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

Steven J Ondersma1, Dace S Svikis, Charles R Schuster

  • 1Department of Psychiatry and Behavioral Neurosciences, and Obstetrics and Gynecology, Wayne State University, Detroit, Michigan 48207, USA. s.ondersma@wayne.edu

American Journal of Preventive Medicine
|January 24, 2007
PubMed
Summary

Computer-based interventions may help reduce illicit drug use in parenting women. This study found a decline in drug use among women receiving a brief intervention, suggesting its potential efficacy.

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Area of Science:

  • Public Health
  • Clinical Psychology
  • Substance Abuse Treatment

Background:

  • Parental drug use poses risks to child development.
  • Computer-based interventions can facilitate brief interventions for this population.

Purpose of the Study:

  • To evaluate a computer-based motivational intervention for illicit drug use in postpartum women.
  • To assess the intervention's impact on child outcomes indirectly by reducing maternal drug use.

Main Methods:

  • Randomized clinical trial with 107 postpartum women.
  • A 20-minute, single-session, computer-based motivational intervention.
  • Illicit drug use measured by urinalysis and self-report over 4 months.

Main Results:

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  • Illicit drug use (excluding marijuana) declined in the intervention group (p<0.05).
  • Trends favored the intervention group for marijuana use and in analyses accounting for lost participants.
  • Effect sizes were in the moderate range (OR 1.4-4.7).

Conclusions:

  • The computer-based brief intervention shows tentative efficacy in reducing drug use.
  • Further research is needed to replicate findings and develop computer-based interventions.
  • This approach is high-reach and replicable for postpartum women.