@article{ref1,
title="Comparing prenatal providers' approaches to four different risks: alcohol, tobacco, drugs, and domestic violence",
journal="Women and health",
year="2006",
author="Gerbert, Barbara and Jackson, Rebecca and Danley, Dale W. and Gilbert, Paul and Huynh, Dung and Herzig, Karen",
volume="43",
number="3",
pages="83-101",
abstract="OBJECTIVE: We explored prenatal care providers' methods for addressing four behavioral risks in their pregnant patients: alcohol use, smoking, drug use, and domestic violence. DESIGN: We used qualitative, purposively sampled, focus group data. SETTING: Groups met in professional focus group settings. PARTICIPANTS: We conducted six focus groups (five with OB/Gyn physicians, one with nurse practitioners and certified nurse midwives), with a total of N = 49. MEASUREMENTS: The moderator used a focus group guide with open-ended questions, with probes where appropriate. FINDINGS: Providers' discussions reflected differences in how they approach each risk, including: (1) ambivalence about abstinence messages for alcohol; (2) relative comfort and confidence about assessing smoking and counseling to reduce smoking; (3) disparities across practice settings for toxicology screening for drugs; and (4) discomfort and pessimism with domestic violence. Investigators also analyzed providers' statements for each risk within the framework of the &quot;Five A's&quot; construct (Assess, Advise, Agree, Assist, and Arrange) for evaluating risk behavior interventions. CONCLUSIONS: A comparison of each risk across the Five A's illuminates the gaps between recommended and actual prevention methods and suggests directions for development of interventions and educational efforts.<p /> <p>Language: en</p>",
language="en",
issn="0363-0242",
doi="10.1300/J013v43n03_05",
url="http://dx.doi.org/10.1300/J013v43n03_05"
}