Brief Motivational Interviewing for DWI Recidivists Who Abuse Alcohol and Are Not Participating in DWI Intervention: A Randomized Controlled Trial
Brief Motivational Interviewing for DWI Recidivists Who Abuse Alcohol and Are Not Participating in DWI Intervention: A Randomized Controlled Trial
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DOI：
10.1111/j.1530-0277.2009.01092.x
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发表时间：
2010-02-01
影响因子：
3.2
通讯作者：
Kin, Ng Mien Kwong Ng Ying
中科院分区：
文献类型：
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作者：
Brown, Thomas G.;Dongier, Maurice;Kin, Ng Mien Kwong Ng Ying
背景：酒后驾车（DWI）累犯与未解决的酒精使用问题构成了持续的交通安全风险。定罪后，许多人不参加强制性的酒精评估和干预计划，或在重新获得许可后继续饮酒。本研究调查了在有酒精问题且目前未参与DWI干预的DWI累犯中，与信息建议控制条件相比，简短动机访谈（BMI）在6个月和12个月的随访中降低了风险饮酒。额外的分析探讨了BMI是否与更大的准备改变，随后的药物滥用治疗服务的利用率，和满意度相比，控制condition.Methods：男性和女性累犯饮酒问题，目前没有从事DWI干预招募，评估，然后随机分配到2个手动干预：30分钟的BMI会议或信息咨询。参与者、采访者、研究人员和统计学家对分配是盲目的。结果的变化是：危险饮酒天数的百分比（即，男性>= 3标准饮料/天;女性>= 2），通过血液分析获得的酒精滥用生物标志物（GGT、AST、ALT、MCV），以及使用MMPI-Mac量表的酒精滥用相关行为。从准备改变问卷，药物滥用服务利用问卷，和客户满意度Scale.Results的数据：分析显示，这两种干预措施的风险饮酒显着下降。BMI（n = 92）导致12个月随访时危险饮酒天数减少25%，与对照干预（n = 92）相比，这代表了6个月水平的显著下降。在6个月的随访中，暴露于BMI也使酒精滥用的生物标志物和与累犯风险相关的行为指标显著改善。探索准备改变，药物滥用服务的利用率，并与干预的满意度表示BMI的感知更有用的应对problems.Conclusions：简短的MI方法保证进一步实施和有效性研究作为一个机会DWI干预策略，以减少与酒精使用的临床和DWI relicensing设置以外的风险。
Background: Driving while impaired (DWI) recidivists with unresolved alcohol use problems pose an ongoing risk for traffic safety. Following conviction, many do not participate in mandated alcohol evaluation and intervention programs, or continue to drink problematically after being relicensed. This study investigated if, in DWI recidivists with alcohol problems and not currently involved in DWI intervention, Brief Motivational Interviewing (BMI) produced greater reductions in risky drinking at 6- and 12-month follow-up compared to an information-advice control condition. Additional analyses explored whether BMI was associated with greater readiness to change, subsequent substance abuse treatment service utilization, and satisfaction compared to the control condition.Methods: Male and female recidivists with drinking problems and not currently engaged in DWI intervention were recruited, evaluated, and then randomly assigned to receive 1 of 2 manualized interventions: 30-minute BMI session or information-advice. Participants, interviewers, researchers, and statisticians were blind to assignment. Outcomes were changed in: percent of risky drinking days (i.e., >= 3 standard drinks/d for males; >= 2 for females) in the previous 6 months derived from the Timeline Followback, biomarkers of alcohol abuse (GGT, AST, ALT, MCV) by blood assay, and alcohol abuse-related behaviors using the MMPI-Mac scale. Data from the Readiness to Change Questionnaire, a substance abuse service utilization questionnaire, and the Client Satisfaction Scale were also collected.Results: Analyses revealed significant declines in risky drinking with both interventions. BMI (n = 92) resulted in a 25% reduction in risky drinking days at 12-month follow-up, which compared to the control intervention (n = 92) represented a significant decline from 6-month levels. Exposure to BMI also produced significantly greater improvement at 6-month follow-up in a biomarker of alcohol abuse and a behavioral measure related to recidivism risk. Exploration of readiness to change, substance abuse service utilization, and satisfaction with intervention indicated a perception of BMI being more useful in coping with problems.Conclusions: Brief MI approaches warrant further implementation and effectiveness research as an opportunistic DWI intervention strategy to reduce risks associated with alcohol use outside of clinical and DWI relicensing settings.