Evidence map›Paper›PMID 37055155›Full record

ArticlePreventing chronic disease2023

Screening and Brief Interventions for Alcohol Use During Pregnancy: Practices Among US Primary Care Clinicians, DocStyles 2019.

Caitlin Green, Nisha George, Youngjoo Park, Clark H Denny, Mary Kate Weber, Dana Meaney-Delman, Shin Y Kim

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Preventing chronic disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 1 country.

Caitlin GreenDivision of Birth Defects and Infant Disorders, Centers for Disease Control and Prevention, Atlanta, Georgia.
Nisha GeorgeDivision of Birth Defects and Infant Disorders, Centers for Disease Control and Prevention, Atlanta, Georgia.
Youngjoo ParkDivision of Birth Defects and Infant Disorders, Centers for Disease Control and Prevention, Atlanta, Georgia.
Clark H DennyDivision of Birth Defects and Infant Disorders, Centers for Disease Control and Prevention, Atlanta, Georgia.
Mary Kate WeberDivision of Birth Defects and Infant Disorders, Centers for Disease Control and Prevention, Atlanta, Georgia.
Dana Meaney-DelmanDivision of Birth Defects and Infant Disorders, Centers for Disease Control and Prevention, Atlanta, Georgia.
Shin Y KimDivision of Birth Defects and Infant Disorders, Centers for Disease Control and Prevention, Atlanta, Georgia.
Centers for Disease Control and Prevention · USOak Ridge Associated Universities · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlcohol use during pregnancy can cause birth defects and developmental disabilities. From 2018 through 2020, 13.5% of pregnant women reported current drinking. The US Preventive Services Task Force recommends evidence-based tools (eg, AUDIT-C and SASQ) for implementing screening and brief interventions to reduce excessive alcohol use among adults, including pregnant people, for whom any alcohol use is considered excessive.

methodsWe used DocStyles 2019 data to conduct a cross-sectional analysis to examine current screening and brief intervention practices that primary care clinicians conduct among pregnant patients; clinicians' confidence levels in conducting screening, brief interventions, and referral to treatment; and the documentation of brief interventions in the medical record.

resultsA total of 1,500 US adult medicine clinicians completed the entire survey. Among the respondents who conduct screening (N = 1,373) and brief interventions (N = 1,357) in their practice, nearly all reported implementing screening (94.6%) and brief interventions (94.9%) with their pregnant patients for alcohol use, but fewer than half felt confident about conducting their screening practices (46.5%). Two-thirds (64%) reported using a tool that met the criteria recommended by the US Preventive Services Task Force (USPSTF). Over half documented brief interventions in electronic health record notes (51.7%) or designated space (50.7%).

conclusionPregnancy presents a unique opportunity for clinicians to incorporate screening into routine obstetric care and encourage behavior change among patients. Most providers reported always screening their pregnant patients for alcohol use, but fewer used evidence-based USPSTF-recommended screening tools. Increased clinician confidence in screening and brief intervention, the use of standardized screening tools tailored to pregnant people, and maximal use of electronic health record technology may enhance the benefits of their application to alcohol use, which ultimately can reduce adverse outcomes associated with alcohol use during pregnancy.

Indexed as

Crisis InterventionPregnant PeopleAdultAlcohol DrinkingCross-Sectional StudiesFemaleHumansMass ScreeningPregnancyPrimary Health Care

Identifiers

PMID37055155
PMCPMC10109479
OpenAlexW4363678387

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.