Module 5
Brief intervention - A practical response to alcohol screening
Presenter: Marilyn Pierce-Bulger, MN, FNP, CNM Length: 22 minutes
Effectively addressing alcohol use as part of preconception care can include several types of interventions. Three types of brief interventions to prevent alcohol-exposed pregnancies are discussed in this webinar.
Access at www.npwh.org/courses/home/details/830. Registration may be necessary.
Learning objectives
Review how to determine risk for alcohol-exposed pregnancies.
Discuss practical responses to alcohol screening.
Suggested supplemental reading
Chiodo LM, Cosmian C, Pereira K, Kent N, Sokol RJ, Hannigan JH. Prenatal alcohol screening during pregnancy by midwives and nurses. Alcoholism: Clinical and Experimental Research. 2019;43(8):1747-1758.
Kelsey B, Edwards A, Pierce-Bulger M. Nurses and midwives: Partnering to prevent FASDs. Women’s Healthcare: A Clinical Journal for Nurse Practitioners. 2020;8(3):25-27 .
Shogren MD, Harsell C, Heitkamp T. Screening women for at-risk alcohol use: An introduction to screening, brief intervention, and referral to treatment (SBIRT) in women's health. Journal of Midwifery & Women's Health. 2017;62(6):746-754.
Suggested handouts
US AUDIT with instructions & scoring
Screening tool comparison chart
Suggested activities or assignments
The media can skew our understanding of federal guidelines (www.cdc.gov/ncbddd/fasd/alcohol-use.html) and other research for preventing FASDs. Discuss the following blog posts 1) bit.ly/2iCacSd; 2) bit.ly/1nMoVa9; 3) bit.ly/2ySw7c1. Generate ideas on how to respond appropriately to clients seen in clinic who refer to these opinions regarding alcohol use during pregnancy.
Peer-to-peer brief intervention role play – 15 minutes to set up and complete
Find a partner. Read both the scenarios and decide who will be the client and who will be the clinician for each one.
Scenario # 1: At a routine well-woman visit you ask a sexually active, reproductive age client the one key question – Would you like to become pregnant in the next year? She answers no. She is not using contraception. She has 2-3 beers about one weekend a month and her audit score overall indicates low risk alcohol use.
Scenario # 2: At a routine well-woman visit you ask a sexually active, reproductive age client the one key question – Would you like to become pregnant in the next year? She answers yes. She is not using contraception. She has 2-3 beers about one weekend a month and her audit score overall indicates low risk alcohol use.
Decide which of you will be the client first and which will be the clinician.
Clinician: Using the components of a brief intervention from SBIRT role play how you would approach the conversation with the client about the risk for an alcohol-exposed pregnancy.
Take no more than 5 minutes and then switch roles and repeat the role play using the other client scenario again taking no more than 5 minutes.
Take 3 minutes to process with each other how it felt to use the brief intervention approach both from the clinician and client perspective.