Evidence map›Paper›PMID 33706001›Full record

ArticleContemporary clinical trials2021

A culturally tailored intervention to reduce risk of alcohol-exposed pregnancies in American Indian communities: Rationale, design, and methods.

Jessica D Hanson, Kyra Oziel, Michelle Sarche, Richard F MacLehose, Robert Rosenman, Dedra Buchwald

Open access · greenAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 11 citations in OpenAlex.

  1. An economic analysis of Native CHOICES.Journal of substance use and addiction treatment · 2026
    Trial
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  8. Alcohol Consumption during COVID among Women with an Existing Alcohol-Use Disorder.International journal of environmental research and public health · 2021
    Article
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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

6 authors at 4 institutions in 1 country.

Jessica D HansonDepartment of Applied Human Sciences, University of Minnesota Duluth, Duluth, MN, USA. Electronic address: jdhanson@d.umn.edu.
Kyra OzielInitiative for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA.
Michelle SarcheUniversity of Colorado Anschutz Medical Campus, Colorado School of Public Health, Centers for American Indian and Alaska Native Health, Aurora, CO, USA.
Richard F MacLehoseDivision of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, USA.
Robert RosenmanInitiative for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA; School of Economic Sciences, Washington State University, Pullman, WA, USA.
Dedra BuchwaldInitiative for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA.
Washington State University · USColorado School of Public Health · USUniversity of Minnesota · USUniversity of Minnesota, Duluth · US

Funding

Transition to RecoveryP60AA026112 · NIAAA · WASHINGTON STATE UNIVERSITY · PI Denise A Dillard, Michael G McDonell · 2018 to 2026
$10.7M
NIAAA NIH HHS P60 AA026112
6 · The paper itself

Abstract

introductionPrenatal exposure to alcohol can cause lifelong physical and cognitive challenges in the form of fetal alcohol syndrome and other fetal alcohol spectrum disorders (FASDs). The prevention of prenatal alcohol exposure is thus a public health priority - and one that should account for the particular needs of subpopulations, including in American Indian/Alaska Native (AI/AN) communities. Prior to conception, alcohol-exposed pregnancy prevention is accomplished by encouraging the reduction or elimination of risky alcohol use and/or promoting effective contraceptive use among risky drinkers who could become pregnant. The current study builds on promising findings about the impact of the Centers for Disease Control and Prevention CHOICES intervention with AI/AN communities by implementing a randomized control trial of Native CHOICES, a cultural adaptation of CHOICES, with AI/AN women in a rural reservation community.

methodsAI/AN women aged 18-44 who are at-risk for an alcohol-exposed pregnancy are being recruited. Participants are randomized in 1:1 proportion to the intervention and a services-as-usual, waitlist control condition. The Native CHOICES intervention consists of 2 motivational interviewing (MI) sessions, an elective contraception counseling session, and electronic messaging to boost the effects of MI. Data are collected at baseline and at 6 weeks, 3 months, and 6 months post-baseline. Those assigned to the control group are eligible to enroll in Native CHOICES following the completion of the 6 months post-baseline data collection. In addition to testing intervention effectiveness, the study is designed to yield a comprehensive economic evaluation, which will provide important information regarding the financial feasibility and sustainability of Native CHOICES for healthcare systems serving AI/ANs.

Indexed as

Alaska NativesFetal Alcohol Spectrum DisordersIndians, North AmericanPrenatal Exposure Delayed EffectsAlcohol DrinkingAmerican Indian or Alaska NativeFemaleHumansPregnancyRandomized Controlled Trials as TopicAlcoholAlcohol-exposed pregnancyAmerican Indian tribesCHOICES interventionContraceptionPrevention of fetal alcohol spectrum disorders

Identifiers

PMID33706001
PMCPMC8180500
OpenAlexW3134751213

What OpenQuestion holds

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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.