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

作者：Velasquez, Mary M^*; Ingersoll, Karen S; Sobell, Mark B; Floyd, R Louise; Sobel, Linda Carter; von Sternberg, Kirk

来源：Cognitive and Behavioral Practice, 2010, 17(2): 203-212.

DOI：10.1016/j.cbpra.2009.02.004

Project CHOICES developed an integrated behavioral intervention for pi-mention 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 I 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.

• 出版日期2010-5
• 单位东南大学