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RADiANT: a pilot randomised controlled trial in progress of brief intervention to reduce risky drinking in pregnancy

Lookup NU author(s): Dr Graeme Wilson, Dr Ruth McGovern, Dr Grace Antony, Dr Paul Cassidy, Dr Mark Deverill, Erin Graybill, Dr Eilish Gilvarry, Professor Eileen Kaner, Dr Kirsty Laing, Professor Elaine McColl, Dr Dorothy Newbury-Birch, Professor Judith Rankin

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Abstract

Introduction: Risky drinking in pregnancy among UK women is likely to result in many alcohol-exposed pregnancies. Evidence from the USA indicates that BI has promise for alcohol risk reduction in antenatal care but it is not clear whether this is applicable to the UK. Objective: To establish rates of eligibility, recruitment, intervention and retention in a randomised controlled trial of BI aimed at reducing risky drinking in women receiving antenatal care. To establish the acceptability of materials and procedures for such a trial Methods: A parallel group, non-blinded RCT. Women aged 18+ in North East England are screened by their midwife using AUDIT-Cat the initial antenatal appointment. Those meeting eligibility criteria are invited to participate. Midwives were randomised in 1:1 ratio to deliver either: treatment as usual (control); or structured brief advice and referral for 20 minutes motivational interviewing with alcohol health worker (intervention). Baseline measures including two 7-day Time Line Follow-back questionnaires and EQ-5D-3L are repeated in telephone follow-ups in third trimester and six months post-partum, with a questionnaire on resource use. Participants’ and midwives’ views sought on instruments and procedures. Results: 574 women have been screened in the first 4 months; 10 have screened positively for drinking above guidelines for pregnancy (scoring >2 on AUDIT-C), and 2 have been recruited as cases in control condition. Midwives report screening and research procedures as acceptable, but consider that women may be wary of admitting drinking when first meeting their midwife, or say they are not drinking because of feeling sick in their first trimester. Discussion: This feasibility study has to date identified low rates of screening in the research site, and low rates of recruitment when screening at the booking appointment. Screening will be extended to further sites and conducted at a later antenatal appointment for the remainder of the study.


Publication metadata

Author(s): Wilson GB, McGovern R, Antony G, Cassidy P, Deverill M, Graybill E, Gilvarry E, Hodgson M, Kaner EFS, Laing K, McColl E, Newbury-Birch D, Rankin J

Publication type: Conference Proceedings (inc. Abstract)

Publication status: Published

Conference Name: 9th Conference of the International Network on Brief Interventions for Alcohol & Other Drugs (INEBRIA)

Year of Conference: 2012

Pages: 96-96

Publisher: INEBRIA

URL: http://www.inebria.net/Du14/pdf/final_9th_programme.pdf


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