Computer-delivered screening and brief intervention (e-SBI) for postpartum drug use: A randomized trial

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• 作者：Steven J. Ondersma ; Dace S. Svikis ; Leroy R. Thacker ; Jessica R. Beatty ; Nancy Lockhart
• 关键词：Pregnancy ; Drug abuse screening ; Brief intervention ; Drug users ; Motivation ; Computers
• 刊名：Journal of Substance Abuse Treatment
• 出版年：January, 2014
• 年：2014
• 卷：46
• 期：1
• 页码：52-59
• 全文大小：521 K

文摘

Electronic screening and brief intervention (e-SBI) approaches for substance use have shown early promise. This trial was designed to replicate previous findings from a single 20-minute e-SBI for drug use among postpartum women. A total of 143 postpartum, primarily low-income African-American women meeting criteria for drug use, were randomly assigned to either a tailored e-SBI or a time-matched control condition. Blinded follow-up evaluation 3- and 6-months following childbirth revealed strong effects for confirmed illicit drug use abstinence at the 3-month observation (OR = 3.3, p = .01), as did hair analysis at 6 months (OR = 4.8, p = .018). Additional primary outcomes suggested small to moderate effect sizes in favor of the e-SBI, but did not reach significance. This result replicates previous findings but fails to show durable effects. Assessment reactivity, e-SBI design, and possible extension of e-SBI via tailored messaging all merit careful consideration.