Trial reportJournal of behavioral medicine2011
Motivational interviewing + feedback intervention to reduce alcohol-exposed pregnancy risk among college binge drinkers: determinants and patterns of response.
Trial report in Journal of behavioral medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
37 citing papers in PubMed, 8 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Prevention of alcohol exposed pregnancies in Europe: the FAR SEAS guidelines.BMC pregnancy and childbirth · 2024Guideline
- Motivational interviewing for substance use reduction.The Cochrane database of systematic reviews · 2023Pooled it
- Effectiveness of brief alcohol interventions in primary care populations.The Cochrane database of systematic reviews · 2018Pooled it
- Theory-based interventions for contraception.The Cochrane database of systematic reviews · 2016Pooled it
- Motivational interviewing for the prevention of alcohol misuse in young adults.The Cochrane database of systematic reviews · 2016Pooled it
- Brief educational strategies for improving contraception use in young people.The Cochrane database of systematic reviews · 2016Pooled it
- Single-Session Alcohol Interventions for Heavy Drinking College Students: A Systematic Review and Meta-Analysis.Journal of studies on alcohol and drugs · 2015Pooled it
- Brief alcohol interventions for adolescents and young adults: a systematic review and meta-analysis.Journal of substance abuse treatment · 2015Pooled it
- Motivational interviewing for family planning and reducing risky sexual behavior among incarcerated men nearing release: A randomized controlled pilot study.Psychological services · 2023Trial
- Motivational interviewing to reduce risky sexual behaviors among at-risk male youth: A randomized controlled pilot study.Psychological services · 2022Trial
- A Pilot RCT of an Internet Intervention to Reduce the Risk of Alcohol-Exposed Pregnancy.Alcoholism, clinical and experimental research · 2018Trial
- A motivational interviewing-based counseling intervention to increase postabortion uptake of contraception: A pilot randomized controlled trial.Patient education and counseling · 2016Trial
- Depressive symptoms moderate treatment response to brief intervention for prevention of alcohol exposed pregnancy.Journal of substance abuse treatment · 2013Trial
- Preconceptional motivational interviewing interventions to reduce alcohol-exposed pregnancy risk.Journal of substance abuse treatment · 2013Trial
- A randomized trial comparing telephone versus in-person brief intervention to reduce the risk of an alcohol-exposed pregnancy.Journal of substance abuse treatmentTrial
- Intervention Models and Behaviour Change Techniques to Reduce the Risk of Alcohol Exposed Pregnancies: A Systematic Review of Interventions for Non-pregnant Women.Journal of prevention (2022) · 2026Review
- Linking Reductions in Alcohol and Birth Control Use Risk Behavior to Prevention of Alcohol-Exposed Pregnancy: A Population-Level Simulation of Preconceptual Prevention Programs.Alcohol, clinical & experimental research · 2026Article
- Identifying Patients at Risk for Alcohol-Exposed Pregnancies: The Importance of Addressing Multiple Risk Factors.Substance use & addiction journal · 2025Article
- A randomized controlled trial of Native CHOICES: Impact on alcohol-exposed pregnancy risk reduction among American Indian and Alaska Native women.Alcohol, clinical & experimental research · 2025Article
- Reducing the risk of prenatal alcohol exposure and FASD through social services: promising results from the FAR SEAS pilot project.Frontiers in psychiatry · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
Many college women are at risk for pregnancy, and binge drinking college women are often at risk for alcohol-exposed pregnancy. Brief interventions with sustainable outcomes are needed, particularly for college women who are binge drinking, at risk for pregnancy, and at increased risk of alcohol-exposed pregnancy. Two-hundred-twenty-eight women at a Mid-Atlantic urban university at risk for alcohol-exposed pregnancy enrolled in the randomized clinical trial, and 207 completed the 4 month follow-up. The BALANCE intervention used Motivational Interviewing plus feedback to target drinking and contraception behaviors. Main outcome measures included (1) the rate of risk for alcohol-exposed pregnancy, (2) the rate of risk drinking, and (3) the rate of pregnancy risk. At 4-month follow-up, the rate of alcohol-exposed pregnancy risk was significantly lower in the intervention (20.2%) than the control condition (34.9%), (P < .02). Assignment to the intervention condition halved the odds of women remaining at risk for alcohol-exposed pregnancy, while not receiving the intervention doubled the odds of continued alcohol-exposed pregnancy risk (OR = 2.18; 95% CI = 1.16-4.09). A baseline history of blackouts, continued high blood alcohol drinking days at 1 month, and continued risk for pregnancy at 1 month independently contributed to a multivariate model of continued alcohol-exposed pregnancy risk at 4 month follow-up. BALANCE reduced alcohol-exposed pregnancy risk, with similar outcomes to longer interventions. Because early response predicted sustained alcohol-exposed pregnancy risk reduction, those who fail to achieve initial change could be identified for further intervention. The BALANCE intervention could be adopted into existing student health or university alcohol programs. The risks of unintended pregnancy and alcohol-exposed pregnancy among binge drinking women in college merit greater prevention efforts.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.