{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T07:07:19Z","timestamp":1779088039813,"version":"3.51.4"},"reference-count":46,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:00:00Z","timestamp":1771459200000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100012095","name":"Scottish Government","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012095","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alcohol, Clinical and Experimental Research"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Health professionals in the UK and internationally often lack knowledge of prenatal alcohol exposure (PAE) and fetal alcohol spectrum disorder (FASD). Raising awareness of PAE and FASD across health and social care sectors is vital to support Scotland's implementation of neurodevelopmental pathways. This study evaluated whether engaging in the\n                      <jats:italic>Fundamentals of FASD<\/jats:italic>\n                      contributed to change in (i) attitudes toward the health advice given to pregnant women, (ii) attitudes toward PAE, (iii) attitudes toward FASD, and (iv) knowledge of FASD. Furthermore, this study examined whether knowledge and attitudinal changes are maintained to 12\u2009months posttraining.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 1327 attendees attended across 14 workshops. Of these, 1005 completed an initial evaluation questionnaire assessing their attitudes and knowledge toward PAE and FASD (pretraining [\u201cT1\u201d]). Repeated\u2010measure follow\u2010up responses were collected immediately after training (\u201cT2\u201d;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009525); at 3\u2009months (\u201cT3\u201d;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009128); and at 12\u2009months (\u201cT4\u201d;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009157).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Linear mixed models revealed trainees demonstrated significant improvement on all measures at posttraining but demonstrated a varied pattern at the T3 and T4 follow\u2010up. Attitudes toward the health advice about alcohol use in pregnancy and alcohol use in pregnancy generally demonstrated no change between T2 and T4, indicating improvement was sustained from T2 to T4. In contrast, attitudes toward FASD and FASD knowledge were observed to significantly decline from T2 through to T4, albeit remaining higher than the pretraining.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Attending the\n                      <jats:italic>Fundamentals of FASD<\/jats:italic>\n                      was associated with significant improvement in knowledge and attitudes toward PAE and FASD. A decline in FASD knowledge across time, albeit remaining above pretraining scores suggests ongoing or refresher training is required. Provision of training within continuing professional development frameworks may help sustain awareness and encourage healthcare professionals to be better equipped in supporting individuals affected by PAE and\/or FASD.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.70251","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T03:26:50Z","timestamp":1771558010000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The fundamentals of fetal alcohol spectrum disorder: Evaluation of an awareness\u2010raising webinar"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6463-0384","authenticated-orcid":false,"given":"Stewart","family":"McDougall","sequence":"first","affiliation":[{"name":"The Fetal Alcohol Advisory Support and Training Team, Health in Social Science, College of Arts, Humanities, and Social Science University of Edinburgh  UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Brown","sequence":"additional","affiliation":[{"name":"The Fetal Alcohol Advisory Support and Training Team, Health in Social Science, College of Arts, Humanities, and Social Science University of Edinburgh  UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jen","family":"Shields","sequence":"additional","affiliation":[{"name":"The Fetal Alcohol Advisory Support and Training Team, Health in Social Science, College of Arts, Humanities, and Social Science University of Edinburgh  UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Brown","sequence":"additional","affiliation":[{"name":"The Fetal Alcohol Advisory Support and Training Team, Health in Social Science, College of Arts, Humanities, and Social Science University of Edinburgh  UK"},{"name":"NHS Ayrshire and Arran  UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Burn","sequence":"additional","affiliation":[{"name":"The Fetal Alcohol Advisory Support and Training Team, Health in Social Science, College of Arts, Humanities, and Social Science University of Edinburgh  UK"},{"name":"NHS Ayrshire and Arran  UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne","family":"O'Rourke","sequence":"additional","affiliation":[{"name":"The Fetal Alcohol Advisory Support and Training Team, Health in Social Science, College of Arts, Humanities, and Social Science University of Edinburgh  UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/23297018.2022.2117074"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.alcohol.2017.05.004"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-2171"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1108\/ADD\u201005\u20102018\u20100005"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/13668250.2024.2404167"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2024.05.035"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/13668250.2016.1156659"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/13668250.2016.1267718"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13696"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1179558119838872"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.70089"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.15275"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.70040"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1099800404267682"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.1919"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/aur.70011"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fresc.2022.1060596"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.14705"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2022.104354"},{"key":"e_1_2_9_21_1","unstructured":"McGruer F.&Shields J.(2018)Evaluation of the fetal alcohol assessment and support team: summary report. 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