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

Abstract 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-Americ...

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Bibliographic Details
Published in:Journal of substance abuse treatment 2014-01, Vol.46 (1), p.52-59
Main Authors: Ondersma, Steven J., Ph.D, Svikis, Dace S., Ph.D, Thacker, Leroy R., Ph.D, Beatty, Jessica R., Ph.D, Lockhart, Nancy, R.N
Format: Article
Language:English
Subjects:
Adult
African Americans
Brief intervention
Brief interventions
Clinical trials
Computer based
Computers
Diagnosis, Computer-Assisted - methods
Drug abuse
Drug abuse screening
Drug use
Drug users
Female
Follow-Up Studies
Humans
Low income women
Medical screening
Motivation
Postpartum Period
Postpartum women
Poverty
Pregnancy
Psychiatry
Psychotherapy, Brief - methods
Screening
Single-Blind Method
Substance-Related Disorders - diagnosis
Substance-Related Disorders - rehabilitation
Time Factors
Womens health
Young Adult
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Summary:Abstract 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.
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2013.07.013