Although screening and brief intervention (SBI) for unhealthy alcohol use has demonstrated efficacy in some trials, its implementation been limited. Technology-delivered approaches are a promising alternative, particularly during pregnancy when the importance of is amplified. The present trial evaluated feasibility acceptability an interactive, empathic, video-enhanced, computer-delivered SBI (e-SBI) plus 3 tailored mailings, estimated effects. We recruited 48 pregnant women who screened...

Abstract Background and aims The accuracy of current screening instruments for identification substance use in pregnancy is unclear, particularly given methodological shortcomings existing research. This diagnostic study compared five ability to identify illicit drug, opioid alcohol use, under privacy expectations consistent with applied practice using a gold standard incorporating toxicological analysis. Design Prospective cross‐sectional study. Setting Three sites encompassing four...

To examine the relative prevalence of marijuana and tobacco use among low-income post-partum women, using self-report, urine, hair testing data; to further explore perceptions substances postpartum women by evaluating perceived risk monetary cost prenatal versus use.Data from two studies were available for a total 100 (Study 1) 50 2) low-income, primarily African-American women. Study 1 participants completed brief self-report measures substance as well urine samples; study 2 opinion survey...

Introduction and Aims Most women cut down or quit alcohol use during pregnancy, but return to pre-pregnancy levels of after giving birth. Universal screening brief intervention for has shown promise, proven challenging implement rarely been evaluated with postpartum women. This trial a single 20-min, electronic (e-SBI) among Design Methods In this parallel group randomised trial, 123 postpartum, low-income, primarily African–American meeting criteria unhealthy were randomly assigned either...

The use of mobile health (mHealth) interventions has risen dramatically over the past two decades. It is important to consider mHealth intervention research within broader therapy outcome literature. Among other key findings, this literature suggests that common relationship factors such as empathy, positive regard, and genuineness may play a critical role in effectiveness. These findings raise intriguing questions for interventions. For example, can incorporate aspects augment their...

Limitations in time and training have hindered widespread implementation of alcohol-based interventions prenatal clinics. Also, despite the possibility underreporting or relapse, many at-risk women report that they quit drinking after pregnancy confirmation so focusing on current may seem unnecessary. The Computerized Brief Intervention for Alcohol Use Pregnancy (C-BIAP) was designed to (a) be implemented via a handheld device clinics, (b) use modified brief intervention strategy with who...

Early home visitation (EHV) for child maltreatment prevention is widely adopted but has received inconsistent empirical support. Supplementation with interactive software may facilitate attention to major risk factors and use of evidence-based approaches. We developed eight 20-min computer-delivered modules by mothers during the course EHV. These were tested in a randomized trial which 413 assigned software-supplemented e-Parenting Program (ePP), services as usual (SAU), or community...

There are at present no evidence-based interventions for marijuana use during pregnancy, despite it being by far the most commonly used illicit drug pregnancy. Lack of treatment-seeking, combined with implementation challenges, has limited extent to which at-risk women receive any kind. This study sought evaluate feasibility and acceptability two high-reach technology-based interventions: electronic screening brief intervention (e-SBI) tailored text messaging, delivered either alone or in...

The tendency for women to report both commission and receipt of violence is an understudied phenomenon. In particular, little known about individual differences as a function vs. partner among pregnant women. Using sample 78 cohabiting low-SES women, the current study examines three subtypes based on self-report (primarily violence, primarily no violence) investigated in range other risk factors these subtypes. this sample, 47% reported higher levels intimate (IPV) perpetration than...

Marijuana is the most widely used illicit substance during pregnancy. Technology-delivered brief interventions and text messaging have shown promise in general pregnant samples but not yet been applied to marijuana use pregnancy.The objective of study was evaluate, among women prenatal care providers, acceptability an electronic intervention plan for pregnancy.Participants included patients (n=10) medical staff (n=12) from urban clinic. Patient-participants were recruited directly a visit....

Objective: Even moderate alcohol consumption during pregnancy can pose risks to the fetus, making reliable and consistent detection of drinking in critical. Ethyl glucuronide (EtG) ethyl sulfate (EtS) have shown some ability detect lower levels drinking, but sensitivity commercial EtG/EtS testing among women childbearing age is unknown. This study sought determine an algorithm, as well EtG alone, using cutoffs. Method: Ten (ages 21–39 years age) were administered one, two, or three standard...

Anonymity may facilitate disclosure of maltreatment-related variables among parents, particularly in the perinatal period. This study was conducted order to (a) confirm effect anonymity on commonly used measures field child maltreatment; (b) examine extent which quasi (in identifying information is collected but not linked research data) can also measures; and (c) potential explanatory mechanisms any association between level disclosure. further sought evaluate these associations period, a...

Background Few computer-delivered brief intervention (CDBI) studies have evaluated participant satisfaction with individual elements of the intervention, or whether impacts outcomes. Purpose: This factorial trial examined subjective reactions to a CDBI for heavy drinking (1) varied depending on presence versus absence an animated narrator, spoken voice, empathic reflections, and motivational interviewing (MI) strategies (2) were associated outcomes at 3-month follow-up. Methods: Participants...

Although computer delivered brief interventions (CDBIs) have been effective in reducing alcohol use, few studies examined which components of CDBIs are most associated with drinking reductions. The current factorial trial deconstructed a intervention into component parts to identify main and interaction effects on outcomes. Participants (N = 352) were randomly assigned 1 16 possible combinations four dichotomous (present vs. absent) CDBI for theoretical empirical support was available:...

Background: Ethyl Glucoronide (EtG) and Sulfate (EtS) have shown promise as biomarkers for alcohol may be sensitive enough use with pregnant women in whom even low-level is important. However, there been reports of over-sensitivity EtG EtS to incidental exposure sources such alcohol-based hand sanitizer. Further, few studies evaluated these among women, the dynamics metabolites differ. Objectives: This study whether commercial EtG-EtS testing was vulnerable high levels environmental women....

Background Digital screening and intervention tools have shown promise in the identification reduction of substance use health care settings. However, research this area is impeded by challenges integrating recruitment efforts into ongoing clinical workflows or staffing multiple study clinics with full-time assistants, as well underreporting use. Objective The aim to evaluate pragmatic methods for facilitating settings examining rates participant characteristics using in-person–based versus...

Critical Care Medicine: January 2020 - Volume 48 Issue 1 p 352 doi: 10.1097/01.ccm.0000626712.76577.17

<sec> <title>BACKGROUND</title> Digital screening and intervention tools have shown promise in the identification reduction of substance use health care settings. However, research this area is impeded by challenges integrating recruitment efforts into ongoing clinical workflows or staffing multiple study clinics with full-time assistants, as well underreporting use. </sec> <title>OBJECTIVE</title> The aim to evaluate pragmatic methods for facilitating settings examining rates participant...

The COVID-19 pandemic and associated mitigation efforts created stress that threatened parent child well-being. Conditions increase within families heighten the likelihood of abuse, but social support can mitigate impact. This short-term investigation considered whether cumulative risk, specific emotional (one aspect support), were with abuse potential during pandemic. Additionally, we investigated moderated association between risk potential, associations emotionally positive negative...