Mary Ann Goetz

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AIMS To assess the impact of a brief intervention on antepartum alcohol consumption. DESIGN A randomized clinical trial. SETTING The obstetrics practices of the Brigham and Women's Hospital in Boston, MA, USA. PARTICIPANTS Two hundred and fifty eligible women initiating prenatal care. INTERVENTION A comprehensive assessment of alcohol use(More)
About 20% of pregnant women will drink alcohol, even though no universally safe level of prenatal alcohol consumption has been established. This study of 123 alcohol screen-positive pregnant women receiving a brief intervention in the 16th week of gestation examines the relationship of drinking goals, reasons for the goals, recognition of situations(More)
OBJECTIVE To test the effectiveness of a four-item prenatal-alcohol-use, self-administered screening questionnaire that asks about tolerance to alcohol, being annoyed by other's comments about drinking, attempts to cut down, and having a drink first thing in the morning ("eye-opener") (T-ACE) in an ethnically and socioeconomically diverse sample. METHODS(More)
Female problem drinkers are less likely than men to be identified in the primary care setting. The authors studied 24 adult women attending a general, internal medicine clinic to assess the efficiency of self-reports of alcohol consumption when compared with physician identification and other measures and the impact of a brief intervention on alcohol(More)
The reservations expressed about the accuracy of patient self-reports of drinking may be heightened when obtaining information about prenatal alcohol consumption, which may be subject to fears of social or medical disapproval. Thus, clinicians may seek collateral reports to confirm patients' reports during this critical time. The purpose of this study is to(More)
OBJECTIVE The TWEAK is a screening instrument used to identify women who are risk drinkers. Potential limitations of previous studies of the TWEAK in the prenatal setting include indirect administration of the instrument to minority, indigent pregnant women. The purpose of this study is to assess the efficacy of the TWEAK when it is given directly to a(More)
BACKGROUND Mountain cedar (Juniperus ashei) pollen is the principal aeroallergen in south central Texas from late December through February. The major mountain cedar allergen is a 40-kD glycoprotein, gp40. OBJECTIVE To identify allergens in mountain cedar wood, leaves, and berries and to detect mountain cedar allergen in smoke from burning male or female(More)
The purpose of this study is to compare the accuracy of screening instruments with clinical predictors in the identification of prenatal alcohol use. 350 women initiating prenatal care at the Brigham and Women's Hospital (Boston, MA) completed the T-ACE, AUDIT, and SMAST. The predictive accuracy of each was compared using Receiver Operating Characteristic(More)
The authors examined the antepartum alcohol consumption of 100 women with negative alcohol screens as they initiated prenatal care. Subjects completed a comprehensive assessment of their alcohol use at 15.7 +/- 4.9 weeks gestation and again 2 months after delivery, with 96% follow-up. The majority (87%) were abstinent in the 90-day period before study(More)
The collaborative efforts of faculty in nursing and early childhood education resulted in opportunities for nursing students to enhance their skills in the observation and assessment of preschool-age children, as well as to plan for and interact with young children in the context of health-related learning activities. A community child care center served as(More)