Evidence map›Paper›PMID 26010235›Full record

Trial reportAlcoholism, clinical and experimental research2015

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

Steven J Ondersma, Jessica R Beatty, Dace S Svikis, Ronald C Strickler, Golfo K Tzilos, Grace Chang, George W Divine, Andrew R Taylor, Robert J Sokol

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Alcoholism, clinical and experimental research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

41 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  5. eHealth Interventions to Treat Substance Use in Pregnancy: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021
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  11. Testing the efficacy of motivational strategies, empathic reflections, and lifelike features in a computerized intervention for alcohol use: A factorial trial.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2019
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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

9 authors.

Steven J OndersmaDepartment of Psychiatry & Behavioral Neurosciences and Merrill-Palmer Skillman Institute, Wayne State University, Detroit, Michigan.
Jessica R BeattyDepartment of Psychiatry & Behavioral Neurosciences and Merrill-Palmer Skillman Institute, Wayne State University, Detroit, Michigan.
Dace S SvikisDepartment of Psychology, Virginia Commonwealth University, Richmond, Virginia.
Ronald C StricklerHenry Ford Health System, Detroit, Michigan.
Golfo K TzilosCenter for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island.
Grace ChangVA Boston Healthcare System and Harvard Medical School, Boston, Massachusetts.
George W DivineHenry Ford Health System, Detroit, Michigan.
Andrew R TaylorHenry Ford Health System, Detroit, Michigan.
Robert J SokolDepartment of Obstetrics & Gynecology, Wayne State University, Detroit, Michigan.

Funding

Computer-delivered SBIRT for alcohol use in pregnancy: Planning a Stage II trialR34AA020056 · NIAAA · WAYNE STATE UNIVERSITY · PI ONDERSMA, STEVEN J. · 2011 to 2013
$640k
NIAAA NIH HHS AA020056NIAAA NIH HHS R34 AA020056
6 · The paper itself

Abstract

backgroundAlthough screening and brief intervention (SBI) for unhealthy alcohol 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 alcohol 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.

methodsWe recruited 48 pregnant women who screened positive for alcohol risk at an urban prenatal care clinic. Participants were randomly assigned to the e-SBI plus mailings or to a control session on infant 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.

resultsParticipants 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 participants (OR = 3.3). As expected in this intentionally underpowered pilot trial, these effects were nonsignificant (p = 0.19 and 0.09, respectively).

conclusionsThis pilot trial demonstrated the acceptability and preliminary efficacy of e-SBI plus tailored mailings for alcohol 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.

Indexed as

AdolescentAdultAlcohol DrinkingFemaleHumansMass ScreeningPatient Acceptance of Health CarePilot ProjectsPregnancyTherapy, Computer-AssistedYoung AdultBrief InterventionFetal Alcohol Spectrum DisorderPregnancyRandomized TrialTechnology

Identifiers

PMID26010235
PMCPMC4490994

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Registered trials

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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.