Motivational interviewing + feedback intervention to reduce alcohol-exposed pregnancy risk among college binge drinkers: determinants and patterns of response
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
Many college women are at risk for pregnancy, and binge drinking college women are often at risk for alcohol-exposed pregnancy. Brief interventions with sustainable outcomes are needed, particularly for college women who are binge drinking, at risk for pregnancy, and at increased risk of alcohol-exposed pregnancy. Two-hundred-twenty-eight women at a Mid-Atlantic urban university at risk for alcohol-exposed pregnancy enrolled in the randomized clinical trial, and 207 completed the 4 month follow-up. The BALANCE intervention used Motivational Interviewing plus feedback to target drinking and contraception behaviors. Main outcome measures included (1) the rate of risk for alcohol-exposed pregnancy, (2) the rate of risk drinking, and (3) the rate of pregnancy risk. At 4-month follow-up, the rate of alcohol-exposed pregnancy risk was significantly lower in the intervention (20.2%) than the control condition (34.9%), (P < .02). Assignment to the intervention condition halved the odds of women remaining at risk for alcohol-exposed pregnancy, while not receiving the intervention doubled the odds of continued alcohol-exposed pregnancy risk (OR = 2.18; 95% CI = 1.16–4.09). A baseline history of blackouts, continued high blood alcohol drinking days at 1 month, and continued risk for pregnancy at 1 month independently contributed to a multivariate model of continued alcohol-exposed pregnancy risk at 4 month follow-up. BALANCE reduced alcohol-exposed pregnancy risk, with similar outcomes to longer interventions. Because early response predicted sustained alcohol-exposed pregnancy risk reduction, those who fail to achieve initial change could be identified for further intervention. The BALANCE intervention could be adopted into existing student health or university alcohol programs. The risks of unintended pregnancy and alcohol-exposed pregnancy among binge drinking women in college merit greater prevention efforts.
- American Academy of Pediatrics. (2000). Fetal alcohol syndrome and alcohol-related neuro developmental disorders. Pediatrics, 106, 358–361. CrossRef
- Ayoola, A. B., Brewer, B., & Nettleman, M. (2006). Epidemiology and prevention of unintended pregnancy in adolescents. Primary Care: Clinics in Office Practice, 33, 391–403. CrossRef
- Breslin, F. C., Sobell, L. C., Sobell, M. B., & Agrawal, S. (2000). A comparison of a brief and long version of the situational confidence questionnaire. Behaviour Research and Therapy, 38, 1211–1220. CrossRef
- Cooper, M. L. (2002). Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. Journal of Studies on Alcohol, Supplement, 14, 101–117.
- Costa, P., & McCrae, R. (1992). Revised NEO personality inventory and NEO five factor inventory professional manual. Odessa, FL: Psychological Assessment Resources, Inc.
- Dawson, D. A., Grant, B. F., & Li, T. K. (2005). Quantifying the risks associated with exceeding recommended drinking limits. Alcoholism, Clinical and Experimental Research, 29, 902–908. CrossRef
- Derogatis, L. R. (1993). Brief symptom inventory: Administration, scoring, and procedures manual. Minneapolis, MN: National Computer Systems, Inc.
- Eustace, L. W., Kang, D. H., & Coombs, D. (2003). Fetal alcohol syndrome: A growing concern for health care professionals. Journal of Obstetrical & Gynecological Neonatal Nursing, 32, 215–221. CrossRef
- Finer, L. B., & Henshaw, S. K. (2006). Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspectives on Sexual and Reproductive Health, 38, 90–96. CrossRef
- Floyd, R. L., Sobell, M., Velasquez, M. M., Ingersoll, K. S., Nettleman, M., Sobell, L., et al. (2007). Preventing alcohol-exposed pregnancies: A randomized controlled trial. American Journal of Preventive Medicine, 32, 1–10. CrossRef
- Gliner, J. A., Morgan, G. A., & Harmon, R. J. (2002). The chi-square test and accompanying effect size indices. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1510–1512. CrossRef
- Hickey, M. T. (2009). Female college students’ knowledge, perceptions, and use of emergency contraception. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 38, 399–405. CrossRef
- Howard, D. E., & Wang, M. Q. (2004). Multiple sexual-partner behavior among sexually active US adolescent girls. American Journal of Health Behavior, 28, 3–12.
- Ingersoll, K. S., Ceperich, S. D., Nettleman, M. D., & Johnson, B. A. (2008). Binge drinking and risk for pregnancy and STDs among college women. Psychology and Health, 23, 965–981. CrossRef
- Ingersoll, K. S., Ceperich, S. D., Nettleman, M. D., Karanda, K., Brocksen, S., & Johnson, B. A. (2005). Reducing alcohol-exposed pregnancy risk in college women: Initial outcomes of a clinical trial of a motivational intervention. Journal of Substance Abuse Treatment, 29, 173–180. CrossRef
- Ingersoll, K., Floyd, L., Sobell, M., Velasquez, M. M., & Project CHOICES Intervention Research Group. (2003). Reducing the risk of alcohol-exposed pregnancies: A study of a motivational intervention in community settings. Pediatrics, 111, 1131–1135.
