Computer-Delivered Screening and Brief Intervention for XXXX Use in Pregnancy: A Pilot Randomized Trial.

@entity1 @entity285
BACKGROUND: Although screening and brief intervention (SBI) for unhealthy @entity285 use has demonstrated efficacy in some trials, its implementation has been limited. Technology-delivered approaches are a promising alternative, particularly during pregnancy when the importance of @entity285 use is amplified. The present trial evaluated the feasibility and acceptability of an interactive, empathic, video-enhanced, and computer-delivered SBI (e-SBI) plus 3 tailored mailings, and estimated intervention effects. METHODS: We recruited 48 pregnant @entity1 who screened positive for @entity285 risk at an urban prenatal care clinic. @entity1 were randomly assigned to the e-SBI plus mailings or to a control session on @entity1 nutrition, and were re-evaluated during their postpartum hospitalization. The primary outcome was 90-day period prevalence abstinence as measured by timeline follow-back interview. RESULTS: @entity1 rated the intervention as easy to use and helpful (4.7 to 5.0 on a 5-point scale). Blinded follow-up evaluation at childbirth revealed medium-size intervention effects on 90-day period prevalence abstinence (OR  =  3.4); similarly, intervention effects on a combined healthy pregnancy outcome variable (live birth, normal birthweight, and no neonatal intensive care unit stay) were also of moderate magnitude in favor of e-SBI @entity1 (OR  =  3.3). As expected in this intentionally underpowered pilot trial, these effects were nonsignificant (p  =  0.19 and 0.09, respectively). CONCLUSIONS: This pilot trial demonstrated the acceptability and preliminary efficacy of e-SBI plus tailored mailings for @entity285 use in pregnancy. These findings mirror the promising results of other trials using a similar approach and should be confirmed in a fully powered trial.
