Related Experiment Videos
Prenatal behavioral risk screening by computer among Native Americans
S C Lapham1, E Henley, K Kleyboecker
1Center for Health and Population Research, Lovelace Medical Foundation.
Family Medicine
|March 1, 1993
Summary
Computer interviews effectively screen pregnant patients for substance abuse and behavioral risks. This validated method improves data collection for better pregnancy outcomes.
Area of Science:
- Obstetrics and Gynecology
- Behavioral Science
- Digital Health
Background:
- Substance abuse and behavioral risk factors in pregnant patients are linked to adverse pregnancy outcomes.
- Traditional screening methods may not fully capture these sensitive behavioral data.
Purpose of the Study:
- To assess the acceptability and validity of a patient-interactive computerized assessment program for collecting behavioral risk data in pregnant patients.
- To determine if computer interviews can improve the identification of risk factors compared to standard record review.
Main Methods:
- A cohort of 265 pregnant women completed a computer-based interview.
- Computer-generated reports on substance use and physical abuse were compared with prenatal medical records.
- Urine drug screens were used to validate self-reported substance use from the computer interview.
Main Results:
- Over 95% of participants found the computer interview favorable.
- Significantly higher rates of reported drug use and physical abuse were identified via computer interview versus medical records.
- Urine drug screens confirmed a high concordance with self-reported substance use.
Conclusions:
- The computerized assessment is well-received by pregnant patients.
- This digital tool provides valid data on behavioral risk factors, aiding in the prevention of adverse pregnancy outcomes.