issues in pregnant women came from clinical samples which limits the generalizability of the findings to the national population. Therefore, the purposes of this dissertation were to examine trends from 2008 to 2014 in mental health and substance use disorders and treatment receipt, and explore factors associated with treatment receipt in pregnant women aged 18-44 years in the United States. This dissertations contains three manuscripts: (1) a systematic review of trend and population-based studies on mental health and substance use disorders and treatment receipt in pregnant women in the United States; (2) a trend study on mental health and substance use disorders and treatment receipt among pregnant and nonpregnant women in the United States from 2008 to 2014; and (3) a population-based 521 with substance use disorders) who were 18-44 years old. The best predictors of viii receipt of mental health treatment included: past-year anxiety disorder, major depressive episode, serious psychological distress, college education, health insurance coverage, and White ethnicity. Predictors of substance use treatment receipt were: illicit drug abuse and dependence, alcohol dependence, comorbid anxiety/depression, White ethnicity, and urban residency. Compared to Whites, nonWhite pregnant women with major depressive episode, serious psychological distress, substance use disorders, and/or comorbid mental health and substance use disorders had lower odds of receiving mental health treatment. The findings of this dissertation indicate that there is a gap between the need and the receipt of mental health and substance use treatment in pregnant women. Improved recognition and access to treatment for mental health and substance use disorders in this vulnerable population is critical. Preventive and interventional strategies are required to address the mental health needs of ethnic minority pregnant women with mental health and/or substance use disorders.

show abstract

The effect of brief interventions on the drinking behaviour of pregnant women in a high‐risk rural South African community: a cluster randomised trial

Cited by 36 publications

References 15 publications

Brief Alcohol Interventions in Social Service and Criminal Justice Settings: A Critical Commentary

Brief Alcohol Interventions in Social Service and Criminal Justice Settings: A Critical Commentary

Brief intervention to reduce risky drinking in pregnancy: study protocol for a randomized controlled trial

Mental health and substance use disorders and treatment receipt among pregnant women in the United States, 2008-2014 : trend analysis, likelihood of treatment receipt, and ethnic disparities in mental health treatment.

Contact Info

Product

Resources

About