2019
Assessment of an electronic and clinician-delivered brief intervention on cigarette, alcohol and illicit drug use among women in a reproductive healthcare clinic
Forray A, Martino S, Gilstad-Hayden K, Kershaw T, Ondersma S, Olmstead T, Yonkers KA. Assessment of an electronic and clinician-delivered brief intervention on cigarette, alcohol and illicit drug use among women in a reproductive healthcare clinic. Addictive Behaviors 2019, 96: 156-163. PMID: 31100713, PMCID: PMC6579708, DOI: 10.1016/j.addbeh.2019.05.007.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcohol DrinkingAlcohol-Related DisordersAmbulatory Care FacilitiesCigarette SmokingDiagnosis, Computer-AssistedFemaleHealth PersonnelHumansMass ScreeningMiddle AgedMotivational InterviewingReferral and ConsultationReproductive Health ServicesSmoking ReductionSubstance-Related DisordersTherapy, Computer-AssistedTreatment OutcomeYoung AdultConceptsEnhanced usual careIllicit drug useE-SBIRTDrug useCigarette useBrief interventionIllicit drugsAlcohol useSubstance useReproductive-age womenReproductive health clinicsGreater reductionSubstance use disordersReproductive healthcare clinicsUse of cigarettesPrimary substancePrimary substance useClinician-delivered interventionSBIRT interventionOverall substance useUsual careMonth 3Present studyReproductive yearsHealth clinics
2017
A randomized controlled trial of screening and brief interventions for substance misuse in reproductive health
Martino S, Ondersma SJ, Forray A, Olmstead TA, Gilstad-Hayden K, Howell HB, Kershaw T, Yonkers KA. A randomized controlled trial of screening and brief interventions for substance misuse in reproductive health. American Journal Of Obstetrics And Gynecology 2017, 218: 322.e1-322.e12. PMID: 29247636, PMCID: PMC6896206, DOI: 10.1016/j.ajog.2017.12.005.Peer-Reviewed Original ResearchConceptsEnhanced usual care groupPrimary substance useUsual care groupUsual careBrief interventionTreatment useSubstance useCare groupSubstance misuseReproductive health settingsEnhanced usual careTrial of screeningDays/monthMonths of useGeneralized estimation equationsCoprimary outcomesPrescription medicationsReproductive centerHealthcare centersPregnancy statusHealth settingsReferralReproductive healthMean daysCare
2016
Substance use during pregnancy
Forray A. Substance use during pregnancy. F1000Research 2016, 5: f1000 faculty rev-887. PMID: 27239283, PMCID: PMC4870985, DOI: 10.12688/f1000research.7645.1.Peer-Reviewed Original ResearchPrenatal substance useSubstance useCurrent therapeutic optionsPublic health concernCritical public health concernFetal outcomesFetal consequencesPsychiatric comorbidityTherapeutic optionsPrenatal useFetal healthPsychosocial interventionsPolysubstance usePregnancyExisting treatmentsHealth concernIllicit substancesContingency managementCannabisComorbiditiesOpioidsTobaccoRecent literatureCare
2015
See One, Do One, Order One: a study protocol for cluster randomized controlled trial testing three strategies for implementing motivational interviewing on medical inpatient units
Martino S, Zimbrean P, Forray A, Kaufman J, Desan P, Olmstead TA, Gueorguieva R, Howell H, McCaherty A, Yonkers KA. See One, Do One, Order One: a study protocol for cluster randomized controlled trial testing three strategies for implementing motivational interviewing on medical inpatient units. Implementation Science 2015, 10: 138. PMID: 26420671, PMCID: PMC4589113, DOI: 10.1186/s13012-015-0327-9.Peer-Reviewed Original ResearchConceptsMotivational interviewingPsychiatry consultation-liaison serviceMethods/designThisMedical inpatient unitsBrief behavioral interventionConsultation-liaison servicePractices of providersMedical education workshopSubstance use problemsMedical inpatientsStudy protocolMedical HospitalHospitalist serviceInpatient unitBedside practiceMedical unitsPatientsRecovery outcomesBehavioral interventionsSubstance useUse problemsHospitalizationInpatientsPrimary aimTeachable momentSubstance Use in the Perinatal Period
Forray A, Foster D. Substance Use in the Perinatal Period. Current Psychiatry Reports 2015, 17: 91. PMID: 26386836, PMCID: PMC4671272, DOI: 10.1007/s11920-015-0626-5.Peer-Reviewed Original ResearchConceptsPerinatal substance usePerinatal periodSubstance useMajor public health problemPublic health problemUse of tobaccoFetal outcomesFetal effectsFetal healthCurrent treatmentPsychosocial interventionsPolysubstance useHealth problemsNovel interventionsMost efficacyCocaine useIllicit substancesContingency managementPregnancyInterventionTreatmentOpioidsTobaccoProgesteroneRecent literaturePerinatal substance use: A prospective evaluation of abstinence and relapse
Forray A, Merry B, Lin H, Ruger JP, Yonkers KA. Perinatal substance use: A prospective evaluation of abstinence and relapse. Drug And Alcohol Dependence 2015, 150: 147-155. PMID: 25772437, PMCID: PMC4387084, DOI: 10.1016/j.drugalcdep.2015.02.027.Peer-Reviewed Original ResearchConceptsRates of abstinenceMean daysSubstance useMultivariate Cox modelLittle prospective dataPostpartum relapseRelapse postpartumAbstinence ratesProspective evaluationNicotine cigarettesProspective dataCox modelPregnancyRelapseCigarettesAbstinenceToxicology testingCocaineWomenPsychological treatmentLast monthPostpartumMarijuanaSpecific substancesDays
2013
Perinatal smoking and depression in women with concurrent substance use
Forray A, Gotman N, Kershaw T, Yonkers KA. Perinatal smoking and depression in women with concurrent substance use. Addictive Behaviors 2013, 39: 749-756. PMID: 24447885, PMCID: PMC3944019, DOI: 10.1016/j.addbeh.2013.12.008.Peer-Reviewed Original ResearchConceptsPregnant womenConcurrent substance useSubstance usePre-pregnancy smokersSignificant depressive symptomsWeeks of pregnancyMini Neuropsychiatric InterviewDiagnosis of depressionImpact of depressionCourse of smokingNon-depressed groupLinear mixed effects regressionSubstance abuse treatmentPerinatal smokingSmoking postpartumBaseline cohortNeuropsychiatric InterviewMixed effects regressionDepressive symptomsSmokingSmoking behaviorDepressive symptomatologyAbuse treatmentPregnancyPostpartum
2012
Motivational enhancement therapy coupled with cognitive behavioral therapy versus brief advice: a randomized trial for treatment of hazardous substance use in pregnancy and after delivery
Yonkers KA, Forray A, Howell HB, Gotman N, Kershaw T, Rounsaville BJ, Carroll KM. Motivational enhancement therapy coupled with cognitive behavioral therapy versus brief advice: a randomized trial for treatment of hazardous substance use in pregnancy and after delivery. General Hospital Psychiatry 2012, 34: 439-449. PMID: 22795046, PMCID: PMC3428516, DOI: 10.1016/j.genhosppsych.2012.06.002.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyMotivational enhancement therapyMET-CBTEnhancement therapyBehavioral therapySubstance useHazardous substance useBrief advicePregnant substance usersMonths postdeliverySubstance usersHospital outpatient clinicSubstance-using womenWeeks of pregnancySubstance misuseSimilar therapeutic effectsPercentage of daysSelf-reported percentageBiological measuresPreterm birthStudy nursesPrimary outcomeOutpatient clinicPrenatal careTherapeutic effect