Welcome to CDC stacks | Profiles of Behavior Change Constructs for Reducing Alcohol Use in Women at Risk of an Alcohol-Exposed Pregnancy - 61809 | CDC Public Access
Stacks Logo
Advanced Search
Select up to three search categories and corresponding keywords using the fields to the right. Refer to the Help section for more detailed instructions.
Clear All Simple Search
Advanced Search
Profiles of Behavior Change Constructs for Reducing Alcohol Use in Women at Risk of an Alcohol-Exposed Pregnancy
  • Published Date:
    Nov 2018
  • Source:
    Psychol Addict Behav. 32(7):749-758
  • Language:

Public Access Version Available on: November 01, 2019 information icon
Please check back on the date listed above.
  • Pubmed ID:
  • Pubmed Central ID:
  • Description:

    Using data from Project CHOICES, a randomized controlled trial to test an intervention to prevent alcohol-exposed pregnancies, this study examined process of change profiles composed of Transtheoretical Model of Change (TTM) constructs for alcohol. The primary purpose was to identify a profile of TTM variables associated with reduced drinking.


    Participants (n=570) were women at risk of an alcohol-exposed pregnancy recruited from high risk settings. Profile analyses compared end-of-treatment (i.e. 3 months post-intake) TTM construct mean profiles for women who reduced drinking to below NIAAA-defined risk levels1 (changers) to women who continued to drink at risk levels (non-changers) at the 9-month follow-up. TTM construct profiles included experiential and behavioral processes of change, pros and cons for change, confidence to reduce drinking, and temptation to drink above risk levels.


    Results revealed a parallelism effect or interaction (p<.001) in the end-oftreatment TTM construct profiles for the changers versus the non-changers at the 9-month follow-up. Changers reported greater pros (p<.001) and lower cons for change (p=.012), greater confidence (p=.030), lower temptation (p<.001) and greater use of the experiential (p<.001) and behavioral processes of change (p<.001). A larger percentage of the women from the CHOICES intervention were in the end-of-treatment profile of the changers (48%) compared to the control condition (39%; p=.042).


    Interventions can potentially be enhanced by clinicians’ understanding what successful change ‘looks like’ for specific clients in terms of their process use, decisional balance and self-efficacy, allowing for tailored interventions targeted to each client’s specific strengths and deficits.

  • Document Type:
  • Collection(s):
  • Main Document Checksum:
  • Supporting Files:
    No Additional Files
No Related Documents.
You May Also Like: