NCT01446653

Brief Summary

The EARLY Randomized Controlled Trial (RCT) will test the finalized EARLY preventive intervention against one comparison and one control condition. Because prevention of Alcohol-exposed pregnancy (AEP) will be achieved whether woman change drinking OR contraception, the primary endpoints will be rates of risky drinking and ineffective contraception at six-month follow-up, in addition to dichotomously defined "successful outcome" that will be observed whenever a woman has sufficiently altered one or both of the behaviors that placed her at risk of Alcohol-Exposed Pregnancy (AEP). The goal is to identify a transferable intervention that effectively reduces behaviors that put women at risk for AEP and alcohol-related birth defects including FASD.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
232

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Feb 2007

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2007

Completed
3.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2010

Completed
1.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2011

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

October 2, 2011

Completed
3 days until next milestone

First Posted

Study publicly available on registry

October 5, 2011

Completed
Last Updated

October 26, 2016

Status Verified

October 1, 2016

Enrollment Period

3.4 years

First QC Date

October 2, 2011

Last Update Submit

October 24, 2016

Conditions

Keywords

Fetal Alcohol Spectrum DisordersFASDsAEP riskbinge drinkingineffective contraception

Outcome Measures

Primary Outcomes (2)

  • Drinks per drinking day

    6 months

  • Rate of effective contraception

    6 months

Secondary Outcomes (1)

  • Alcohol Exposed Pregnancy risk

    6 months

Study Arms (3)

EARLY

EXPERIMENTAL

Motivational Interviewing plus feedback counseling with information via video and brochures

Behavioral: Motivational Interviewing plus feedback

Video Information

ACTIVE COMPARATOR

Providing FASD information via documentary video clips

Behavioral: Video

Informational Brochure

ACTIVE COMPARATOR

Participants will receive informational brochures on contraception, women and drinking, and cutting down your drinking.

Behavioral: Informational Brochure

Interventions

Provides an MI + feedback intervention supplemented with video and brochures-based information

EARLY
VideoBEHAVIORAL

Video arm will provide information via documentary video

Video Information

Informational Brochures are given to participants following baseline assessment.

Informational Brochure

Eligibility Criteria

Age18 Years - 44 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • ages 18-44
  • fertile
  • can provide informed consent
  • had vaginal intercourse with a man in the past 3 months
  • uses ineffective or no contraception
  • speaks and reads English
  • reports drinking more than seven standard drinks per week on average or more than one binge drinking episode (more than 3 standard drinks on one occasion) during the past 3 months
  • if opioid dependent with recent use, is enrolled in opiate agonist treatment
  • planning to remain available for the follow-up period

You may not qualify if:

  • pregnancy
  • cognitive disorders including mental retardation, dementia, or active -psychosis that could impair ability to understand the intervention material or give informed consent
  • current Major Depressive Disorder that could diminish responsiveness to interventions focused on promoting change
  • currently opioid dependent with active use and not engaged in opiate agonist treatment
  • concurrently participating in another behavioral intervention study during the study period targeting drinking or contraception efficacy that could interfere with or augment the intervention in the EARLY project.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

UVA CARE

Charlottesville, Virginia, 22911, United States

Location

UVA CARE

Richmond, Virginia, 23294, United States

Location

Related Publications (6)

  • Ingersoll KS, Hettema JE, Cropsey KL, Jackson JP. Preconception markers of dual risk for alcohol and smoking exposed pregnancy: tools for primary prevention. J Womens Health (Larchmt). 2011 Nov;20(11):1627-33. doi: 10.1089/jwh.2010.2633. Epub 2011 Aug 12.

  • Fabbri S, Farrell LV, Penberthy JK, Ceperich SD, Ingersoll KS. Toward prevention of alcohol exposed pregnancies: characteristics that relate to ineffective contraception and risky drinking. J Behav Med. 2009 Oct;32(5):443-52. doi: 10.1007/s10865-009-9215-6. Epub 2009 May 21.

  • Ingersoll KS, Ceperich SD, Hettema JE, Farrell-Carnahan L, Penberthy JK. Preconceptional motivational interviewing interventions to reduce alcohol-exposed pregnancy risk. J Subst Abuse Treat. 2013 Apr;44(4):407-16. doi: 10.1016/j.jsat.2012.10.001. Epub 2012 Nov 26.

  • Farrell-Carnahan L, Hettema J, Jackson J, Kamalanathan S, Ritterband LM, Ingersoll KS. Feasibility and promise of a remote-delivered preconception motivational interviewing intervention to reduce risk for alcohol-exposed pregnancy. Telemed J E Health. 2013 Aug;19(8):597-604. doi: 10.1089/tmj.2012.0247. Epub 2013 Jun 13.

  • Penberthy JK, Hook JN, Hettema J, Farrell-Carnahan L, Ingersoll K. Depressive symptoms moderate treatment response to brief intervention for prevention of alcohol exposed pregnancy. J Subst Abuse Treat. 2013 Oct;45(4):335-42. doi: 10.1016/j.jsat.2013.05.002. Epub 2013 Jun 28.

  • Hettema J, Cockrell S, Russo J, Corder-Mabe J, Yowell-Many A, Chisholm C, Ingersoll K. Missed Opportunities: Screening and Brief Intervention for Risky Alcohol Use in Women's Health Settings. J Womens Health (Larchmt). 2015 Aug;24(8):648-54. doi: 10.1089/jwh.2014.4961. Epub 2015 Jul 31.

MeSH Terms

Conditions

Fetal Alcohol Spectrum DisordersBinge Drinking

Interventions

Motivational InterviewingVideotape Recording

Condition Hierarchy (Ancestors)

Fetal DiseasesPregnancy ComplicationsFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesAlcohol-Induced DisordersAlcohol-Related DisordersSubstance-Related DisordersChemically-Induced DisordersAlcohol DrinkingDrinking BehaviorBehaviorMental Disorders

Intervention Hierarchy (Ancestors)

Directive CounselingCounselingMental Health ServicesBehavioral Disciplines and ActivitiesHealth ServicesHealth Care Facilities Workforce and ServicesTape RecordingAudiovisual AidsEducational TechnologyTechnologyTechnology, Industry, and AgricultureTelevision

Study Officials

  • Karen S Ingersoll, Ph.D.

    University of Virginia

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor of Psychiatry and Neurobehavioral Sciences

Study Record Dates

First Submitted

October 2, 2011

First Posted

October 5, 2011

Study Start

February 1, 2007

Primary Completion

July 1, 2010

Study Completion

September 1, 2011

Last Updated

October 26, 2016

Record last verified: 2016-10

Locations