Participant experiences with a text message and contingency management intervention for alcohol use during pregnancy and lactation in Cape Town, South Africa
Abstract 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’...
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| Format: | Article |
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BMC
2025-07-01
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| Series: | Addiction Science & Clinical Practice |
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| Online Access: | https://doi.org/10.1186/s13722-025-00594-7 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Lesley-Ann Erasmus-Claassen |
| collection | DOAJ |
| description | Abstract 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. Clinical trial registration: NCT05319977. |
| format | Article |
| id | doaj-art-ec7f242d776b4ca183a4c071d2fe4ef3 |
| institution | Kabale University |
| issn | 1940-0640 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Addiction Science & Clinical Practice |
| spelling | doaj-art-ec7f242d776b4ca183a4c071d2fe4ef32025-08-20T03:46:25ZengBMCAddiction Science & Clinical Practice1940-06402025-07-012011910.1186/s13722-025-00594-7Participant experiences with a text message and contingency management intervention for alcohol use during pregnancy and lactation in Cape Town, South AfricaLesley-Ann Erasmus-Claassen0Noluthando Mpisane1Petal Petersen Williams2Felicia A. Browne3Bronwyn Myers4Wendee M. Wechsberg5Charles D. H. Parry6Shantae N. Taylor7Yukiko Washio8Mental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research CouncilMental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research CouncilMental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research CouncilSubstance Use, Gender and Applied Research, RTI InternationalMental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research CouncilSubstance Use, Gender and Applied Research, RTI InternationalMental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research CouncilSubstance Use, Gender and Applied Research, RTI InternationalSubstance Use, Gender and Applied Research, RTI InternationalAbstract 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. Clinical trial registration: NCT05319977.https://doi.org/10.1186/s13722-025-00594-7Prenatal alcohol useFetal alcohol spectrum disordersContingency managementText messagingMaternal health |
| spellingShingle | 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 Participant experiences with a text message and contingency management intervention for alcohol use during pregnancy and lactation in Cape Town, South Africa Addiction Science & Clinical Practice Prenatal alcohol use Fetal alcohol spectrum disorders Contingency management Text messaging Maternal health |
| title | Participant experiences with a text message and contingency management intervention for alcohol use during pregnancy and lactation in Cape Town, South Africa |
| title_full | Participant experiences with a text message and contingency management intervention for alcohol use during pregnancy and lactation in Cape Town, South Africa |
| title_fullStr | Participant experiences with a text message and contingency management intervention for alcohol use during pregnancy and lactation in Cape Town, South Africa |
| title_full_unstemmed | Participant experiences with a text message and contingency management intervention for alcohol use during pregnancy and lactation in Cape Town, South Africa |
| title_short | Participant experiences with a text message and contingency management intervention for alcohol use during pregnancy and lactation in Cape Town, South Africa |
| title_sort | participant experiences with a text message and contingency management intervention for alcohol use during pregnancy and lactation in cape town south africa |
| topic | Prenatal alcohol use Fetal alcohol spectrum disorders Contingency management Text messaging Maternal health |
| url | https://doi.org/10.1186/s13722-025-00594-7 |
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