The purpose of the study is to see if a brief computer program can help new mothers cut down
or quit tobacco, alcohol, or drug use.
The purpose of this Stage I/II intervention study (that is, Stage II for drug use and Stage
I for alcohol use and smoking) is to test the efficacy of a brief, computerized motivational
intervention for substance abuse among post-partum women. The study will randomly assign
350 post-partum women to either intervention or control conditions, with intervention itself
taking approximately 30 minutes in the period before the participant leaves the hospital.
Inclusion criteria will include post-partum status, age between 18 and 45, ability to
understand spoken English, and meeting criteria for one of the three substance use groups:
any illicit drug use in month prior to pregnancy, meeting T-ACE criteria for problem alcohol
use, or smoking in past month. Exclusion criteria will include receipt of narcotic pain
medication in the past 3 hours, no sleep since giving birth, and inability to provide
informed consent (e.g., due to psychosis or other clear cognitive impairment).
Lab-based follow-up will occur at 3- and 6-months postpartum. The primary outcomes will be
participant report of frequency of substance use and toxicological analyses of substance use
(urinalysis and expired breath CO at 3 and 6 month follow-up, hair analysis at 6-month
follow-up). Secondary outcome measures include HIV risk behaviors, receipt of treatment
services, motivation to change, self-efficacy, mental health functioning, violence exposure,
and consequences related to substance use.
- Hospitalized women in immediate post-partum period
- Self report of illicit drug use, problem alcohol use, or tobacco use in month prior
- Frank psychosis or other cognitive impairment
- Inability to communicate in English
- No sleep since giving birth
- Recent receipt of narcotic pain medication
- Grieving over medically compromised infant