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Regression Toward the Mean01:52

Regression Toward the Mean

Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when researchers try to extrapolate results...

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Moderate Prenatal Alcohol Exposure and Quantification of Social Behavior in Adult Rats
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Performance measurement: a proposal to increase use of SBIRT and decrease alcohol consumption during pregnancy.

Peggy L O'Brien1

  • 1The Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USA. pegmlob@brandeis.edu.

Maternal and Child Health Journal
|March 14, 2013
PubMed
Summary
This summary is machine-generated.

Screening, Brief Intervention and Referral to Treatment (SBIRT) is crucial for pregnant women to reduce alcohol consumption. New performance measures can track SBIRT implementation in prenatal care, improving maternal and child health outcomes.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Addiction Medicine

Background:

  • Alcohol consumption during pregnancy poses significant risks to maternal and child health.
  • Screening, Brief Intervention and Referral to Treatment (SBIRT) is vital for identifying and supporting pregnant women who drink alcohol.
  • Consistent implementation of SBIRT in prenatal care is lacking, necessitating performance measures.

Purpose of the Study:

  • To develop and propose comprehensive performance measures for quantifying SBIRT utilization in prenatal care.
  • To address the gap in existing measures for assessing SBIRT for alcohol use in pregnant populations.
  • To facilitate accountability and systemic improvements in addressing alcohol use during pregnancy.

Main Methods:

  • Developed process performance measures to assess SBIRT implementation.
  • Measures focus on the proportion of pregnant women screened and those receiving necessary interventions.
  • Emphasized the use of validated screening instruments for pregnant women.

Main Results:

  • No comprehensive published performance measure currently quantifies SBIRT use for alcohol in prenatal care.
  • Proposed measures can determine the proportion of pregnant women screened and receiving interventions.
  • These measures are designed to be used with validated screening instruments.

Conclusions:

  • The developed performance measures represent a significant advancement in ensuring appropriate intervention for pregnant women with alcohol use.
  • These measures will hold providers accountable and provide a basis for systemic changes in prenatal care.
  • Seizing the opportunity during pregnancy for intervention can reduce alcohol consumption and improve health outcomes.