Computer-based brief intervention a randomized trial with postpartum women.

摘要: Background Drug use among parenting women is a significant risk factor for range of negative child outcomes, including exposure to violence, maltreatment, and behavior problems. Implementation brief interventions with this population may be greatly facilitated by computer-based interventions. Design Randomized clinical trial 4-month follow-up. Setting/participants Participants were 107 postpartum recruited from an urban obstetric hospital primarily serving low-income population. Women randomized into assessment only versus plus intervention conditions; 76 (71%) returned follow-up evaluation. Intervention A 20-minute, single-session, motivational (based on interviewing methods), combined two nontailored mailings voucher-based reinforcement attendance at initial intake/treatment session. Main outcome measures Illicit drug as measured qualitative urinalysis self-report. Results Frequency illicit other than marijuana increased slightly the control group, but declined group participants ( p d =0.50); magnitude effects changes in frequency was similar, did not reach statistical significance. Point-prevalence analysis show differences use. However, trends under assumptions regarding lost all favored most effect sizes moderate (odds ratios 1.4 4.7). Conclusions tentatively support efficacy high-reach, replicable intervention. Further research should seek replicate these findings further develop computer platform validated