ArticleAlcoholism, clinical and experimental research2017
Impact of the CHOICES Intervention in Preventing Alcohol-Exposed Pregnancies in American Indian Women.
Article in Alcoholism, clinical and experimental research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 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
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- A systematic review of prevention interventions to reduce prenatal alcohol exposure and fetal alcohol spectrum disorder in indigenous communities.BMC public health · 2018Pooled it
- An economic analysis of Native CHOICES.Journal of substance use and addiction treatment · 2026Trial
- A Pilot RCT of an Internet Intervention to Reduce the Risk of Alcohol-Exposed Pregnancy.Alcoholism, clinical and experimental research · 2018Trial
- 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
- Knowledge as prevention: A cost-effective intervention to reduce prenatal alcohol exposure.Alcohol, clinical & experimental research · 2025Article
- Commentary on "A randomized controlled trial of native CHOICES: Impact on alcohol-exposed pregnancy (AEP) risk reduction among American Indian and Alaska Native women" by Hanson and colleagues.Alcohol, clinical & experimental research · 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
- Preconception Health of Indigenous Peoples in Australia, Canada, New Zealand, and the United States: A Scoping Review.International journal of environmental research and public health · 2024Article
- Feasibility and Acceptability of Using Ecological Momentary Assessment to Evaluate Alcohol Use with American Indian Women.International journal of environmental research and public health · 2023Article
- A virtual randomized controlled trial of an alcohol-exposed pregnancy prevention mobile app with urban American Indian and Alaska Native young women: Native WYSE CHOICES rationale, design, and methods.Contemporary clinical trials · 2023Article
- Reducing the Prevalence of Alcohol-Exposed Pregnancies in the United States: A Simulation Modeling Study.Medical decision making : an international journal of the Society for Medical Decision Making · 2022Article
- Adaptations of an RCT during COVID: Case Study in one Rural American Indian Community.Collaborations (Coral Gables, Fla.) · 2022Article
- Where there's a will, there's a way? Strategies to reduce or abstain from alcohol use developed by Northern Plains American Indian women participating in a brief, alcohol-exposed pregnancy preconceptual intervention.Alcoholism, clinical and experimental research · 2021Article
- Pre-pregnancy and Prenatal Alcohol use Among American Indian and Alaska Native and Non-Hispanic White Women: Findings from PRAMS in Five States.Maternal and child health journal · 2021Article
- A culturally tailored intervention to reduce risk of alcohol-exposed pregnancies in American Indian communities: Rationale, design, and methods.Contemporary clinical trials · 2021Article
- The Importance of Understanding Social Context in the Reduction of AEP Risk among Native Women.Alcoholism, clinical and experimental research · 2020Article
- Acceptability of an eHealth Intervention to Prevent Alcohol-Exposed Pregnancy Among American Indian/Alaska Native Teens.Alcoholism, clinical and experimental research · 2020Article
- 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
- Community Perceptions of Alcohol Exposed Pregnancy Prevention Program for American Indian and Alaska Native Teens.International journal of environmental research and public health · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundFetal alcohol spectrum disorders (FASD) comprise a continuum of lifelong outcomes in those born prenatally exposed to alcohol. Although studies have shown no differences in rates by race, FASD is of particular concern for American Indian communities. One tribally run prevention program is the Oglala Sioux Tribe (OST) CHOICES Program, which is modeled after the evidence-based CHOICES program that was focused on preconceptional prevention of alcohol-exposed pregnancy (AEP) by reducing risky drinking in women at risk for pregnancy and/or preventing unintended pregnancy.
methodsThe OST CHOICES Program was made culturally appropriate for American Indian women and implemented with 3 communities, 2 on the reservation and 1 off. Data on drinking, sexual activity, and contraception use were collected at baseline and 3 and 6 months postintervention. Data were analyzed using descriptive statistics, 1-way analysis of variance, and a random intercept generalized estimating equation model.
resultsA total of 193 nonpregnant American Indian women enrolled in the OST CHOICES Program, and all were at risk for AEP because of binge drinking and being at risk for an unintended pregnancy. Fifty-one percent of participants completed both 3- and 6-month follow-ups. Models showed a significant decrease in AEP risk from baseline at both 3- and 6-month follow-ups, indicating the significant impact of the OST CHOICES intervention. Women in the OST CHOICES Program were more likely to reduce their risk for AEP by utilizing contraception, rather than decreasing binge drinking.
conclusionsEven with minor changes to make the CHOICES intervention culturally and linguistically appropriate and the potential threats to program validity those changes entail, we found a significant impact in reducing AEP risk. This highlights the capacity for the CHOICES intervention to be implemented in a wide variety of settings and populations.
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Registered trials
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