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Volume 28, Issue 4, Pages 305-312 (June 2005)


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Computer-based brief motivational intervention for perinatal drug use

Steven J. Ondersma, Ph.D.abCorresponding Author Informationemail address, Sara K. Chase, M.A.c, Dace S. Svikis, Ph.D.d, Charles R. Schuster, Ph.D.a

Received 19 July 2004; received in revised form 13 October 2004; accepted 21 February 2005.

Abstract 

Computer-based brief motivational interventions may be able to reach a high proportion of at-risk individuals and thus have potential for significant population impact. The present studies were conducted to determine the acceptability and preliminary efficacy of a computer-based brief motivational intervention (the motivation enhancement system, or MES). In Study 1, quantitative and qualitative feedback from 30 postpartum women and 17 women in treatment for drug use were used to modify the software. In Study 2, 50 urban postpartum women who reported drug use in the month before pregnancy completed the intervention and provided repeated within-session ratings of state motivation. In Study 3, 30 women were randomly assigned to intervention or control conditions with 1-month follow-up. Overall, women rated the MES as highly acceptable and easy to use and reported significant increases in state motivation at postintervention and at 1-month follow-up (d = .49). These preliminary results are encouraging and suggest that further work in this area is warranted.

a Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI 48207, USA

b Department of Obstetrics and Gynecology, Wayne State University, Detroit, MI 48207, USA

c Department of Psychology, Wayne State University, Detroit, MI 48202, USA

d Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA

Corresponding Author InformationCorresponding author. Department of Psychiatry and Behavioral Neurosciences, Wayne State University, 2761 E. Jefferson Ave., Detroit, MI 48207, USA. Tel.: +1 313 577 6680; fax: +1 313 993 1372.

 Preliminary results from this study were presented at the 66th Annual Scientific Meeting of the College of Problems on Drug Dependence, Puerto Rico, June 15, 2004.

PII: S0740-5472(05)00044-9

doi:10.1016/j.jsat.2005.02.004


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