A Dual-Focus Motivational Intervention to Reduce the Risk of Alcohol-Exposed Pregnancy
Cognitive and Behavioral Practice
Project CHOICES developed an integrated behavioral intervention for prevention of prenatal alcohol exposure in women at high risk for alcohol-exposed pregnancies. Settings included primary care, university-hospital based obstetrical/gynecology practices, an urban jail, substance abuse treatment settings, and a media-recruited sample in three large cities. The intervention was based on motivational interviewing and targeted both adoption of effective contraception and reduction of alcohol use. Treatment included 4 manual-guided sessions delivered by mental health clinicians and 1 contraceptive counseling session delivered by a family planning clinician. This paper describes the rationale for treatment; the use of motivational interviewing and the transtheoretical model for a dual-focused approach to behavior change; the development of the Project CHOICES intervention; development of the study protocol and treatment manual; and selection, training, supervision, and monitoring of study counselors. Implications for future applications of the intervention are discussed.
Velasquez, M. M.,
Ingersoll, K. S.,
Sobell, M. B.,
Floyd, R. L.,
Sobell, L. C.,
von Sternberg, K.
(2010). A Dual-Focus Motivational Intervention to Reduce the Risk of Alcohol-Exposed Pregnancy. Cognitive and Behavioral Practice, 17(2), 203-212.
Available at: http://nsuworks.nova.edu/cps_facarticles/284