Underage drinking, brief interventions, and trauma patients: Are they really special?
Underage drinking, brief interventions, and trauma patients: Are they really special?
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未成年人饮酒、短暂干预和创伤患者：他们真的很特别吗？
DOI：
10.1097/ta.0000000000001093
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Walton,MaureenA
中科院分区：
文献类型：
--
作者：
Ehrlich,PeterF;Roche,JessicaS;Cunningham,RebeccaM;Chermack,StephenT;Carter,PatrickM;Booth,BrendaM;Blow,Frederick;Barry,Kristen;Walton,MaureenA
背景：虽然未成年人饮酒与伤害之间的关系已经很好地确立，但很少有研究调查急性损伤的表现是否会调节短暂干预（BI）对酒精滥用的疗效。方法急诊科高危饮酒筛查阳性（酒精使用障碍识别测试-消费评分）的患者（14-20岁）完成基线评估，随机分为独立计算机交付BI [n= 277]，治疗师交付BI [n= 278]或对照条件[n= 281]，并完成3个月的随访。U-Connect项目的二次分析检查了回归模型（控制基线值），以检查损伤的主要影响以及BI条件下损伤对酒精消耗和后果的交互影响。结果836名青少年（平均年龄18.6岁，51.6%为男性，79.4%为白人）中，303名（36.2%）有故意或非故意伤害的主诉。在基线时，受伤患者更可能是男性（p< 0.001），酒精消耗量更高（p< 0.01），但滥用处方药的可能性低于因医学原因就诊的患者（p= 0.02）。回归模型（控制基线值）表明，损伤表现预示着BI前更大的酒精摄入量。与其他原因相比，计算机BI在减少因受伤而出现的酒精后果方面更有效。损伤不影响计算机BI对酒精消耗的疗效，损伤也不影响治疗师BI对酒精结局的疗效。结论：无论急诊报告的原因如何，治疗师或计算机BI都可以减少高危饮酒者的酒精消费量和后果，强调有机会接触到广泛的年轻人。尽管治疗师的BI并没有因损伤表现而有所缓和，但在3个月的随访中，计算机BI在减少出现损伤的患者的酒精后果方面特别有效。
BACKGROUNDWhile the relationship between underage drinking and injury has been well established, few studies have examined whether presenting for an acute injury moderates the efficacy of a brief intervention (BI) on alcohol misuse.METHODSPatients (aged 14–20 years) in the emergency department screening positive for risky drinking (Alcohol Use Disorders Identification Test–Consumption score) completed a baseline assessment, were randomized to conditions (a standalone computer-delivered BI [n= 277], a therapist-delivered BI [n= 278], or a control condition [n= 281]), and completed a 3-month follow-up. This secondary analysis of Project U-Connect examined regression models (controlling for baseline values) to examine the main effects of injury and the interaction effects of injury by BI condition on alcohol consumption and consequences.RESULTSAmong 836 youth enrolled in the randomized controlled trial (mean age, 18.6 years; 51.6% were male; 79.4% were white), 303 (36.2%) had a primary complaint of intentional or unintentional injury. At baseline, injured patients were more likely to be male (p< 0.001) and have higher alcohol consumption (p< 0.01), but were less likely to misuse prescription drugs (p= 0.02) than those presenting for medical reasons. Regression models (controlling for baseline values) demonstrated that injury presentation predicted greater alcohol consumption prior to a BI. The computer BI was more effective at reducing alcohol consequences among those presenting with injury than those presenting for other reasons. Injury did not affect the efficacy of the computer BI on alcohol consumption, and injury did not affect the efficacy of the therapist BI on alcohol outcomes.CONCLUSIONSA therapist or computer BI reduced alcohol consumption and consequences among risky drinkers regardless of reason for emergency department presentation highlighting the opportunity to reach a broad array of youth. Although the therapist BI was not moderated by injury presentation, the computer BI was particularly effective at reducing alcohol consequences among those presenting with injury at 3-month follow-up.
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影响因子：
8
作者：
Cunningham, Rebecca M.;Chermack, Stephen T.;Walton, Maureen A.
通讯作者：
Walton, Maureen A.
伤害严重程度：酒精、药物使用和冒险的作用
影响因子：
2.3
作者：
K. Watt;D. Purdie;A. Roche;R. McClure
通讯作者：
R. McClure
临床前试验的重要性：儿科创伤中心选定的损伤干预计划。
DOI：
--
发表时间：
2008
期刊：
Journal of Trauma
影响因子：
--
作者：
P. Ehrlich;A. Drongowski;S. Swisher;R. Maio
通讯作者：
R. Maio
影响因子：
37.8
作者：
K. Resnicow;S. Rollnick
通讯作者：
S. Rollnick
DOI：
--
发表时间：
2013
期刊：
影响因子：
--
作者：
Branalyn K. Williams
通讯作者：
Branalyn K. Williams