A modified Timeline Followback assessment to capture alcohol exposure in pregnant women: Application in the Safe Passage Study

Travis Baker, Robin L. Haynes, David S. Paterson, Kevin G. Broadbelt, Kyriacos Markianos, Ingrid A. Holm, Theonia Boyd, Drucilla Roberts, Richard G. Goldstein, Hanno Stein, Claire Maggiotto, Catherine Hassett, Kathryn Schissler, Donald Habbe, H. Eugene Hoyme, Bradley Randall, Mary Ann Sens, Peter Van Eerden, Elizabeth Berg, Christa FriedrichMarge Jackson, Luke Mack, Liz Swenson, Deb Tobacco, Coen Groenewald, Erna Carstens, Mandy Potter, Lucy Brink, Carlie du Plessis, Milly de Jager, J. David Nugent, Carmen Condon, Joseph R. Isler, Margaret C. Shair, Tracy Thai, Joel S. Yang, Howard J. Hoffman, Chuan Ming Li, Bill Dunty, Tonse Raju, Gordon B. Hughes, Kimberly Dukes, Tara Tripp, Julie Petersen, Fay Robinson, Cheryl Raffo, Rebecca Young, Hein Odendaal, Coen Groenewald, Amy Elliott, Jyoti Angal, Marian Willinger, Dale Hereld, Hannah C. Kinney, Hannah C. Kinney

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Prenatal alcohol exposure (PAE) has been linked to poor pregnancy outcomes, yet there is no recognized standard for PAE assessment, and the specific effects of quantity, frequency, and timing remain largely unknown. The Safe Passage Study was designed to investigate the role of PAE in a continuum of poor peri- and postnatal outcomes. The objective of this manuscript is to describe the rationale for, and feasibility of, modifications to the traditional Timeline Followback (TLFB) for collecting PAE information in a large cohort of pregnant women. Participants from the Northern Plains region (in the United States) and Cape Town, South Africa, were followed prospectively using a modified 30-day TLFB interview, administered up to five times, to obtain detailed PAE information. Required modifications for our population included capturing information regarding sharing, type/brand, container size, and duration, in order to accurately record the amount of alcohol consumed. PAE status was defined for 99.9% of the 11,892 enrolled pregnancies at least once during pregnancy and for 92% across all trimesters. Of 53,823 drinks reported, 98% had all items necessary for standard drink computation. Sharing was reported for 74% of drinks in Cape Town, South Africa and for 10% in the Northern Plains. Compared to referent values from the traditional TLFB, 74% and 67% of drinks had different alcohol-by-volume and container size, respectively. Furthermore, a statistically significant difference was found between the number of containers reported and the number of standard drinks computed, using information from the modified TLFB. This is the first study of this size to wholly encompass all of these changes into a single measure in order to more accurately calculate daily consumption and assess patterns over time. The methods used to collect PAE information and create alcohol exposure measures likely increased the accuracy of standard drinks reported and could be generalized to other populations.

Original languageEnglish (US)
Pages (from-to)17-27
Number of pages11
JournalAlcohol
Volume62
DOIs
StatePublished - Aug 2017

Fingerprint

Pregnant Women
alcohol
Alcohols
Containers
pregnancy
South Africa
town
TimeLine
Pregnancy
Information Dissemination
Pregnancy Outcome
Population
Interviews
interview
Values

Keywords

  • Prenatal alcohol exposure
  • Quantity-frequency methods
  • Self-report
  • Standard drink
  • Timeline followback (TLFB)

ASJC Scopus subject areas

  • Health(social science)
  • Biochemistry
  • Toxicology
  • Neurology
  • Behavioral Neuroscience

Cite this

Baker, T., Haynes, R. L., Paterson, D. S., Broadbelt, K. G., Markianos, K., Holm, I. A., ... Kinney, H. C. (2017). A modified Timeline Followback assessment to capture alcohol exposure in pregnant women: Application in the Safe Passage Study. Alcohol, 62, 17-27. https://doi.org/10.1016/j.alcohol.2017.02.174

A modified Timeline Followback assessment to capture alcohol exposure in pregnant women : Application in the Safe Passage Study. / Baker, Travis; Haynes, Robin L.; Paterson, David S.; Broadbelt, Kevin G.; Markianos, Kyriacos; Holm, Ingrid A.; Boyd, Theonia; Roberts, Drucilla; Goldstein, Richard G.; Stein, Hanno; Maggiotto, Claire; Hassett, Catherine; Schissler, Kathryn; Habbe, Donald; Hoyme, H. Eugene; Randall, Bradley; Sens, Mary Ann; Van Eerden, Peter; Berg, Elizabeth; Friedrich, Christa; Jackson, Marge; Mack, Luke; Swenson, Liz; Tobacco, Deb; Groenewald, Coen; Carstens, Erna; Potter, Mandy; Brink, Lucy; du Plessis, Carlie; de Jager, Milly; Nugent, J. David; Condon, Carmen; Isler, Joseph R.; Shair, Margaret C.; Thai, Tracy; Yang, Joel S.; Hoffman, Howard J.; Li, Chuan Ming; Dunty, Bill; Raju, Tonse; Hughes, Gordon B.; Dukes, Kimberly; Tripp, Tara; Petersen, Julie; Robinson, Fay; Raffo, Cheryl; Young, Rebecca; Odendaal, Hein; Groenewald, Coen; Elliott, Amy; Angal, Jyoti; Willinger, Marian; Hereld, Dale; Kinney, Hannah C.; Kinney, Hannah C.

