Trial reportInternational journal of environmental research and public health2015
Indicated Prevention of Fetal Alcohol Spectrum Disorders in South Africa: Effectiveness of Case Management.
Trial report in International journal of environmental research and public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis 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
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Effectiveness of brief alcohol interventions for pregnant women: a systematic literature review and meta-analysis.BMC pregnancy and childbirth · 2023Pooled it
- Participant experiences with a text message and contingency management intervention for alcohol use during pregnancy and lactation in Cape Town, South Africa.Addiction science & clinical practice · 2025Trial
- Influence of childhood trauma and traumatic stress on a woman's risk of having a child with a fetal alcohol spectrum disorder.Alcohol, clinical & experimental research · 2024Article
- Perceptions of perinatal alcohol use and treatment needs in Cape Town, South Africa: a qualitative study.Frontiers in psychiatry · 2024Article
- A systematic review of behaviour change interventions to improve maternal health outcomes in sub-Saharan Africa.PLOS global public health · 2024Article
- Multifaceted case management during pregnancy is associated with better child outcomes and less fetal alcohol syndrome.Annals of medicine · 2023Article
- Relationship-based intervention for children who were prenatally alcohol exposed in South Africa.Research in developmental disabilities · 2023Article
- Reducing Prenatal Alcohol Exposure and the Incidence of FASD: Is the Past Prologue?Alcohol research : current reviews · 2023Review
- The prevalence of fetal alcohol spectrum disorders in rural communities in South Africa: A third regional sample of child characteristics and maternal risk factors.Alcoholism, clinical and experimental research · 2022Article
- Current Interventions for People Living with HIV Who Use Alcohol: Why Gender Matters.Current HIV/AIDS reports · 2021Review
- Smoking and drinking habits of women in subsequent pregnancies after specific advice about the dangers of these exposures during pregnancy.South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde · 2020Article
- Early-Life Predictors of Fetal Alcohol Spectrum Disorders.Pediatrics · 2019Article
- "The Dop System of Alcohol Distribution is Dead, but It's Legacy Lives On…."International journal of environmental research and public health · 2019Article
- The Distribution of Available Prevention and Management Interventions for Fetal Alcohol Spectrum Disorder (2007 to 2017): Implications for Collaborative Actions.International journal of environmental research and public health · 2019Review
- To what extent is Fetal Alcohol Spectrum Disorder considered in policy-related documents in South Africa? A document review.Health research policy and systems · 2019Review
- "But Problems Dwell so the Urge Is Constant…" Qualitative Data Analysis of the OST CHOICES Program.Alcoholism, clinical and experimental research · 2018Article
- Substance use in pregnancy: The medical challenge.Obstetric medicine · 2018Review
- Risk for Alcohol-Exposed Pregnancies Among Women at Drinking Venues in Cape Town, South Africa.Journal of studies on alcohol and drugs · 2017Article
- The Prevalence of Fetal Alcohol Syndrome and Its Impact on a Child's Classroom Performance: A Case Study of a Rural South African School.International journal of environmental research and public health · 2017Article
- Breastfeeding and maternal alcohol use: Prevalence and effects on child outcomes and fetal alcohol spectrum disorders.Reproductive toxicology (Elmsford, N.Y.) · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors at 5 institutions in 2 countries.
Funding
Abstract
In the Western Cape Province of South Africa (ZA) a subculture of binge drinking produces the highest global documented prevalence of fetal alcohol spectrum disorders (FASD). FASD prevention research activities in ZA use the Comprehensive Prevention approach from the United States Institute of Medicine. Case management (CM) was delivered as a method of indicated prevention to empower heavy drinking pregnant women to achieve cessation or a reduction in drinking. CM activities incorporated life management, Motivational Interviewing (MI) techniques and the Community Reinforcement Approach (CRA). Data were collected at baseline, 6, 12 and 18 months. Mean drinking decreases 6 months into CM; but overall alcohol consumption rose significantly over time to levels higher than baseline at 12 and 18 months. Alcohol consumption drops significantly from before pregnancy to the second and third trimesters. AUDIT scores indicate that problematic drinking decreases significantly even after the vulnerable fetus/baby was born. CM significantly increases client happiness, which correlates with reduced weekend drinking. CM was successful for women with high-risk drinking behaviour, and was effective in helping women stop drinking, or drink less, while pregnant, reducing the risk of FASD.
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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.