A Web-Based Intervention for Reducing Sexually Transmitted Infections and Substance Use During Pregnancy: Randomized Controlled Trial - Scorecard - MDSpire

A Web-Based Intervention for Reducing Sexually Transmitted Infections and Substance Use During Pregnancy: Randomized Controlled Trial

  • By

  • Golfo Tzilos Wernette

  • Ananda Sen

  • Dongru Chen

  • Kristina Countryman

  • Okeoma Mmeje

  • Quyen M Ngo

  • Katherine J Gold

  • Christopher W Kahler

  • Caron Zlotnick

  • July 8, 2026

  • 0 min

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Clinical Scorecard: An Online Program Aimed at Decreasing Sexually Transmitted Infections and Substance Abuse in Pregnant Women: A Randomized Controlled Study

At a Glance

CategoryDetail
ConditionSubstance use and sexually transmitted infections in pregnant women
Key MechanismsTechnology-delivered screening and brief intervention to reduce substance use and STI risk
Target PopulationPregnant women at risk for substance use and STIs
Care SettingPrenatal care clinics

Key Highlights

  • High rates of substance use among pregnant women, including alcohol and cannabis
  • Significant association between substance use and increased STI risk
  • Technology-delivered interventions can effectively address substance use and STI prevention
  • The Health Check-Up for Expectant Moms (HCEM) showed high acceptability and effectiveness
  • ACOG recommends universal cannabis use screening during pregnancy

Guideline-Based Recommendations

Diagnosis

  • Routine STI screening during the perinatal period is recommended

Management

  • Implement technology-delivered interventions to reduce substance use and STI risk

Monitoring & Follow-up

  • Monitor substance use and STI risk factors during prenatal visits

Risks

  • Untreated STIs can lead to premature birth, low birth weight, and fetal death

Patient & Prescribing Data

Pregnant women receiving prenatal care

Web-based interventions can overcome barriers to care for substance use and STI prevention

Clinical Best Practices

  • Proactively address risky health behaviors during pregnancy
  • Utilize electronic screening for substance use and STI risk
  • Encourage disclosure of sexual risk-taking through confidential interventions

Related Resources & Content

Original Source(s)

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