In: Alcohol, Vol. 62, 08.2017, p. 17-27.

Research output: Contribution to journalArticle

Baker, T, Haynes, RL, Paterson, DS, Broadbelt, KG, Markianos, K, Holm, IA, Boyd, T, Roberts, D, Goldstein, RG, Stein, H, Maggiotto, C, Hassett, C, Schissler, K, Habbe, D, Hoyme, HE, Randall, B, Sens, MA, Van Eerden, P, Berg, E, Friedrich, C, Jackson, M, Mack, L, Swenson, L, Tobacco, D, Groenewald, C, Carstens, E, Potter, M, Brink, L, du Plessis, C, de Jager, M, Nugent, JD, Condon, C, Isler, JR, Shair, MC, Thai, T, Yang, JS, Hoffman, HJ, Li, CM, Dunty, B, Raju, T, Hughes, GB, Dukes, K, Tripp, T, Petersen, J, Robinson, F, Raffo, C, Young, R, Odendaal, H, Groenewald, C, Elliott, A, Angal, J, Willinger, M, Hereld, D, Kinney, HC & Kinney, HC 2017, 'A modified Timeline Followback assessment to capture alcohol exposure in pregnant women: Application in the Safe Passage Study', Alcohol, vol. 62, pp. 17-27. https://doi.org/10.1016/j.alcohol.2017.02.174
Baker, Travis ; Haynes, Robin L. ; Paterson, David S. ; Broadbelt, Kevin G. ; Markianos, Kyriacos ; Holm, Ingrid A. ; Boyd, Theonia ; Roberts, Drucilla ; Goldstein, Richard G. ; Stein, Hanno ; Maggiotto, Claire ; Hassett, Catherine ; Schissler, Kathryn ; Habbe, Donald ; Hoyme, H. Eugene ; Randall, Bradley ; Sens, Mary Ann ; Van Eerden, Peter ; Berg, Elizabeth ; Friedrich, Christa ; Jackson, Marge ; Mack, Luke ; Swenson, Liz ; Tobacco, Deb ; Groenewald, Coen ; Carstens, Erna ; Potter, Mandy ; Brink, Lucy ; du Plessis, Carlie ; de Jager, Milly ; Nugent, J. David ; Condon, Carmen ; Isler, Joseph R. ; Shair, Margaret C. ; Thai, Tracy ; Yang, Joel S. ; Hoffman, Howard J. ; Li, Chuan Ming ; Dunty, Bill ; Raju, Tonse ; Hughes, Gordon B. ; Dukes, Kimberly ; Tripp, Tara ; Petersen, Julie ; Robinson, Fay ; Raffo, Cheryl ; Young, Rebecca ; Odendaal, Hein ; Groenewald, Coen ; Elliott, Amy ; Angal, Jyoti ; Willinger, Marian ; Hereld, Dale ; Kinney, Hannah C. ; Kinney, Hannah C. / A modified Timeline Followback assessment to capture alcohol exposure in pregnant women : Application in the Safe Passage Study. In: Alcohol. 2017 ; Vol. 62. pp. 17-27.
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abstract = "Prenatal alcohol exposure (PAE) has been linked to poor pregnancy outcomes, yet there is no recognized standard for PAE assessment, and the specific effects of quantity, frequency, and timing remain largely unknown. The Safe Passage Study was designed to investigate the role of PAE in a continuum of poor peri- and postnatal outcomes. The objective of this manuscript is to describe the rationale for, and feasibility of, modifications to the traditional Timeline Followback (TLFB) for collecting PAE information in a large cohort of pregnant women. Participants from the Northern Plains region (in the United States) and Cape Town, South Africa, were followed prospectively using a modified 30-day TLFB interview, administered up to five times, to obtain detailed PAE information. Required modifications for our population included capturing information regarding sharing, type/brand, container size, and duration, in order to accurately record the amount of alcohol consumed. PAE status was defined for 99.9{\%} of the 11,892 enrolled pregnancies at least once during pregnancy and for 92{\%} across all trimesters. Of 53,823 drinks reported, 98{\%} had all items necessary for standard drink computation. Sharing was reported for 74{\%} of drinks in Cape Town, South Africa and for 10{\%} in the Northern Plains. Compared to referent values from the traditional TLFB, 74{\%} and 67{\%} of drinks had different alcohol-by-volume and container size, respectively. Furthermore, a statistically significant difference was found between the number of containers reported and the number of standard drinks computed, using information from the modified TLFB. This is the first study of this size to wholly encompass all of these changes into a single measure in order to more accurately calculate daily consumption and assess patterns over time. The methods used to collect PAE information and create alcohol exposure measures likely increased the accuracy of standard drinks reported and could be generalized to other populations.",
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T2 - Application in the Safe Passage Study

AU - Baker, Travis

AU - Haynes, Robin L.

