Indicated prevention of fetal alcohol spectrum disorders in South Africa : effectiveness of case management

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dc.contributor.authorDe Vries, Marlene M.en_ZA
dc.contributor.authorJoubert, Belindaen_ZA
dc.contributor.authorCloete, Mariseen_ZA
dc.contributor.authorRoux, Sumienen_ZA
dc.contributor.authorBaca, Beth A.en_ZA
dc.contributor.authorHasken, Julie M.en_ZA
dc.contributor.authorBarnard, Ronelen_ZA
dc.contributor.authorBuckley, Daviden_ZA
dc.contributor.authorKalberg, Wendy O.en_ZA
dc.contributor.authorSnell, Cudore L.en_ZA
dc.contributor.authorMarais, Anna-Susanen_ZA
dc.contributor.authorSeedat, Sorayaen_ZA
dc.contributor.authorParry, Charles D. H.en_ZA
dc.contributor.authorMay, Philip A.en_ZA
dc.date.accessioned2016-10-05T06:54:15Z
dc.date.available2016-10-05T06:54:15Z
dc.date.issued2015-12en_ZA
dc.descriptionCITATION: De Vries, M. M. et al. 2015. Indicated prevention of fetal alcohol spectrum disorders in South Africa : effectiveness of case management. International Journal of Environmental Research and Public Health, 13(1), doi:10.3390/ijerph13010076.en_ZA
dc.descriptionThe original publication is available at http://www.mdpi.com/journal/ijerph
dc.description.abstractIn the Western Cape Province of South Africa (ZA) a subculture of binge drinking produces the highest global documented prevalence of fetal alcohol spectrum disorders (FASD). FASD prevention research activities in ZA use the Comprehensive Prevention approach from the United States Institute of Medicine. Case management (CM) was delivered as a method of indicated prevention to empower heavy drinking pregnant women to achieve cessation or a reduction in drinking. CM activities incorporated life management, Motivational Interviewing (MI) techniques and the Community Reinforcement Approach (CRA). Data were collected at baseline, 6, 12 and 18 months. Mean drinking decreases 6 months into CM; but overall alcohol consumption rose significantly over time to levels higher than baseline at 12 and 18 months. Alcohol consumption drops significantly from before pregnancy to the second and third trimesters. AUDIT scores indicate that problematic drinking decreases significantly even after the vulnerable fetus/baby was born. CM significantly increases client happiness, which correlates with reduced weekend drinking. CM was successful for women with high-risk drinking behaviour, and was effective in helping women stop drinking, or drink less, while pregnant, reducing the risk of FASD.en_ZA
dc.description.urihttp://www.mdpi.com/1660-4601/13/1/76
dc.description.versionPublisher's versionen_ZA
dc.format.extent14 pagesen_ZA
dc.identifier.citationDe Vries, M. M. et al. 2015. Indicated prevention of fetal alcohol spectrum disorders in South Africa : effectiveness of case management. International Journal of Environmental Research and Public Health, 13(1), doi:10.3390/ijerph13010076.en_ZA
dc.identifier.issn1660-4601 (online)
dc.identifier.otherdoi:10.3390/ijerph13010076
dc.identifier.urihttp://hdl.handle.net/10019.1/99691
dc.language.isoen_ZAen_ZA
dc.publisherMDPI
dc.rights.holderMDPI
dc.subjectFetal alcohol syndrome -- Preventionen_ZA
dc.subjectSubstance abuse in pregnancyen_ZA
dc.subjectCase management -- Western Capeen_ZA
dc.subjectFetal alcohol syndrome -- South Africaen_ZA
dc.titleIndicated prevention of fetal alcohol spectrum disorders in South Africa : effectiveness of case managementen_ZA
dc.typeArticleen_ZA
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