Evaluating the effects of a brief motivational intervention for injured drinkers in the Emergency Department
Evaluating the effects of a brief motivational intervention for injured drinkers in the Emergency Department
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DOI：
10.15288/jsa.2001.62.806
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发表时间：
2001-11-01
期刊：
影响因子：
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通讯作者：
Gogineni, A
中科院分区：
文献类型：
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作者：
Longabaugh, R;Woolard, RF;Gogineni, A
目的：本研究的目的是测试是否一个简短的动机干预，有或没有助推器会议，将改善饮酒相关的结果比标准的急诊科（艾德）治疗，方法：研究人群包括539（78%男性）受伤的患者在艾德治疗和出院后到社区。如果受伤患者在AUDIT评分为8分或8分以上和/或在受伤或艾德访视时系统中有酒精，则他们符合入选标准。患者被随机分配到标准治疗（SC）、短期干预（BI）或短期干预加加强治疗（BIB）。在1年的随访中，447名患者（占样本的83%）再次接受了访谈，以测量酒精相关的阴性、伤害和饮酒。接受BIB治疗的患者，而不是BI患者，比SC组更能减少酒精相关的负面后果和酒精相关的损伤。所有三组都减少了他们的大量饮酒的日子，有危险饮酒史的患者对BIB有反应，无论他们在受伤前是否饮酒。结论：总之，这些结果表明，在艾德的短暂干预中加入助推器会话的效果可以帮助有危险或有害饮酒史的受伤患者，无论他们在受伤前是否饮酒。
Objective: The study aim was to test whether a brief motivational intervention, with or without a booster session, would improve drinking-related outcomes more than standard Emergency Department (ED) treatment, Method: The study population consisted of 539 (78% male) injured patients treated in the ED and discharged to the community following their treatment. Injured patients met inclusion criteria if they were assessed as hazardous or harmful drinkers by scoring eight or more on the AUDIT and/or having alcohol in their system at the time of their injury or ED visit. Patients were randomly assigned to either standard care (SC), brief intervention (BI) or brief intervention plus a booster session (BIB). At 1-year follow-up, 447 patients (83% of the sample), were re-interviewed to measure alcohol-related negative, injuries and drinking, Results. Patients receiving BIB, but not BI patients, reduced alcohol-related negative consequences and alcohol-related injuries more than did those in the SC group. All three groups reduced their days of heavy drinking, Patients with histories of hazardous drinking responded to BIB, whether or not they had consumed alcohol prior to their injury. Conclusions: Together, these results indicate that the effects of a booster session that is added to a brief intervention in the ED can be helpful to injured patients with a history of hazardous or harmful drinking, irrespective of whether they have consumed alcohol prior to their injury.