A Dual-Focus Motivational Intervention to Reduce the Risk of Alcohol-Exposed Pregnancy

Author(s)

Mary M. Velasquez, University of Texas at Austin
Karen S. Ingersoll, University of Virginia
Mark B. Sobell, Nova Southeastern UniversityFollow
R. Louise Floyd, Centers for Disease Control and Prevention
Linda C. Sobell, Nova Southeastern UniversityFollow
Kirk von Sternberg, University of Texas at Austin

Document Type

Article

Publication Title

Cognitive and Behavioral Practice

ISSN

1077-7229

Publication Date

5-2010

Abstract

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.

DOI

10.1016/j.cbpra.2009.02.004

Volume

17

Issue

2

First Page

203

Last Page

212

NSUWorks Citation

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: https://nsuworks.nova.edu/cps_facarticles/284