Margaret Rodan, ScD¹, Siva Subramanian, MD², Duna Abu-Amara, BS¹, Brinda Bhaskar, MS³, Jutta Thornberry, BS³, Anton C. Bizzell, MD⁴, Isabel Ellis, MSW⁵, Margaret Murray⁵, Maurice Davis, MPA/MHSA⁶, and Michele Kiely, DrPH⁷. (1) Georgetown University, 2201 Wisconsin Ave NW #220, Washington, DC 20007, 202-687-7820, rodanm@georgetown.edu, (2) Division of Neonatology, Georgetown University, 3800 Reservoir Rd NW, M3400 Main Building, Washington, DC 20007, (3) RTI International, 6110 Executive Blvd., Suite 420, Rockville, MD 20852, (4) Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, 5600 Fishers Lane, Rockwall II, Suite 618, Rockville, MD 20857, (5) Office of Research Translation and Communications, National Institute on Alcohol Abuse and Alcoholism, 5635 Fishers Lane, MSC 9304, Bethesda, MD 20892-9304, (6) National Institute of Child Health and Human Development, 6100 Executive Blvd., Rockville, NJ 20852, (7) Collaborative Studies Unit, NICHD/NIH/HHS, 6100 Building, Room 7B07H, MSC 7510, Bethesda, MD 20892

The purpose of this study was to improve identification of alcohol exposure in pregnant women and those of childbearing age and to see if providers were more likely to deliver an alcohol intervention when computerized risk analysis was available. Subjects (n=1062) were low-income, African American and Hispanic women between 18-45 years. Women used an audio computer-assisted self interviewing (A-CASI) questionnaire to answer quantity, frequency and TWEAK items. For pregnant women, any alcohol use placed them at risk for fetal alcohol exposure (FAE). Eight or more drinks per week or more than four drinks per occasion placed childbearing women at high risk. Providers received a risk score on a printout. A control group (n=1189) was obtained using medical records from the previous year at the same clinics. For 6.6% of women in the control group, alcohol use was documented compared to 17.7% in the A-CASI group who reported alcohol use. For women of childbearing age, 18.5% of the control women had documented use of alcohol compared to 57% in the A-CASI group who reported any alcohol use. Of these women in the A-CASI group, 19.4% reported high risk alcohol use. Women screened with A-CASI and scored as using any alcohol were more likely to receive brief intervention than women who were not using alcohol (pregnant OR 8.3; 95%CI 5.3-13.1 and childbearing age OR16.6; 95%CI 7.5-36.7). Computerized screening in primary care clinics enhances risk assessment and targeted intervention, potentially minimizing FAE risk during pregnancy and childbearing years.

Learning Objectives: At the conclusion of the session, the participant will be able to

• describe a computerized screen (ACASI) for alcohol risk in low-income minority women; and 2)discuss how different methods for risk appraisal influence the provider's opportunity to target brief intervention.

Keywords: Alcohol, Screening

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.