PREVENTING ALCOHOL EXPOSED PREGNANCY AFTER A JAIL TERM

预防出狱后因饮酒而怀孕

• 批准号: 6051969
• 负责人: PATRICIA DOLAN MULLEN
• 金额: $ 38.65万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-30 至 2002-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6051969
• 关键词: African American; Hispanic Americans; Native Americans; alcoholic beverage consumption; alcoholism /alcohol abuse prevention; behavior therapy; behavioral /social science research tag; caucasian American; clinical research; community health services; correctional institutions; disease /disorder proneness /risk; family planning; female; health behavior; health care referral /consultation; health care service evaluation; health services research tag; human subject; human therapy evaluation; motivation; outcomes research; pregnancy; sex behavior; women's health

This 3-year demonstration and evaluation study will design, implement, and test the efficacy of a dual focus motivational enhancement intervention spanning the transition from jail to the community for women who are completing their sentences and are at risk of an alcohol exposed pregnancy. Prior behavior indicates many inmates will be at risk for an unplanned pregnancy with heavy and/or binge drinking after release. Based on preliminary studies, the composition of the group of eligible women is estimated to be, approximately one-third white, one-third African American, and one-third Native American and Hispanic. Capitalizing on jail-imposed abstinence from alcohol and other drugs and risky sex, the intervention will draw on two effective behavior change models that have been used together with various behaviors in diverse populations and settings to build motivation for a new start. The transtheoretical model (TTM) identifies mechanisms that promote behavior change and are amenable to intervention; motivational enhancement therapy (MET) is a goal-oriented approach that facilitates change by focusing on client ambivalence about a behavior and emphasizing individual choice and responsibility. "New Start" components are two sessions before and two after release with a trained counselor, greater than 1 visits to Planned Parenthood for individualized birth control education and optional gynecologic and birth control services, and an optional meeting with a community resources expert. Based on the team's experience with the Jail population and alcohol and sexual risk behavior and with MET and TIM- tailored feedback and self-change exercises, this project proposes a framework process, and content for a brief intervention and a method for refining it based on a pilot study and data now being collected. The study will use an RCT design (n=270) to test the intervention's effect on alcohol consumption and birth control use 6 months after release.

这项为期 3 年的示范和评估研究将设计、实施和测试双重焦点动机增强干预措施的功效，该干预措施涵盖从监狱到社区的过渡，适用于服刑期满且有酒精暴露怀孕风险的女性。 先前的行为表明，许多囚犯在出狱后会因酗酒和/或酗酒而面临意外怀孕的风险。 根据初步研究，符合资格的女性群体的构成估计大约有三分之一是白人、三分之一是非裔美国人、三分之一是美洲原住民和西班牙裔。利用监狱强制戒酒和其他药物以及危险性行为的做法，干预措施将利用两种有效的行为改变模型，这些模型已与不同人群和环境中的各种行为一起使用，以激发新开始的动力。 跨理论模型（TTM）确定了促进行为改变并易于干预的机制；动机增强疗法（MET）是一种以目标为导向的方法，通过关注客户对行为的矛盾心理并强调个人选择和责任来促进改变。 “新的开始”的组成部分包括出院前两次和出院后两次由训练有素的顾问进行的会议，到计划生育联合会进行一次以上的个性化节育教育和可选的妇科和节育服务，以及与社区资源专家的可选会议。 基于团队在监狱人口、酒精和性危险行为方面的经验，以及 MET 和 TIM 定制的反馈和自我改变练习，该项目提出了一个框架流程、简短干预的内容以及基于以下内容的完善方法：一项试点研究和数据正在收集中。 该研究将使用随机对照试验设计（n=270）来测试干预措施在发布后 6 个月对饮酒和节育措施的影响。