The Effects of a Brief Motivational Intervention for Alcohol Use through Stages of Change among Nontreatment Seeking Injured Patients.
The Effects of a Brief Motivational Intervention for Alcohol Use through Stages of Change among Nontreatment Seeking Injured Patients.
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短暂的动机干预对饮酒的影响通过寻求受伤患者的未治疗阶段的变化阶段。
DOI：
10.1111/acer.14466
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发表时间：
2020-11
期刊：
影响因子：
--
通讯作者：
von Sternberg K
中科院分区：
文献类型：
--
作者：
Field CA;Richards DK;Castro Y;Alonso Cabriales J;Wagler A;von Sternberg K
关于简短干预的变化机制和可能影响它们的患者特征知之甚少。本研究测试了变化的阶段是否介导了BMI的影响，有和没有电话助推器相对于简短的建议（即，多重调解）。此外，本研究测试了BMI条件对变化阶段的影响是否取决于患者的酒精使用严重程度（即，调解）。本研究是一项二次分析，使用来自三个创伤中心的受伤成年患者的数据，这些患者被筛选纳入研究，并随机分配到简短的建议（n = 200），BMI（n = 203）或电话助推器BMI（n = 193）。参与者完成了基线评估和3个月、6个月和12个月的随访评估，其中包括自我报告的变化阶段、酒精使用和酒精相关问题以及其他感兴趣的变量。结果表明，在p <0.05时，BMI与电话助推器在3个月随访时增加了作用，导致6个月和12个月随访时风险饮酒的可能性降低，酒精使用减少，酒精问题减少。然而，适度中介分析表明，BMI条件对变化阶段的影响并不取决于患者的酒精使用严重程度。这项研究有助于了解阶段的变化作为潜在的机制变化的BMI。对今后的研究方向进行了讨论。
Little is known about the mechanisms of change underlying brief interventions and the patient characteristics that may affect them. The present study tested whether the stages of change mediate the effects of a BMI with and without a telephone booster relative to brief advice (i.e., multiple mediation). Further, the present study tested whether the effects of the BMI conditions on the stages of change were contingent on patients’ alcohol use severity (i.e., moderated mediation). The present study is a secondary analysis using data from injured adult patients at three trauma centers who were screened for inclusion in the study and randomly assigned to brief advice (n = 200), BMI (n = 203), or BMI with a telephone booster (n = 193). Participants completed a baseline assessment and 3−, 6−, and 12− month follow-up assessments that included self-report measures of the stages of change, alcohol use, and alcohol-related problems, as well as other variables of interest. The results demonstrated significant and consistent mediation at p < .05 wherein BMI with a telephone booster increased action at 3-month follow-up leading to reduced likelihood of at-risk drinking, less alcohol use, and fewer alcohol problems at both 6- and 12-month follow-up. However, moderated mediation analyses suggested that the effects of the BMI conditions on the stages of change were not contingent on patients’ alcohol use severity. This study contributes to the understanding of stages of change as potential mechanisms of change of BMI. Directions for future research are discussed.
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影响因子：
3.2
作者：
Heather, Nick
通讯作者：
Heather, Nick
DOI：
10.1111/j.1530-0277.2009.00905.x
发表时间：
2009-05-01
影响因子：
3.2
作者：
DiClemente, Carlo C.;Doyle, Suzanne R.;Donovan, Dennis
通讯作者：
Donovan, Dennis
DOI：
10.1097/01.ta.0000174682.13138.a3
发表时间：
2005-09-01
影响因子：
--
作者：
Dunn, C;Ostafin, B
通讯作者：
Ostafin, B
影响因子：
4.2
作者：
Field, Craig A.;Caetano, Raul
通讯作者：
Caetano, Raul
影响因子：
6.2
作者：
D'Onofrio, Gail;Pantalon, Michael V.;O'Connor, Patrick G.
通讯作者：
O'Connor, Patrick G.