Evidence map›Paper›PMID 27373599›Full record

ReviewAmerican journal of obstetrics and gynecology2016

The role of screening, brief intervention, and referral to treatment in the perinatal period.

Tricia E Wright, Mishka Terplan, Steven J Ondersma, Cheryl Boyce, Kimberly Yonkers, Grace Chang, Andreea A Creanga

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in American journal of obstetrics and gynecology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05910580 (Improving Alcohol and Substance Use Care Access, Outcomes, and Equity During the Reproductive Years), which is not on this map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
33.4field-weighted citation impact, top 1% 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.

NCT05910580 narecruitingnot on this mapstarted 2025, after this paper: background citation

Improving Alcohol and Substance Use Care Access, Outcomes, and Equity During the Reproductive Years: A Type 1 Hybrid Trial in Family Planning Clinics

TypeinterventionalSponsorEmory UniversityRan2025 to 2027Enrolled400ConditionsAlcohol-Related Disorders, Substance-Related Disorders, Mental Health, Reproductive HealthArmsScreening, Brief Intervention, and Referral to Treatment (SBIRT)
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 157 citations in OpenAlex.

  1. Trial
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  7. Review
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  14. Review
  15. Substance use and use disorders during pregnancy and the postpartum period.American journal of obstetrics and gynecology · 2025
    Review
  16. Article
  17. Pre-pandemic predictors of parental substance use during COVID-19.Frontiers in child and adolescent psychiatry · 2025
    Article
  18. Article
  19. Article
  20. Article

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 1 country.

Tricia E WrightDepartments of Obstetrics, Gynecology, and Women's Health and of Psychiatry, University of Hawaii John A. Burns School of Medicine, Honolulu, HI. Electronic address: tewright@hawaii.edu.
Mishka TerplanBehavioral Health System, Baltimore, MD.
Steven J OndersmaMerrill-Palmer Skillman Institute, Departments of Psychiatry and Behavioral Neurosciences, and Obstetrics and Gynecology, Wayne State University, Detroit, MI.
Cheryl BoyceDivision of Clinical Neuroscience and Behavioral Research, National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD.
Kimberly YonkersDepartments of Psychiatry and of Obstetrics and Gynecology, and School of Epidemiology and Public Health, Yale University School of Medicine, New Haven, CT.
Grace ChangDepartment of Psychiatry, Harvard Medical School, Boston, MA; Department of Psychiatry, Department of Veterans Affairs Boston Healthcare System, Brockton, MA.
Andreea A CreangaDepartment of International Health and International Center for Maternal and Newborn Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
Centers for Disease Control and Prevention · USHarvard University · USNational Institutes of Health · USUniversity of Hawaiʻi at Mānoa · USWayne State University · USYale University · US

Funding

Project START: Screening to Augment Referral to TreatmentR01DA027194 · NIDA · YALE UNIVERSITY · PI MARTINO, STEVE, YONKERS, KIMBERLY A · 2010 to 2014
$3.3M
Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Substance use during pregnancy is at least as common as many of the medical conditions screened for and managed during pregnancy. While harmful and costly, it is often ignored or managed poorly. Screening, brief intervention, and referral to treatment is an evidence-based approach to manage substance use. In September 2012, the US Centers for Disease Control and Prevention convened an Expert Meeting on Perinatal Illicit Drug Abuse to help address key issues around drug use in pregnancy in the United States. This article reflects the formal conclusions of the expert panel that discussed the use of screening, brief intervention, and referral to treatment during pregnancy. Screening for substance use during pregnancy should be universal. It allows stratification of women into zones of risk given their pattern of use. Low-risk women should receive brief advice, those classified as moderate risk should receive a brief intervention, whereas those who are high risk need referral to specialty care. A brief intervention is a patient-centered form of counseling using the principles of motivational interviewing. Screening, brief intervention, and referral to treatment has the potential to reduce the burden of substance use in pregnancy and should be integrated into prenatal care.

Indexed as

Referral and ConsultationAlcoholismCounselingFemaleHumansMass ScreeningMotivational InterviewingPostnatal CarePregnancyPregnancy ComplicationsPrenatal CareSubstance-Related DisordersTobacco Use Disorderalcoholbrief interventionopioid usepregnancyreferral to treatmentscreeningsubstance use disorderstobacco

Identifiers

PMID27373599
PMCPMC11362984
OpenAlexW2464745652

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.