An evaluation of two primary care interventions for alcohol abuse among Mexican-American patients
An evaluation of two primary care interventions for alcohol abuse among Mexican-American patients
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DOI：
10.1046/j.1360-0443.1997.9212170512.x
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发表时间：
1997-12-01
期刊：
影响因子：
6
通讯作者：
Seale, JP
中科院分区：
文献类型：
--
作者：
Burge, SK;Amodei, N;Seale, JP
目标。本研究探讨了两种初级保健干预措施（医生干预和基于临床的心理教育组）对饮酒模式，心理问题和血液检查结果（MCV，GGT，SGOT和SGPT）的影响。设计受试者被随机分为四个治疗组：医生干预，心理教育，两种干预，或没有干预。在12个月和18个月时收集随访数据。设置.受试者从公立医院管理的家庭诊所门诊招募。参与者包括175名墨西哥裔美国女性和男性初级保健患者，他们的酒精滥用或依赖筛查呈阳性。这些患者并没有因为酗酒问题而寻求帮助。干预措施。包括一个简短的医生干预和一个B周的病人心理教育组。测量.诊断访谈计划评估受试者的酒精滥用;成瘾严重程度指数测量酒精相关的问题，包括心理社会问题。调查结果。随着时间的推移，所有四个治疗组都表现出显著的改善，干预组和对照组之间几乎没有差异。结论.评估可能与简短的干预混淆;未来的研究者应该使用未评估的对照组。
Aims. This study examined the effects of two primary care interventions (a physician intervention and a clinic-based psychoeducational group) on drinking patterns, psychosocial problems and blood test results (MCV, GGT, SGOT and SGPT). Design. Subjects were randomized into one of four treatment groups: physician intervention, psychoeducation, both interventions, or no intervention. Follow-up data were collected at 12 and 18 months. Setting. Subjects were recruited from a family practice outpatient clinic managed by a public hospital. Participants. Included 175 Mexican-American female and male primary care patients who screened positive for alcohol abuse or dependence. These patients were not seeking help for alcohol problems. interventions. Included a brief physician intervention and a B-week patient psychoeducational group. Measurements. The Diagnostic Interview Schedule assessed subjects for alcohol abuse; the Addiction Severity Index measured alcohol-related problems, including psychosocial issues. Findings. All four treatment groups demonstrated significant improvement over time, with few differences between intervention and control groups. Conclusions. Assessment can be confounded with brief interventions; future investigators should use non-assessed control groups.