Motivational Interviewing Intervention to Decrease Alcohol Use During Pregnancy
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University of Cincinnati / OhioLINK
2009
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ndltd-OhioLink-oai-etd.ohiolink.edu-ucin12430216052021-08-03T06:13:23Z Motivational Interviewing Intervention to Decrease Alcohol Use During Pregnancy Osterman, Robin Lynn Behaviorial Sciences Health Care Nursing Obstetrics Womens Studies behavior change alcohol use pregnancy FASD <p>One of the leading causes of mental retardation, birth defects, and neurodevelopmental disorders in the United States is prenatal alcohol exposure leading to Fetal Alcohol Spectrum Disorders (Jacobs, Copperman, Jeffe, and Kulig, 2000). Although any alcohol consumption during pregnancy is unsafe (US DHHS, 2005), the percentage of women giving birth to alcohol exposed infants is 34.4% (Bobo, Klepinger, and Dong, 2006). Due to physical and psychological consequences of in utero alcohol exposure, it is imperative that caregivers have evidence-based interventions that lead to a decrease in alcohol use during pregnancy. The purpose of this study was to determine the effectiveness of a theoretically based motivational interviewing (MI) intervention in decreasing drinking during pregnancy. The influence of the MI intervention on the pregnant women’s drinking behaviors as mediated by Self-Determination Theory’s concepts of basic psychological needs and autonomous motivations was also explored. </p><p>Pregnant women (<i>N</i> = 171) were screened for alcohol use in the previous year at three prenatal clinics. Of the 74 women eligible for the study, 67 women consented to participate with random assignment to an MI Intervention (MII) group or a No-MI Intervention Comparison (NIC) group. The MII group received the intervention and standard education regarding the risks of alcohol use during pregnancy. The NIC group received only standard education. Both groups were assessed for patterns of alcohol use, levels of basic psychological needs, and autonomous motivations at baseline and at 4-6 week follow-up. Fifty-six pregnant women completed all study procedures. Structural equation modeling was conducted to test the hypotheses of this study.</p> <p>Two models tested the effects of the MI intervention on (1) changes in the number of drink days per week from baseline to the 4-6 week follow-up and (2) changes in number of drinks per day over the 4-6 weeks. Neither original model fit the data; therefore, each was respecified until good model fit was achieved. A significant path was found between the type of intervention group and changes in number of drink days per week (<i>p</i> < .05) with the NIC group demonstrating greater changes in drinking behaviors at follow-up. A significant path was found between the type of intervention group and gains in levels of basic psychological needs (<i>p</i> < .05) with the NIC group reporting greater gains at follow-up. No other significant paths were identified. Therefore, the hypotheses of this study were not supported. </p> <p>The MI intervention provided by this study was not found effective in decreasing pregnant women’s drinking behaviors during pregnancy. Several confounders may have affected the results of this study. The standard education provided to both groups may have provided an additional intervention that was effective in decreasing the women’s drinking behaviors. The low levels of reported drinking and high levels of basic psychological needs and autonomous motivations reported by the pregnant women at baseline may have affected the results. These confounders need to be controlled in future studies. This study provided the groundwork for future intervention research that will assist pregnant women to decrease alcohol use during pregnancy.</p> 2009-08-11 English text University of Cincinnati / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=ucin1243021605 http://rave.ohiolink.edu/etdc/view?acc_num=ucin1243021605 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |
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NDLTD |
| language |
English |
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NDLTD |
| topic |
Behaviorial Sciences Health Care Nursing Obstetrics Womens Studies behavior change alcohol use pregnancy FASD |
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Behaviorial Sciences Health Care Nursing Obstetrics Womens Studies behavior change alcohol use pregnancy FASD Osterman, Robin Lynn Motivational Interviewing Intervention to Decrease Alcohol Use During Pregnancy |
| author |
Osterman, Robin Lynn |
| author_facet |
Osterman, Robin Lynn |
| author_sort |
Osterman, Robin Lynn |
| title |
Motivational Interviewing Intervention to Decrease Alcohol Use During Pregnancy |
| title_short |
Motivational Interviewing Intervention to Decrease Alcohol Use During Pregnancy |
| title_full |
Motivational Interviewing Intervention to Decrease Alcohol Use During Pregnancy |
| title_fullStr |
Motivational Interviewing Intervention to Decrease Alcohol Use During Pregnancy |
| title_full_unstemmed |
Motivational Interviewing Intervention to Decrease Alcohol Use During Pregnancy |
| title_sort |
motivational interviewing intervention to decrease alcohol use during pregnancy |
| publisher |
University of Cincinnati / OhioLINK |
| publishDate |
2009 |
| url |
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1243021605 |
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AT ostermanrobinlynn motivationalinterviewinginterventiontodecreasealcoholuseduringpregnancy |
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