Alcohol Consumption Clinical Trial
Official title:
A Media Based Motivational Intervention to Reduce Alcohol Exposed Pregnancies (AEPs)
The study evaluated the effectiveness of a mail-based self-guided motivational intervention based on Project CHOICES to reduce alcohol-exposed pregnancies (AEP) with female students and non-students 18 to 44 years of age living in Florida. The investigators hypothesize that the motivational intervention will significantly reduce more women's risk of an AEP than will an informational intervention aimed at preventing fetal alcohol syndrome. Materials will be available in Spanish and English
The proposed project will evaluate the effectiveness of a mail-based self-guided
motivational intervention based on Project CHOICES to reduce alcohol-exposed pregnancies
(AEP) among students and non-students. Participants will be women 18 to 44 years of age who
are at risk of an AEP. The community targeted will be the state of Florida. Materials were
available in Spanish and English The intervention will be based on the investigators'
previous experience in (a) promoting self-change of drinking behavior at a community level
and (b) preventing reduced risk for AEP through the use of a motivational interventional
materials used in Project CHOICES. Using a 2 group randomized design, the self-guided
motivational intervention will be compared to an intervention directed at preventing fetal
alcohol syndrome (FAS). The FAS prevention condition, a brochure developed by the CDC,
served as the standard treatment control group in that most information available at the
community level concerning the effects of alcohol on the developing fetus relate to FAS
(e.g., warning labels on alcoholic beverage containers). It is suggested that many women,
particularly college students, at risk for AEP do not view themselves as at risk for FAS and
therefore do not view FAS-oriented prevention messages as personally relevant. The proposed
experimental design will evaluate a mail-based strategy that could be easily implemented
throughout communities. The proposed study design will have more methodological rigor and
allow a more careful evaluation than would be possible if the intervention was initially
targeted at the entire community. The follow-up will be the entire 6-months
post-intervention.If successful, this low-cost intervention can be readily disseminated
throughout the local area. Specific objectives are as follows:
1. Develop an evidence-based intervention to reduce alcohol-exposed pregnancies that can
be easily disseminated at a community level through the mail and other media outlets.
2. Implement the AEP prevention intervention using a randomized controlled trial with
women recruited from a community at higher than normal risk for AEPs.
3. Evaluate the efficacy of the AEP prevention intervention for reducing AEP risk as
compared to a community level intervention aimed at preventing FAS using the 3 primary
outcome measures in previous Project CHOICES studies: (a) AEP reduced risk through
reduced drinking or effective contraception, or both; (b) AEP reduced risk through
drinking only; and (c) reduced risk through effective contraception only.
4. Disseminate results of the study to health care providers in the local community.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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