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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. Drug and Alcohol Findings Research Analysis, .

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External website: http://findings.org.uk/PHP/dl.php?file=Velasquez_M...


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]

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