A controlled trial of brief intervention versus brief advice for at-risk drinking trauma center patients
A controlled trial of brief intervention versus brief advice for at-risk drinking trauma center patients
复制标题
DOI：
10.1097/ta.0b013e31804bdb26
复制
发表时间：
2007-05-01
影响因子：
--
通讯作者：
Kufera, Joseph A.
中科院分区：
文献类型：
--
作者：
Soderstrom, Carl A.;DiClemente, Carlo C.;Kufera, Joseph A.
Background: Numerous reports document that preinjury alcohol use is associated with all modes of injury requiring treatment in a trauma center, with 25% to 50% or more of patients testing positive for alcohol at the time of admission. There is evidence that in trauma patients unaddressed alcohol use problems result in recurrent injury requiring readmission to a trauma center and/or death.Methods: A randomized clinical trial was conducted to assess the effectiveness of two types of brief interventions to reduce drinking and the consequences of drinking. Trauma patients defined as at-risk alcohol users (n = 497) were randomized into two treatment options: a brief personalized motivational intervention (PMI), or brief information and advice (BIA). After a brief assessment, PMI subjects received a motivational session, feedback letter, and two postdischarge telephone contacts, whereas the BIA group received a brochure and one postdischarge telephone contact. Both groups were reassessed at 6 and 12 months postinjury.Results: Both the PMI and BIA groups had statistically significant reductions in drinking, binge episodes, and consequences related to drinking that persisted from the 6- to the 12-month follow-up. However, although not statistically significant, for those classified as lower-level drinkers (