AU - Paterson, David S.

AU - Broadbelt, Kevin G.

AU - Markianos, Kyriacos

AU - Holm, Ingrid A.

AU - Boyd, Theonia

AU - Roberts, Drucilla

AU - Goldstein, Richard G.

AU - Stein, Hanno

AU - Maggiotto, Claire

AU - Hassett, Catherine

AU - Schissler, Kathryn

AU - Habbe, Donald

AU - Hoyme, H. Eugene

AU - Randall, Bradley

AU - Sens, Mary Ann

AU - Van Eerden, Peter

AU - Berg, Elizabeth

AU - Friedrich, Christa

AU - Jackson, Marge

AU - Mack, Luke

AU - Swenson, Liz

AU - Tobacco, Deb

AU - Groenewald, Coen

AU - Carstens, Erna

AU - Potter, Mandy

AU - Brink, Lucy

AU - du Plessis, Carlie

AU - de Jager, Milly

AU - Nugent, J. David

AU - Condon, Carmen

AU - Isler, Joseph R.

AU - Shair, Margaret C.

AU - Thai, Tracy

AU - Yang, Joel S.

AU - Hoffman, Howard J.

AU - Li, Chuan Ming

AU - Dunty, Bill

AU - Raju, Tonse

AU - Hughes, Gordon B.

AU - Dukes, Kimberly

AU - Tripp, Tara

AU - Petersen, Julie

AU - Robinson, Fay

AU - Raffo, Cheryl

AU - Young, Rebecca

AU - Odendaal, Hein

AU - Groenewald, Coen

AU - Elliott, Amy

AU - Angal, Jyoti

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AU - Hereld, Dale

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AU - Kinney, Hannah C.

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N2 - Prenatal alcohol exposure (PAE) has been linked to poor pregnancy outcomes, yet there is no recognized standard for PAE assessment, and the specific effects of quantity, frequency, and timing remain largely unknown. The Safe Passage Study was designed to investigate the role of PAE in a continuum of poor peri- and postnatal outcomes. The objective of this manuscript is to describe the rationale for, and feasibility of, modifications to the traditional Timeline Followback (TLFB) for collecting PAE information in a large cohort of pregnant women. Participants from the Northern Plains region (in the United States) and Cape Town, South Africa, were followed prospectively using a modified 30-day TLFB interview, administered up to five times, to obtain detailed PAE information. Required modifications for our population included capturing information regarding sharing, type/brand, container size, and duration, in order to accurately record the amount of alcohol consumed. PAE status was defined for 99.9% of the 11,892 enrolled pregnancies at least once during pregnancy and for 92% across all trimesters. Of 53,823 drinks reported, 98% had all items necessary for standard drink computation. Sharing was reported for 74% of drinks in Cape Town, South Africa and for 10% in the Northern Plains. Compared to referent values from the traditional TLFB, 74% and 67% of drinks had different alcohol-by-volume and container size, respectively. Furthermore, a statistically significant difference was found between the number of containers reported and the number of standard drinks computed, using information from the modified TLFB. This is the first study of this size to wholly encompass all of these changes into a single measure in order to more accurately calculate daily consumption and assess patterns over time. The methods used to collect PAE information and create alcohol exposure measures likely increased the accuracy of standard drinks reported and could be generalized to other populations.

AB - Prenatal alcohol exposure (PAE) has been linked to poor pregnancy outcomes, yet there is no recognized standard for PAE assessment, and the specific effects of quantity, frequency, and timing remain largely unknown. The Safe Passage Study was designed to investigate the role of PAE in a continuum of poor peri- and postnatal outcomes. The objective of this manuscript is to describe the rationale for, and feasibility of, modifications to the traditional Timeline Followback (TLFB) for collecting PAE information in a large cohort of pregnant women. Participants from the Northern Plains region (in the United States) and Cape Town, South Africa, were followed prospectively using a modified 30-day TLFB interview, administered up to five times, to obtain detailed PAE information. Required modifications for our population included capturing information regarding sharing, type/brand, container size, and duration, in order to accurately record the amount of alcohol consumed. PAE status was defined for 99.9% of the 11,892 enrolled pregnancies at least once during pregnancy and for 92% across all trimesters. Of 53,823 drinks reported, 98% had all items necessary for standard drink computation. Sharing was reported for 74% of drinks in Cape Town, South Africa and for 10% in the Northern Plains. Compared to referent values from the traditional TLFB, 74% and 67% of drinks had different alcohol-by-volume and container size, respectively. Furthermore, a statistically significant difference was found between the number of containers reported and the number of standard drinks computed, using information from the modified TLFB. This is the first study of this size to wholly encompass all of these changes into a single measure in order to more accurately calculate daily consumption and assess patterns over time. The methods used to collect PAE information and create alcohol exposure measures likely increased the accuracy of standard drinks reported and could be generalized to other populations.

KW - Prenatal alcohol exposure

KW - Quantity-frequency methods

KW - Self-report

KW - Standard drink

KW - Timeline followback (TLFB)

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