A public health intervention to change knowledge, attitudes and behaviour regarding alcohol consumption in pregnancy

Crawford-Williams, Fiona and Fielder, Andrea and Mikocka-Walus, Antonina and Esterman, Adrian and Steen, Mary (2016) A public health intervention to change knowledge, attitudes and behaviour regarding alcohol consumption in pregnancy. Evidence Based Midwifery, 14 (1). pp. 4-10. ISSN 1479-4489

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Aim: To evaluate the effectiveness of a public health intervention aimed at changing knowledge, attitudes and behaviour.
Methods: A non-blinded parallel group randomised controlled trial of pregnant women over 18 years of age. Women were recruited in the second trimester and assigned to one of two treatment groups. Both groups completed an initial questionnaire assessing knowledge, attitudes, and practices relating to alcohol consumption during pregnancy. The intervention group then received a mocktail recipe booklet and participants were asked to share the information with their partner. The control group received standard antenatal care. A follow-up questionnaire was conducted four weeks post birth. Primary outcome measures were a knowledge score of the health risks associated with alcohol consumption during pregnancy and an attitude score toward drinking during pregnancy. Secondary outcome measures included whether or not the woman and her partner abstained from drinking. Ethical approval was granted by the Women’s and Children’s Health Network and the University of South Australia.
Results: A total of 161 participants were recruited at baseline (intervention = 82, control = 79) and 96 participants completed the trial (intervention = 49, control = 47). The findings suggest that the mocktail booklet was effective at improving knowledge (p<0.001; effect size 0.80) and improving attitudes towards drinking during pregnancy (p=0.017; effect size 0.43) in
the intervention group compared to the control group. Although women in the intervention group were 30% more likely to abstain from drinking than in the control group (RR=1.3, 95% CI 0.97 – 1.75), this result was not statistically significant (p=0.077).
Conclusions: Knowledge regarding the effects of alcohol consumption, as well as attitudes towards drinking, significantly improved as a result of a mocktail recipe booklet. Improving knowledge and changing attitudes has the potential to change health behaviour and, therefore, this intervention may reduce the percentage of women who continue to drink alcohol while they are pregnant and improve outcomes for infants and children.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: No evidence of copyright restrictions preventing deposit of Accepted Version.
Faculty / Department / School: Current - Institute for Resilient Regions
Date Deposited: 13 Dec 2016 23:23
Last Modified: 14 Dec 2016 05:52
Uncontrolled Keywords: alcohol, FASD, pregnancy, health promotion, evidence-based midwifery
Fields of Research : 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111712 Health Promotion
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
11 Medical and Health Sciences > 1110 Nursing > 111006 Midwifery
Socio-Economic Objective: C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified
C Society > 92 Health > 9205 Specific Population Health (excl. Indigenous Health) > 920507 Women's Health
C Society > 92 Health > 9202 Health and Support Services > 920205 Health Education and Promotion
URI: http://eprints.usq.edu.au/id/eprint/30069

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