A multisite randomized controlled trial of brief intervention to reduce drinking in the trauma care setting: how brief is brief?
A multisite randomized controlled trial of brief intervention to reduce drinking in the trauma care setting: how brief is brief?
复制标题
DOI：
10.1097/sla.0000000000000339
复制
发表时间：
2014-05
影响因子：
9
通讯作者：
Brown C
中科院分区：
文献类型：
--
作者：
Field C;Walters S;Marti CN;Jun J;Foreman M;Brown C
Determine the efficacy of three brief intervention strategies that address heavy drinking among injured patients. The content or structure of brief interventions most effective at reducing alcohol misuse following traumatic injury is not known. Injured patients from three trauma centers were screened for heavy drinking and randomly assigned to brief advice or BA (n=200), brief motivational intervention or BMI (n=203), or brief motivational intervention plus a telephone booster using personalized feedback or BMI+B (n=193). Among those randomly assigned, 57% met criteria for moderate to severe alcohol problems. The primary drinking outcomes were assessed at 3, 6, and 12 months. Compared with BA and BMI, BMI+B showed significant reductions in the number of standard drinks consumed per week at 3 (Δ adjusted means=-1.22, 95% C.I.=-.99 ∼ -1.49, p=.01) and 6 months (Δ adjusted means=-1.42, 95% C.I.=-1.14 ∼ -1.76, p=.02), percent days of heavy drinking at 6 months (Δ adjusted means=-5.90, 95% C.I.=-11.40 ∼ -0.40, p=.04), maximum number of standard drinks consumed in one day at 3 (Δ adjusted means=-1.38, 95% C.I.=-1.18 ∼ -1.62, p=.003) and 12 months (Δ adjusted means=-1.71, 95% C.I.=-1.47 ∼ -1.99, p=.02), and number of standard drinks consumed per drinking day at 3 (Δ adjusted means=-1.49, 95% C.I.=-1.35∼-1.65, p=.002) and 6 months (Δ adjusted means=-1.28,, 95% C.I.=-1.17 ∼ -1.40, p=.01). Brief interventions based on motivational interviewing with a telephone booster using personalized feedback were most effective at achieving reductions in alcohol intake across the three trauma centers.
