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' 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 flexi

SUBMITTER: Erasmus-Claassen LA 

PROVIDER: S-EPMC12309210 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature