Computer-delivered indirect screening and brief intervention for drug use in the perinatal period: A randomized trial

Drug and Alcohol Dependence
Steven J OndersmaKaroline Puder

Abstract

Under-reporting of drug use in the perinatal period is well-documented, and significantly limits the reach of proactive intervention approaches. The Wayne Indirect Drug Use Screener (WIDUS) focuses on correlates of drug use rather than use itself. This trial tested a computer-delivered, brief intervention designed for use with indirect screen-positive cases, seeking to motivate reductions in drug use without presuming its presence. Randomized clinical trial with 500 WIDUS-positive postpartum women recruited between August 14, 2012 and November 19, 2014. Participants were randomly assigned to either a time control condition or a single-session, tailored, indirect brief intervention. The primary outcome was days of drug use over the 6-month follow-up period; secondary outcomes included urine and hair analyses results at 3- and 6-month follow-up. All outcomes were measured by blinded evaluators. Of the 500 participants (252 intervention and 248 control), 36.1% of participants acknowledged drug use in the 3 months prior to pregnancy, but 89% tested positive at the 6-month follow-up. Participants rated the intervention as easy to use (4.9/5) and helpful (4.4/5). Analyses revealed no between-group differences in drug use (52% in the ...Continue Reading

References

Oct 1, 2003·Journal of Consulting and Clinical Psychology·Brian L BurkeMarisa Menchola
Mar 29, 2005·The American Journal of Orthopsychiatry·Steven J Ondersma
Jul 29, 2005·Journal of Studies on Alcohol·Elizabeth E EpsteinNoelle K Jensen
Jan 31, 2006·BMJ : British Medical Journal·Robert West, Taj Sohal
Jan 24, 2007·American Journal of Preventive Medicine·Steven J OndersmaCharles R Schuster
Apr 11, 2009·Pediatric Clinics of North America·Kathryn Wells
Jul 6, 2010·Contemporary Clinical Trials·Aisha T LangfordDennis Tolsma
Jan 5, 2011·Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors·Emily R GrekinSteven J Ondersma
May 31, 2012·Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors·Brian D KilukKathleen M Carroll
Sep 21, 2013·Journal of Substance Abuse Treatment·Steven J OndersmaNancy Lockhart
Aug 7, 2014·JAMA : the Journal of the American Medical Association·Peter Roy-ByrneGary A Zarkin
Aug 7, 2014·JAMA : the Journal of the American Medical Association·Richard SaitzJeffrey H Samet
Sep 1, 2012·Journal of the Pediatric Infectious Diseases Society·Lilliam AmbroggioSamir S Shah

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Citations

Jun 10, 2020·JAMA : the Journal of the American Medical Association·Carrie D PatnodeRoger Chou
Dec 18, 2019·J·Shervin Assari, Maryam Moghani Lankarani
Jun 19, 2019·Substance Abuse : Research and Treatment·Stacey L KlamanHendrée E Jones

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