Top

Published in:

01-10-2011

Motivational interviewing + feedback intervention to reduce alcohol-exposed pregnancy risk among college binge drinkers: determinants and patterns of response

Authors: Sherry Dyche Ceperich, Karen S. Ingersoll

Published in: Journal of Behavioral Medicine | Issue 5/2011

Abstract

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.PubMedCrossRef

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.PubMedCrossRef

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.PubMedCrossRef

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.PubMedCrossRef

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.PubMedCrossRef

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.PubMedCrossRef

Hickey, M. T. (2009). Female college students’ knowledge, perceptions, and use of emergency contraception. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 38, 399–405.PubMedCrossRef

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.PubMed

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.PubMedCrossRef

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.PubMed

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.PubMedCrossRef

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.PubMedCrossRef

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.PubMedCrossRef

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.PubMedCrossRef

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.PubMedCrossRef

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.PubMedCrossRef

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.PubMedCrossRef

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.PubMedCrossRef

Wechsler, H., Dowdall, G. W., Davenport, A., & Castillo, S. (1995). Correlates of college student binge drinking. American Journal of Public Health, 85, 921–926.PubMedCrossRef

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.PubMedCrossRef

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.PubMedCrossRef

Title: Motivational interviewing + feedback intervention to reduce alcohol-exposed pregnancy risk among college binge drinkers: determinants and patterns of response
Authors: Sherry Dyche Ceperich
Karen S. Ingersoll
Publication date: 01-10-2011
Publisher: Springer US
Published in: Journal of Behavioral Medicine / Issue 5/2011
Print ISSN: 0160-7715
Electronic ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-010-9308-2

At a glance: The STEP trials

Springer Medicine

Motivational interviewing + feedback intervention to reduce alcohol-exposed pregnancy risk among college binge drinkers: determinants and patterns of response

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 5/2011

Use of voter registration records to recruit a representative sample

Psychosocial predictors of smoking among secondary school students in Al-Hassa, Saudi Arabia

Interpersonal influences on patients’ surgical decision making: the role of close others

Adaptive style and physiological reactivity during a laboratory stress paradigm in children with cancer and healthy controls

Religion and healthy lifestyle behaviors among postmenopausal women: the women’s health initiative

Causal attributions among patients undergoing coronary artery bypass surgery: gender aspects and relation to depressive symptomatology