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Thursday, June 14, 2007

Preventing Alcohol-Exposed Pregnancies A Randomized Controlled Trial
Am J Prev Med 2007;32(1):1–10)




A randomized controlled trial (2002–2005; data analyzed 2005–2006) of a brief motivational intervention to reduce the risk of an alcohol-exposed pregnancy (AEP) in preconceptional women by focusing on both risk drinking and ineffective contraception use

This randomized trial found that a brief motivational intervention considerably decreased the risk of AEP in high-risk women by altering the targeted behaviors of risky drinking and ineffective contraception use. Although men in both intervention and control groups reduced their risk for an AEP by instituting changes in the targeted risk behaviors over the 9-month
follow-up, the odds of being at reduced risk for AEP were more than double in the group that received the Project CHOICES intervention compared to the control group.

Further, women receiving the intervention were more likely to adopt changes in both targeted behaviors simultaneously, thereby maximizing the likelihood of avoiding an AEP.

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