Page 29 - Zero for nine: Reducing alcohol use during pregnancy via health counselling and Internet-based computer-tailored feedback

General Introduction
HC participants. Experiences of midwives with the implementation 1 of a brief intervention to reduce prenatal alcohol use provide valuable
information for developers of future brief interventions (e.g. Wilson, et
al., 2012). Although research in the related field of smoking cessation
during pregnancy has shown that difficulties for health professionals can be detrimental for the implementation of a HC intervention (Lumley, et al., 2009), there is a lack of data on process evaluations of HC interventions to prevent prenatal alcohol use (Stade, et al., 2009). It is also important to assess the implementation of the CT intervention. However, within the time available to conduct this research, this was unfortunately impossible.
With regard to the process evaluation, the final research question addressed by this dissertation is:
Outline of this dissertation
In this dissertation the development, evaluation and implementation of two brief interventions to prevent prenatal alcohol use are described.
Chapter 2 presents an online cross-sectional study among 158 Dutch pregnant women and their partners. This quantitative study aimed to investigate the influence of partners on pregnant women’s alcohol consumption within the context of other factors. This chapter answers research questions 1 to 4.
12. What are midwives’ experiences with the implementation of a brief health counselling intervention to prevent prenatal alcohol use?
1. What are motivational determinants of prenatal alcohol use? 2. How do partner’s norm, modelling and support as perceived by the pregnant woman and reported by her partner relate to
prenatal alcohol use?
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