A Dual-Focus Motivational Intervention to Reduce the Risk of Alcohol-Exposed Pregnancy

Autor/inn/en	Velasquez, Mary M.; Ingersoll, Karen S.; Sobell, Mark B.; Floyd, R. Louise; Sobell, Linda Carter; von Sternberg, Kirk
Titel	A Dual-Focus Motivational Intervention to Reduce the Risk of Alcohol-Exposed Pregnancy
Quelle	In: Cognitive and Behavioral Practice, 17 (2010) 2, S.203-212 (10 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1077-7229
DOI	10.1016/j.cbpra.2009.02.004
Schlagwörter	Family Planning; Substance Abuse; Intervention; Behavior Modification; Drinking; Pregnancy; Gynecology; Interviews; Behavior Change; Alcohol Abuse; Prenatal Influences; Prevention; Drug Use; Females; Urban Areas; Mental Health; Contraception; Counseling; Motivation; Counselors; Obstetrics; Risk; At Risk Persons + Suchen Sie Ihr Suchwort? Familienplanung; Drug use; Drug consomption; Drogenkonsum; Behaviour modification; Verhaltensänderung; Trinken; Schwangerschaft; Gynäkologie; Interviewing; Interviewtechnik; Pränataler Einfluss; Prävention; Vorbeugung; Drug consumption; Substance abuse; Weibliches Geschlecht; Urban area; Stadtregion; Psychohygiene; Empfängnisverhütung; Counselling; Beratung; psychologische; Motivation (psychologisch); Counselor; Counsellor; Counsellors; Berater; Geburtshilfe; Risiko; Risikogruppe
Abstract	Project CHOICES developed an integrated behavioral intervention for prevention of prenatal alcohol exposure in women at high risk for alcohol-exposed pregnancies. Settings included primary care, university-hospital based obstetrical/gynecology practices, an urban jail, substance abuse treatment settings, and a media-recruited sample in three large cities. The intervention was based on motivational interviewing and targeted both adoption of effective contraception and reduction of alcohol use. Treatment included 4 manual-guided sessions delivered by mental health clinicians and 1 contraceptive counseling session delivered by a family planning clinician. This paper describes the rationale for treatment; the use of motivational interviewing and the transtheoretical model for a dual-focused approach to behavior change; the development of the Project CHOICES intervention; development of the study protocol and treatment manual; and selection, training, supervision, and monitoring of study counselors. Implications for future applications of the intervention are discussed. (Contains 3 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10