Evidence map›Paper›PMID 24315218›Full record

Trial reportJournal of substance abuse treatment2014

Brief motivational enhancement intervention to prevent or reduce postpartum alcohol use: a single-blinded, randomized controlled effectiveness trial.

Doris McGartland Rubio, Nancy L Day, Joseph Conigliaro, Barbara H Hanusa, Cynthia Larkby, Melissa McNeil, Elan Cohen, Bobby Jones, Margaret Watt-Morse, Carol Gilmour and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance abuse treatment, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 5 pooled it
2.0field-weighted citation impact, top 12% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 5 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Motivational interviewing for substance use reduction.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Doris McGartland RubioDivision of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Data Center, Center for Research on Health Care, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. Electronic address: rubiodm@upmc.edu.
Nancy L DayDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Joseph ConigliaroDepartment of Medicine, New York University, New York, NY, USA.
Barbara H HanusaCenter for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
Cynthia LarkbyDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Melissa McNeilDivision of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Elan CohenData Center, Center for Research on Health Care, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Bobby JonesDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Margaret Watt-MorseDepartment of Obstetrics and Gynecology, Magee Women's Hospital, Pittsburgh, PA, USA.
Carol GilmourNeonatology, UPMC Hamot Women's Hospital, Erie, PA, USA.
Michelle LancetDivision of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Kevin L KraemerDivision of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
University of Pittsburgh · USMagee-Womens Hospital · USNew York University · USVA Pittsburgh Healthcare System · USWomen's Hospital · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
BRIEF INTERVENTION TO PREVENT PRENATAL ALCOHOL USER01AA012485 · NIAAA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KRAEMER, KEVIN L · 1999 to 2002
$1.1M
NCATS NIH HHS UL1 TR000005NIAAA NIH HHS R01 AA012485
6 · The paper itself

Abstract

aimsThe aim of this study is to assess the effect of brief motivational enhancement intervention postpartum alcohol use.

designThis study is a single-blinded, randomized controlled effectiveness trial in which pregnant women were assigned to receive usual care or up to 5 face-to-face brief motivational enhancement sessions lasting 10-30 minutes each and occurring at study enrollment, 4 and 8 weeks after enrollment, 32 weeks of gestation, and 6 weeks postpartum.

settingThe setting is in a large, urban, obstetrics clinic.

participantsParticipants were women who were ≥ 18 years old, <20 weeks of gestation, and consumed alcohol during pregnancy. Of 3438 women screened, 330 eligible women were assigned to usual care (n = 165) or intervention (n=165). Due to missing data, we analyzed 125 in the intervention group and 126 in the usual care group. MEASUREMENTS: The measurements were the proportion of women with any alcohol use and the number of drinks per day, reported via follow-up telephone interviews at 4 and 8 weeks after enrollment, 32 weeks of gestation, and 6 weeks, 6 months, and 12 months postpartum.

findingsIn random effects models adjusted for confounders, the intervention group was less likely to use any alcohol (odds ratio 0.50; 95% confidence interval [CI], 0.23-1.09; P=0.08) and consumed fewer drinks per day (coefficient -0.11; 95% CI -0.23-0.01; P=0.07) than, the usual care group in the postpartum period but these differences were non-significant. Missing data during the prenatal period prevented us from modeling prenatal alcohol use.

conclusionsBrief motivational enhancement intervention delivered in an obstetrical outpatient setting did not conclusively decrease alcohol use during the postpartum period.

Indexed as

MotivationPostpartum PeriodAdultAlcohol DrinkingFemaleFollow-Up StudiesHumansInfant, NewbornPregnancySingle-Blind MethodBrief motivational enhancementComparative effectivenessPostpartum alcohol useRandomized trial

Identifiers

PMID24315218
PMCPMC3947008
OpenAlexW2031008070

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.