Choices4Health: Intervention to Prevent Substance-exposed Pregnancy

Summary

This is a 4-year randomized, controlled study to test the efficacy of the CHOICES4Health-T (C4H-T) delivered by a computerized tablet, CHOICES4Health-C (C4H-C), delivered by a counselor, and brief advice (BA), on reducing preconception substance-exposed pregnancy risk (i.e. drinking below risk levels; tobacco and marijuana cessation; effective contraception use) among women (aged 18-44) presenting to the 13 primary care clinics that serve adults within the Harris Health System. Given the natural fit between contraceptive and HIV prevention counseling the CHOICES4Health interventions will also target HIV sexual risk behaviors.

Conditions

• Prenatal Alcohol Exposure
• Prenatal Tobacco Exposure
• Prenatal Marijuana Exposure

Interventions

BEHAVIORAL

Computer tablet-delivered C4H

Two session CHOICES intervention targeting ineffective contraception and risky alcohol use and/or cigarette smoking and/or marijuana use to reduce the risk of a substance-exposed pregnancy delivered on a computer-tablet.

BEHAVIORAL

Person-delivered C4H

Two session CHOICES intervention targeting ineffective contraception and risky alcohol use and/or cigarette smoking and/or marijuana use to reduce the risk of a substance-exposed pregnancy delivered by a counselor.

BEHAVIORAL

Brief Advice

Brief advice delivered by a research associate about healthy behaviors for women including use of contraception and alcohol, tobacco, and marijuana use

Sponsors & Collaborators

• Baylor College of Medicine

  collaborator OTHER

• The University of Texas Health Science Center, Houston

  collaborator OTHER

• University of Houston

  collaborator OTHER

• University of Texas at Austin

  lead OTHER

Principal Investigators

• Mary M Velasquez, Ph.D. · University of Texas at Austin

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

44 Years

Sex

FEMALE

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2018-06-28

Primary Completion

2020-11-18

Completion

2020-12-31

Countries

• United States

Study Locations