- Jones, S. E., Oeltmann, J., Wilson, T. W., Brener, N. D., & Hill, C. V. (2001). Binge drinking among undergraduate college students in the United States: Implications for other substance use. Journal of American College Health, 50, 33–38. CrossRef
- Kusseling, F. S., Wenger, N. S., & Shapiro, M. F. (1995). Inconsistent contraceptive use among female college students: Implications for intervention. Journal of American College Health, 43, 191–195. CrossRef
- Lambert, M. J., Lunnen, K., Umphress, V., Hansen, N. B., & Burlingame, G. M. (1994). Administration and scoring manual for the outcome questionnaire. Salt Lake City, UT: IHC Center for Behavioral Healthcare Efficacy.
- Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people to change (2nd ed.). New York: Guilford Press.
- National Institute of Alcoholism and Alcohol Abuse. (2004). NIAAA council approves definition of binge drinking. NIAAA Newsletter, Winter 2004, 3. Accessed 5 Dec 2010 at: http://pubs.niaaa.nih.gov/publications/newsletter/winter2004/newsletter_number3.pdf.
- ni Riain, A. (1998). Increasing the effectiveness of contraceptive usage in university students. The European Journal of Contraception & Reproductive Health Care, 3, 124–128.
- Patrick, M. E., & Maggs, J. L. (2009). Does drinking lead to sex? Daily alcohol–sex behaviors and expectancies among college students. Psychology of Addictive Behaviors, 23, 472–481. CrossRef
- Project CHOICES Research Group. (2002). Alcohol-exposed pregnancy: Characteristics associated with risk. American Journal of Preventive Medicine, 23, 166–173. CrossRef
- Reifman, A., & Watson, W. K. (2003). Binge drinking during the first semester of college: Continuation and desistance from high school patterns. Journal of American College Health, 52, 73–81. CrossRef
- Rollnick, S., Mason, P., & Butler, C. (1999). Health behavior change. London: Churchill Livingstone.
- Rollnick, S., Miller, W. R., & Butler, C. (2008). Motivational interviewing in healthcare. New York: Guilford Press.
- Rounsaville, B. J., Carroll, K. M., & Onken, L. S. (2001). A stage model of behavioral therapies research: Getting started and moving on from stage 1. Clinical Psychology: Science and Practice, 8, 133–142. CrossRef
- Sawyer, R. G., Pinciaro, P. J., & Anderson-Sawyer, A. (1998). Pregnancy testing and counseling: A university health center’s 5-year experience. Journal of American College Health, 46, 221–225. CrossRef
- Sihvo, S., Bajos, N., Ducot, B., & Kaminski, M. (2003). Women’s life cycle and abortion decision in unintended pregnancies. Journal of Epidemiology and Community Health, 57, 601–605. CrossRef
- Sobell, L. C., & Sobell, M. B. (1992). Timeline follow-back: A technique for assessing self-reported ethanol consumption. In R. Z. Litten & J. Allen (Eds.), Measuring alcohol consumption: Psychosocial and biological methods (pp. 41–72). Totowa, NJ: Humana Press. CrossRef
- Vahratian, A., Patel, D., Wolff, K., & Xu, X. (2008). College students’ perceptions of emergency contraception provision. Journal of Women’s Health, 17, 103–111. CrossRef
- Wechsler, H., Davenport, A., Dowdall, G., Moeykens, B., & Castillo, S. (1994). Health and behavioral consequences of binge drinking in college. A national survey of students at 140 campuses. Journal of the American Medical Association, 272, 1672–1677. CrossRef
- Wechsler, H., Dowdall, G. W., Davenport, A., & Castillo, S. (1995). Correlates of college student binge drinking. American Journal of Public Health, 85, 921–926. CrossRef
- Wechsler, H., & Isaac, N. (1992). ‘Binge’ drinkers at massachusetts colleges. Prevalence, drinking style, time trends, and associated problems. Journal of the American Medical Association, 267, 2929–2931. CrossRef
- Xaverius, P. K., Tenkku, L. E., & Salas, J. (2009). Differences between women at higher and lower risk for an unintended pregnancy. Women’s Health Issues, 19, 306–312. CrossRef
- Motivational interviewing + feedback intervention to reduce alcohol-exposed pregnancy risk among college binge drinkers: determinants and patterns of response
Journal of Behavioral Medicine
Volume 34, Issue 5 , pp 381-395
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Alcohol-exposed pregnancy
- Motivational interviewing
- Personalized feedback
- College binge drinking
- Unintended pregnancy
- Author Affiliations
- 1. Department of Psychiatry, Virginia Commonwealth University, Richmond, VA, USA
- 4. McGuire Veterans Affairs Medical Center, Richmond, VA, USA
- 2. Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA, USA
- 3. Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA
- 5. Department of Psychiatry and Neurobehavioral Sciences, Center for Addiction Research and Education, University of Virginia, 1670 Discovery Drive, Suite 110, Charlottesville, VA, 22911, USA