Challenges applying alcohol brief intervention in diverse practice settings: populations, outcomes, and costs.
Challenges applying alcohol brief intervention in diverse practice settings: populations, outcomes, and costs.
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在不同的实践环境中应用酒精短暂干预的挑战：人群、结果和成本。
DOI：
10.1111/j.1530-0277.2006.00038.x
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Perl,Harold
中科院分区：
文献类型：
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作者：
Saitz,Richard;Svikis,Dace;D'Onofrio,Gail;Kraemer,KevinL;Perl,Harold
这篇文章总结了2005年加州圣巴巴拉酒精中毒研究会的会议记录。研讨会的目的是通过回顾文献和描述4项研究研究，解决在将酒精短暂干预(BI)的有效性证据转化为不同的临床环境和人群方面出现的挑战。赛茨博士回顾了BIS疗效证据的局限性，然后描述了一项随机临床试验的结果，该试验对内科住院患者饮用危险剂量的饮料进行了短暂的动机干预。斯维基斯博士提出了其他方法来识别产前护理中的孕妇是否有酒精和药物问题(包括尼古丁和咖啡因)的风险，并提出了BIS减少或取消使用的方法。多诺弗里奥博士讨论了对急诊科患者进行的一项随机试验的结果。Kraemer博士介绍了关于初级保健环境中酒精筛查和干预的成本效益的决策分析和计算机模拟模型的结果。最后，Perl博士讨论了突出的问题，并为酒精BI领域的未来工作提出了方向。
This article summarizes the proceedings of a symposium at the 2005 Research Society on Alcoholism, Santa Barbara, California. The purpose of the symposium was to address challenges that arise in translating evidence for efficacy of alcohol brief intervention (BI) into diverse clinical settings and populations by reviewing the literature and describing 4 research studies. Dr. Saitz reviewed the limitations in evidence for efficacy of BIs and then described results of a randomized clinical trial of brief motivational intervention for medical inpatients drinking risky amounts. Dr. Svikis presented alternative methods for identifying pregnant women in prenatal care at risk for alcohol and drug problems (including nicotine and caffeine) and BIs to reduce or eliminate use. Dr. D'Onofrio discussed results of a randomized trial of the brief negotiated interview in emergency department patients. Dr. Kraemer presented results of a decision analytic and computer‐simulation model regarding the cost‐effectiveness of alcohol screening and intervention in primary care settings. Finally, Dr. Perl discussed the salient issues and suggested future directions for work in the area of alcohol BI.