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Alcoholism: Clinical and Experimental Research

Resumen/Descripción – provisto por la editorial en inglés
Alcoholism: Clinical and Experimental Research's scope spans animal and human clinical research, epidemiological, experimental, policy, and historical research realting to any aspect of alcohol abuse, dependence, or alcoholism. This journal uses a multi-disciplinary approach in its scope of alcoholism, its causes, clinical and animal effect, consequences, patterns, treatments and recovery, predictors and prevention.
Palabras clave – provistas por la editorial

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Disponibilidad
Institución detectada Período Navegá Descargá Solicitá
No detectada desde ene. 1977 / hasta dic. 2023 Wiley Online Library

Información

Tipo de recurso:

revistas

ISSN impreso

0145-6008

ISSN electrónico

1530-0277

País de edición

Estados Unidos

Fecha de publicación

Tabla de contenidos

Preconception interventions to reduce the risk of alcohol‐exposed pregnancies: A systematic review

Natasha ReidORCID; Lisa Schölin; May Na Erng; Annika Montag; Jessica HansonORCID; Lesley Smith

<jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>The preconception period provides a unique opportunity to optimize the health of women and children. High rates of alcohol use and unintended pregnancies are common across many Western societies, and alcohol‐exposed pregnancies (AEPs) are a possible unintended outcome. The aim of the current study was to evaluate preconception interventions for the prevention of AEPs.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A systematic search of four electronic databases (PubMed, Embase, CINAHL, and PsycINFO) was undertaken for relevant peer‐reviewed articles published from 1970 onward. Studies were included if they enrolled women and/or their support networks during the preconception period.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Nineteen studies met the inclusion criteria. The majority of studies (<jats:italic>n</jats:italic> = 14) evaluated CHOICES‐based interventions, which incorporate motivational interviewing approaches to change alcohol and/or contraceptive behavior. The other five interventions included a range of different approaches and modes of delivery. The majority of interventions were successful in reducing AEP risk. Changes in AEP risk were more often driven by changes in contraceptive behavior, although some approaches led to changes in both alcohol and contraceptive behavior.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>The review indicated that many interventions were efficacious at reducing AEP risk during the preconception period through preventing unplanned pregnancy. The effectiveness estimated from these clinical trials may be greater than that seen in interventions when implemented in practice where there is a lack of blinding and greater attrition of participants during follow‐up. Further research investigating the real‐world effectiveness of these intervention approaches implemented across a wide range of clinical settings would be beneficial.</jats:p></jats:sec>

Palabras clave: Psychiatry and Mental health; Toxicology; Medicine (miscellaneous).

Pp. 2414-2429