ChoicesPlus: Reducing Alcohol- and Tobacco-Exposed Pregnancy

This randomized controlled study will examine the effect of the ChoicesPlus intervention
compared to Treatment as Usual (TAU) in: reducing alcohol use below established risk levels;
increasing consistent use of effective contraception; increasing engagement in smoking
cessation treatment and increasing smoking cessation. In addition, our examination of the
incremental costs of the ChoicesPlus intervention (e.g., staff time, materials,
administrative services, total medical charges pre- and post-intervention) will provide a
basis for future cost/benefit analyses that will inform policymakers and healthcare
organizations of the potential benefits of implementing ChoicesPlus. Results from this study
will inform and advance future efforts in the service of promoting healthy prenatal behavior
and reducing the prevalence of alcohol and tobacco-exposed pregnancies.

Inclusion Criteria:

- Have no condition causing infertility

- Are not pregnant or planning to become pregnant in the next 9 months

- Have had vaginal intercourse during the previous 3 months with a fertile man without
using effective contraception

- Are drinking at risk levels; and 5) are available for the follow-up period.

Exclusion Criteria:

- Infertile

- Pregnant

- Insufficient locator information

- Language other than English or Spanish