Lesley-Ann Erasmus-Claassen, Noluthando Mpisane, Petal Petersen Williams, Felicia A Browne, Bronwyn Myers, Wendee M Wechsberg, Charles D H Parry, Shantae N Taylor, Yukiko Washio
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Coding and a thematic analysis approach were applied to the collected data using NVivo 12.</p><p><strong>Results: </strong>Participants identified key factors influencing their engagement in the intervention. Participants faced logistical barriers, but supportive social networks and flexible program components encouraged participation. Increased self-efficacy and external accountability also facilitated behavior change. Furthermore, participants suggested improvements for accessibility and tailored support, highlighting important considerations for future interventions.</p><p><strong>Conclusion: </strong>The findings highlighted the potential benefits of the intervention in improving individuals' health behaviors. However, logistical barriers and the need for expanded support services were identified, emphasizing the importance of refining intervention strategies in resource-limited settings.</p><p><strong>Clinical trial registration: </strong>NCT05319977.</p>","PeriodicalId":54223,"journal":{"name":"Addiction Science & Clinical Practice","volume":"20 1","pages":"59"},"PeriodicalIF":3.2000,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309210/pdf/","citationCount":"0","resultStr":"{\"title\":\"Participant experiences with a text message and contingency management intervention for alcohol use during pregnancy and lactation in Cape Town, South Africa.\",\"authors\":\"Lesley-Ann Erasmus-Claassen, Noluthando Mpisane, Petal Petersen Williams, Felicia A Browne, Bronwyn Myers, Wendee M Wechsberg, Charles D H Parry, Shantae N Taylor, Yukiko Washio\",\"doi\":\"10.1186/s13722-025-00594-7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The Western Cape region of South Africa has one of the highest global rates of Fetal Alcohol Spectrum Disorder (FASD), underscoring the urgent need for effective interventions. 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Participant experiences with a text message and contingency management intervention for alcohol use during pregnancy and lactation in Cape Town, South Africa.
Background: The Western Cape region of South Africa has one of the highest global rates of Fetal Alcohol Spectrum Disorder (FASD), underscoring the urgent need for effective interventions. This qualitative study, designed as a process evaluation, explores pregnant and lactating participants' perceptions and experiences of a text message and contingency management (CM) intervention.
Methods: The study involved post-intervention interviews with 10 pregnant participants and 10 post-partum lactating participants. Coding and a thematic analysis approach were applied to the collected data using NVivo 12.
Results: Participants identified key factors influencing their engagement in the intervention. Participants faced logistical barriers, but supportive social networks and flexible program components encouraged participation. Increased self-efficacy and external accountability also facilitated behavior change. Furthermore, participants suggested improvements for accessibility and tailored support, highlighting important considerations for future interventions.
Conclusion: The findings highlighted the potential benefits of the intervention in improving individuals' health behaviors. However, logistical barriers and the need for expanded support services were identified, emphasizing the importance of refining intervention strategies in resource-limited settings.
期刊介绍：
Addiction Science & Clinical Practice provides a forum for clinically relevant research and perspectives that contribute to improving the quality of care for people with unhealthy alcohol, tobacco, or other drug use and addictive behaviours across a spectrum of clinical settings.
Addiction Science & Clinical Practice accepts articles of clinical relevance related to the prevention and treatment of unhealthy alcohol, tobacco, and other drug use across the spectrum of clinical settings. Topics of interest address issues related to the following: the spectrum of unhealthy use of alcohol, tobacco, and other drugs among the range of affected persons (e.g., not limited by age, race/ethnicity, gender, or sexual orientation); the array of clinical prevention and treatment practices (from health messages, to identification and early intervention, to more extensive interventions including counseling and pharmacotherapy and other management strategies); and identification and management of medical, psychiatric, social, and other health consequences of substance use.
Addiction Science & Clinical Practice is particularly interested in articles that address how to improve the quality of care for people with unhealthy substance use and related conditions as described in the (US) Institute of Medicine report, Improving the Quality of Healthcare for Mental Health and Substance Use Conditions (Washington, DC: National Academies Press, 2006). Such articles address the quality of care and of health services. Although the journal also welcomes submissions that address these conditions in addiction speciality-treatment settings, the journal is particularly interested in including articles that address unhealthy use outside these settings, including experience with novel models of care and outcomes, and outcomes of research-practice collaborations.
Although Addiction Science & Clinical Practice is generally not an outlet for basic science research, we will accept basic science research manuscripts that have clearly described potential clinical relevance and are accessible to audiences outside a narrow laboratory research field.
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