Home > Preventing alcohol and tobacco exposed pregnancies: CHOICES Plus in primary care.

Drug and Alcohol Findings. (2018) Preventing alcohol and tobacco exposed pregnancies: CHOICES Plus in primary care. London: Drug and Alcohol Findings. Drug and Alcohol Findings Research Analysis 5 p.

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Compared to brief advice, the CHOICES Plus intervention significantly lowered the risk of alcohol- and tobacco-exposed pregnancies among women in a low-income primary care population. This US-based trial illustrates the efficacy of a bundle of ‘pre-conception’ services for risky drinking, smoking, and ineffective contraception.

 

Key points From summary and commentary:

  • The CHOICES Plus trial tested a bundle of services in predominantly low income primary care settings, addressing risky drinking, smoking, and ineffective contraception among ‘at risk’ women.
  • After nine months, women assigned to the intervention had a significantly lower risk of alcohol- and tobacco-exposed pregnancies than women assigned to brief advice.
  • Targeting interventions at women before they become pregnant could shift the focus in clinical practice from treatment of substance-exposed pregnancies to prevention of a major (and costly) public health concern 

[See also the CDC CHOICES website]

Item Type:Evidence resource
Publication Type:Review
Drug Type:Alcohol
Intervention Type:AOD disorder, AOD disorder harm reduction
Source:Drug and Alcohol Findings
Date:July 2018
Pages:5 p.
Publisher:Drug and Alcohol Findings
Corporate Creators:Drug and Alcohol Findings
Place of Publication:London
EndNote:View
Subjects:A Substance use, abuse, and dependence > Prevalence > Substance use behaviour > Alcohol consumption
B Substances > Alcohol
B Substances > Tobacco (cigarette smoking)
E Concepts in biomedical areas > Pregnancy
G Health and disease > Disorder by cause > Developmental disorder
G Health and disease > Disorder by cause > Developmental disorder > Foetal (fetal) alcohol syndrome
J Health care, prevention and rehabilitation > Risk and needs assessment > Risk assessment
J Health care, prevention and rehabilitation > Patient care management
J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care)
T Demographic characteristics > Pregnant woman
VA Geographic area > United States

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