Jessica D Hanson1, Kyra Oziel2, Michelle Sarche3, Richard F MacLehose4, Robert Rosenman5, Dedra Buchwald2. 1. Department of Applied Human Sciences, University of Minnesota Duluth, Duluth, MN, USA. Electronic address: jdhanson@d.umn.edu. 2. Initiative for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA. 3. University of Colorado Anschutz Medical Campus, Colorado School of Public Health, Centers for American Indian and Alaska Native Health, Aurora, CO, USA. 4. Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, USA. 5. Initiative for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA; School of Economic Sciences, Washington State University, Pullman, WA, USA.
Abstract
INTRODUCTION: Prenatal exposure to alcohol can cause lifelong physical and cognitive challenges in the form of fetal alcohol syndrome and other fetal alcohol spectrum disorders (FASDs). The prevention of prenatal alcohol exposure is thus a public health priority - and one that should account for the particular needs of subpopulations, including in American Indian/Alaska Native (AI/AN) communities. Prior to conception, alcohol-exposed pregnancy prevention is accomplished by encouraging the reduction or elimination of risky alcohol use and/or promoting effective contraceptive use among risky drinkers who could become pregnant. The current study builds on promising findings about the impact of the Centers for Disease Control and Prevention CHOICES intervention with AI/AN communities by implementing a randomized control trial of Native CHOICES, a cultural adaptation of CHOICES, with AI/AN women in a rural reservation community. METHODS: AI/AN women aged 18-44 who are at-risk for an alcohol-exposed pregnancy are being recruited. Participants are randomized in 1:1 proportion to the intervention and a services-as-usual, waitlist control condition. The Native CHOICES intervention consists of 2 motivational interviewing (MI) sessions, an elective contraception counseling session, and electronic messaging to boost the effects of MI. Data are collected at baseline and at 6 weeks, 3 months, and 6 months post-baseline. Those assigned to the control group are eligible to enroll in Native CHOICES following the completion of the 6 months post-baseline data collection. In addition to testing intervention effectiveness, the study is designed to yield a comprehensive economic evaluation, which will provide important information regarding the financial feasibility and sustainability of Native CHOICES for healthcare systems serving AI/ANs.
INTRODUCTION: Prenatal exposure to alcohol can cause lifelong physical and cognitive challenges in the form of fetal alcohol syndrome and other fetal alcohol spectrum disorders (FASDs). The prevention of prenatal alcohol exposure is thus a public health priority - and one that should account for the particular needs of subpopulations, including in American Indian/Alaska Native (AI/AN) communities. Prior to conception, alcohol-exposed pregnancy prevention is accomplished by encouraging the reduction or elimination of risky alcohol use and/or promoting effective contraceptive use among risky drinkers who could become pregnant. The current study builds on promising findings about the impact of the Centers for Disease Control and Prevention CHOICES intervention with AI/AN communities by implementing a randomized control trial of Native CHOICES, a cultural adaptation of CHOICES, with AI/AN women in a rural reservation community. METHODS: AI/AN women aged 18-44 who are at-risk for an alcohol-exposed pregnancy are being recruited. Participants are randomized in 1:1 proportion to the intervention and a services-as-usual, waitlist control condition. The Native CHOICES intervention consists of 2 motivational interviewing (MI) sessions, an elective contraception counseling session, and electronic messaging to boost the effects of MI. Data are collected at baseline and at 6 weeks, 3 months, and 6 months post-baseline. Those assigned to the control group are eligible to enroll in Native CHOICES following the completion of the 6 months post-baseline data collection. In addition to testing intervention effectiveness, the study is designed to yield a comprehensive economic evaluation, which will provide important information regarding the financial feasibility and sustainability of Native CHOICES for healthcare systems serving AI/ANs.
Authors: Janette Beals; Douglas K Novins; Nancy R Whitesell; Paul Spicer; Christina M Mitchell; Spero M Manson Journal: Am J Psychiatry Date: 2005-09 Impact factor: 18.112
Authors: Philip A May; Barbara G Tabachnick; J Phillip Gossage; Wendy O Kalberg; Anna-Susan Marais; Luther K Robinson; Melanie A Manning; Jason Blankenship; David Buckley; H Eugene Hoyme; Colleen M Adnams Journal: J Dev Behav Pediatr Date: 2013-06 Impact factor: 2.225
Authors: Jessica D Hanson; Carolyn Noonan; Amy Harris; Kyra Oziel; Michelle Sarche; Richard F MacLehose; Marcia O'Leary; Dedra Buchwald Journal: Int J Environ Res Public Health Date: 2021-09-08 Impact factor: 4.614