Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/9262
Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: Interventions delivered during antenatal care to reduce alcohol consumption during pregnancy: A systematic review
Authors: Gilinsky, Alyssa
Swanson, Vivien
Power, Kevin George
Contact Email: vivien.swanson@stir.ac.uk
Keywords: Systematic review, randomised controlled trials, alcohol, pregnancy, interventions
Issue Date: May-2011
Publisher: Informa Healthcare (Addiction Research and Theory)
Citation: Gilinsky A, Swanson V & Power KG (2011) Interventions delivered during antenatal care to reduce alcohol consumption during pregnancy: A systematic review, Addiction Research and Theory, 19 (3), pp. 235-250.
Abstract: Despite the importance of reducing prenatal exposure to alcohol, a recent Cochrane review found limited evidence from randomised controlled trials (RCTs) regarding effectiveness of interventions to reduce drinking during pregnancy. The aim of this systematic review was to consider additional evidence by including RCTs and non-RCTs to determine whether pregnant women reduced alcohol consumption during pregnancy following interventions delivered during antenatal care. Five electronic databases were searched using keywords: e.g. pregnancy, maternal, alcohol, consumption, drinking, cognitive-behavioural therapy, motivational interviewing (MI), brief intervention, health education, social support and self-efficacy. Papers were excluded through a consecutive method using the title, abstract and full text paper. Two authors assessed the full text papers, including quality assessment. Eight trials were included in the review, including six RCTs and two non-RCTs. Interventions included brief interventions, MI, a self-help manual, supportive counselling, high feedback ultrasound and basic educational interventions. In general, methodological quality in all but two studies was poor, limiting the conclusions that could be drawn from this review. However, there was some evidence from a small number of studies that single-session face-to-face brief interventions resulted in positive effects on the maintenance of alcohol abstinence during pregnancy. Women choosing abstinence as their drinking goals and heavier drinking women who participated with a partner were more likely to be abstinent at follow-up. However, more intensive interventions may be required to encourage women who continue to drink during pregnancy to reduce their consumption. Implications for practice and future research directions are discussed.
Type: Journal Article
URI: http://hdl.handle.net/1893/9262
DOI Link: http://dx.doi.org/10.3109/16066359.2010.507894
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: Sport
Psychology
Anxiety and Stress Research Centre

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