Evidence map›Paper›PMID 40734177›Full record

Trial reportAddiction science & clinical practice2025

Participant experiences with a text message and contingency management intervention for alcohol use during pregnancy and lactation in Cape Town, South Africa.

Lesley-Ann Erasmus-Claassen, Noluthando Mpisane, Petal Petersen Williams, Felicia A Browne, Bronwyn Myers, Wendee M Wechsberg, Charles D H Parry, Shantae N Taylor, Yukiko Washio

Registry-linked trialAbstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Addiction science & clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05319977 (Mobile Behavioral Intervention to Reduce Maternal Drinking in South Africa), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

NCT05319977 nacompletednot on this map

Mobile Behavioral Intervention to Reduce Maternal Drinking in South Africa

TypeinterventionalSponsorRTI InternationalRan2021 to 2024Enrolled60ConditionsMaternal, Alcohol Use, Affecting FetusArmsMobile incentive-based intervention
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Lesley-Ann Erasmus-ClaassenMental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Francie Van Zijl Drive, Parowvalley, Cape Town, 7505, South Africa. lesley-ann.erasmus@mrc.ac.za.ORCID 0000-0002-1136-1202
Noluthando MpisaneMental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Francie Van Zijl Drive, Parowvalley, Cape Town, 7505, South Africa.ORCID 0000-0002-0529-5309
Petal Petersen WilliamsMental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Francie Van Zijl Drive, Parowvalley, Cape Town, 7505, South Africa.ORCID 0000-0001-5535-2458
Felicia A BrowneSubstance Use, Gender and Applied Research, RTI International, Durham, NC, 27709, USA.ORCID 0000-0002-4230-2096
Bronwyn MyersMental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Francie Van Zijl Drive, Parowvalley, Cape Town, 7505, South Africa.ORCID 0000-0003-0235-6716
Wendee M WechsbergSubstance Use, Gender and Applied Research, RTI International, Durham, NC, 27709, USA.ORCID 0000-0002-5146-6463
Charles D H ParryMental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Francie Van Zijl Drive, Parowvalley, Cape Town, 7505, South Africa.ORCID 0000-0001-9787-2785
Shantae N TaylorSubstance Use, Gender and Applied Research, RTI International, Durham, NC, 27709, USA.
Yukiko WashioSubstance Use, Gender and Applied Research, RTI International, Durham, NC, 27709, USA.ORCID 0000-0002-3882-2953

Funding

Mobile behavioral intervention to reduce maternal drinking in South AfricaR21AA029048 · NIAAA · RESEARCH TRIANGLE INSTITUTE · PI WASHIO, YUKIKO · 2021 to 2022
$347k
NIAAA NIH HHS R21 AA029048the National Institutes of Health R21AA029048
6 · The paper itself

Abstract

backgroundThe Western Cape region of South Africa has one of the highest global rates of Fetal Alcohol Spectrum Disorder (FASD), underscoring the urgent need for effective interventions. This qualitative study, designed as a process evaluation, explores pregnant and lactating participants' perceptions and experiences of a text message and contingency management (CM) intervention.

methodsThe study involved post-intervention interviews with 10 pregnant participants and 10 post-partum lactating participants. Coding and a thematic analysis approach were applied to the collected data using NVivo 12.

resultsParticipants identified key factors influencing their engagement in the intervention. Participants faced logistical barriers, but supportive social networks and flexible program components encouraged participation. Increased self-efficacy and external accountability also facilitated behavior change. Furthermore, participants suggested improvements for accessibility and tailored support, highlighting important considerations for future interventions.

conclusionThe findings highlighted the potential benefits of the intervention in improving individuals' health behaviors. However, logistical barriers and the need for expanded support services were identified, emphasizing the importance of refining intervention strategies in resource-limited settings. CLINICAL

trial registrationNCT05319977.

Indexed as

Alcohol DrinkingFetal Alcohol Spectrum DisordersLactationPregnancy ComplicationsText MessagingAdultFemaleHumansPregnancyQualitative ResearchSelf EfficacySocial SupportSouth AfricaYoung AdultContingency managementFetal alcohol spectrum disordersMaternal healthPrenatal alcohol useText messaging

Identifiers

PMID40734177
PMCPMC12309210

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.