Feasibility and acceptability of a novel, computerized screening and brief intervention (SBI) for alcohol and sweetened beverage use in pregnancy

BMC Pregnancy and Childbirth

Lyndsay A Avalos²  Lee A Kaskustas³  Rachael A Korcha¹  Madhabika B Nayak¹ 

[1] Alcohol Research Group-Public Health Institute (ARG-PHI), 6475 Christie Avenue, Suite 400, Emeryville, CA, USA;Kaiser Permanente Northern California, Division of Research, Oakland, CA, USA;ARG-PHI & School of Public Health, University of California, Berkeley, USA

关键词: Sugar sweetened beverages;    Alcohol;    Screening and brief intervention;   

Others  :  1091503
DOI  :  10.1186/s12884-014-0379-x

 received in 2014-04-01, accepted in 2014-10-20,  发布年份 2014

【 摘 要 】

Background

Recommended screening and brief intervention (SBI) for alcohol use during pregnancy is impeded by high patient loads and limited resources in public health settings. We evaluated the feasibility, acceptability and validity of a new self-administered, single-session, bilingual, computerized Screening and Brief Intervention (SBI) program for alcohol and sugar sweetened beverage (SSB) use in pregnancy.

Methods

We developed and tested the computerized SBI program at a public health clinic with 290 pregnant women. Feasibility, acceptability, and validity measures were included in the program which had several modules, including those on demographics, health and beverage use. Time to complete the program and user experience items were used to determine program feasibility and acceptability. Validity analyses compared proportions of prenatal alcohol use identified by the program versus in-person screening by clinic staff.

Results

Most program users (87%, n = 251) completed the entire program; 91% (n = 263) completed the key screening and brief intervention modules. Most users also completed the program in ten to fifteen minutes. Program users reported that the program was easy to use (97%), they learned something new (88%), and that they would share what they learned with others (83%) and with their doctors or clinic staff (76%). Program acceptability did not differ by age, education, or type of beverage intervention received. The program identified alcohol use in pregnancy among 21% of users, a higher rate than the 13% (p < .01) found via screening by clinic staff.

Conclusions

Computerized Screening and Brief Intervention for alcohol and SSB use in public health clinics is feasible and acceptable to English and Spanish speaking pregnant women and can efficiently identify prenatal alcohol use.

【 授权许可】

   
2014 Nayak et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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