Components of Brief Alcohol Interventions for Youth in the Emergency Department.
Components of Brief Alcohol Interventions for Youth in the Emergency Department.
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针对急诊科青少年的简短酒精干预措施的组成部分。
DOI：
10.1080/08897077.2014.958607
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发表时间：
2015
期刊：
影响因子：
3.5
通讯作者：
Cunningham,RebeccaM
中科院分区：
文献类型：
--
作者：
Walton,MaureenA;Chermack,StephenT;Blow,FredericC;Ehrlich,PeterF;Barry,KristenL;Booth,BrendaM;Cunningham,RebeccaM
由治疗师提供的酒精简短干预（BI）在急诊科（艾德）的未成年饮酒者中是有希望的;然而，缺乏常规艾德护理的整合。利用技术来识别有风险的饮酒者和提供干预措施，可以通过解决实施方面的实际障碍，对公共卫生产生巨大的影响。本文介绍了基线，在BI会话，和posttest数据从一个正在进行的随机对照试验（RCT）的青年在艾德。MethodsPatients（年龄14-20）谁筛选阳性的危险饮酒被随机分配到计算机BI（CBI），治疗师BI（TBI），或控制。测量包括人口统计学、酒精消费（酒精使用障碍识别测试-消费[AUDIT-C]）、过程问题、BI组件（例如，优势，工具），和心理结构（即，结果在4389名被调查的青少年（13.7%拒绝）中，24.0%（n= 1053）的危险饮酒筛查阳性，80.3%（n= 836）参加RCT; 93.7%（n= 783）完成后测。虽然内容相似，但TBI包括一个量身定制的计算机化工作簿来组织会议，而CBI是一个独立的、离线的、Facebook风格的程序。与对照组相比，TBI的“重要性削减”和“准备停止”和CBI的“重要性和可能性削减”在后测时显着增加。与后测结果呈正相关的BI组件包括更好地识别个人优势，保护性行为策略，改变的好处，以及涉及体育的替代活动。与此相反，在TBI期间提供的信息是负相关的结果在posttest.ConclusionsInitial数据表明，治疗师和计算机BI是有前途的，增加减少饮酒的重要性。此外，研究结果为BI的潜在有益成分提供了线索。未来的研究需要确定对减少青少年和新兴成年人危险饮酒行为影响最大的BI成分。
BackgroundAlcohol brief interventions (BIs) delivered by therapists are promising among underage drinkers in the emergency department (ED); however, integration into routine ED care is lacking. Harnessing technology for identification of at-risk drinkers and delivery of interventions could have tremendous public health impact by addressing practical barriers to implementation. The paper presents baseline, within BI session, and posttest data from an ongoing randomized controlled trial (RCT) of youth in the ED.MethodsPatients (ages 14–20) who screened positive for risky drinking were randomized to computer BI (CBI), therapist BI (TBI), or control. Measures included demographics, alcohol consumption (Alcohol Use Disorders Identification Test—Consumption [AUDIT-C]), process questions, BI components (e.g., strengths, tools), and psychological constructs (i.e., importance of cutting down, likelihood of cutting down, readiness to stop, and wanting help).ResultsAmong 4389 youth surveyed (13.7% refused), 24.0% (n= 1053) screened positive for risky drinking and 80.3% (n= 836) were enrolled in the RCT; 93.7% (n= 783) completed the posttest. Although similar in content, the TBI included a tailored, computerized workbook to structure the session, whereas the CBI was a stand-alone, offline, Facebook-styled program. As compared with controls, significant increases were found at posttest for the TBI in “importance to cut down” and “readiness to stop” and for the CBI in “importance and likelihood to cut down.” BI components positively associated with outcomes at posttest included greater identification of personal strengths, protective behavioral strategies, benefits of change, and alternative activities involving sports. In contrast, providing information during the TBI was negatively related to outcomes at posttest.ConclusionsInitial data suggest that therapist and computer BIs are promising, increasing perceived importance of reducing drinking. In addition, findings provide clues to potentially beneficial components of BIs. Future studies are needed to identify BI components that have the greatest influence on reducing risky drinking behaviors among adolescents and emerging adults.