An early evaluation of implementation of brief intervention for unhealthy alcohol use in the US Veterans Health Administration.
An early evaluation of implementation of brief intervention for unhealthy alcohol use in the US Veterans Health Administration.
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对美国退伍军人健康管理局对不健康饮酒的短期干预实施的早期评估。
DOI：
10.1111/add.12600
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Bradley,KatharineA
中科院分区：
文献类型：
--
作者：
Williams,EmilyC;Rubinsky,AnnaD;Chavez,LauraJ;Lapham,GwenT;Rittmueller,StaceyE;Achtmeyer,CarolE;Bradley,KatharineA
美国退伍军人健康管理局[退伍军人事务部（VA）]使用性能指标和电子临床提醒，以实施不健康的酒精使用的简短干预。我们评估了记录在案的简短干预是否与早期实施过程中饮酒的后续变化相关。使用次要临床和管理数据的回顾性队列研究。设置30个VA设施。不健康酒精使用筛查阳性的门诊患者[酒精使用障碍识别测试消费（AUDIT-C ≥ 5）]在短暂干预后6个月的性能指标（n= 22 214）并在9-15个月后进行随访筛选（n= 6210; 28%）。测量多水平逻辑回归估计了不健康饮酒解决的调整后患病率（随访AUDIT‐C <5，降低≥2分），对于有和无记录的短暂干预的患者（记录的建议，以减少或戒酒）。结果在6210例随访酒精筛查，1751人（28%）进行了短暂的干预，2922人（47%）在随访时解决了不健康的酒精使用问题。有记录的短暂干预的患者年龄较大，更有可能患有其他物质使用障碍，心理健康状况，健康状况不佳，比没有的患者更严重的不健康酒精使用（P值< 0.05）。校正后的缓解发生率分别为47% [95%置信区间（CI）= 42-52%]和48%（95% CI = 42-54%），分别针对有记录的短暂干预和无记录的短暂干预的患者（P= 0.50）结论在美国退伍军人健康管理局实施短期干预的早期，记录在案的短暂干预与不健康饮酒和重复酒精筛查的门诊患者随后的饮酒变化无关。
AimsThe US Veterans Health Administration [Veterans Affairs (VA)] used performance measures and electronic clinical reminders to implement brief intervention for unhealthy alcohol use. We evaluated whether documented brief intervention was associated with subsequent changes in drinking during early implementation.DesignObservational, retrospective cohort study using secondary clinical and administrative data.SettingThirty VA facilities.ParticipantsOutpatients who screened positive for unhealthy alcohol use [Alcohol Use Disorders Identification Test Consumption (AUDIT‐C ≥ 5)] in the 6 months after the brief intervention performance measure (n= 22 214) and had follow‐up screening 9–15 months later (n= 6210; 28%).MeasurementsMulti‐level logistic regression estimated the adjusted prevalence of resolution of unhealthy alcohol use (follow‐up AUDIT‐C <5 with ≥2 point reduction) for patients with and without documented brief intervention (documented advice to reduce or abstain from drinking).FindingsAmong 6210 patients with follow‐up alcohol screening, 1751 (28%) had brief intervention and 2922 (47%) resolved unhealthy alcohol use at follow‐up. Patients with documented brief intervention were older and more likely to have other substance use disorders, mental health conditions, poor health and more severe unhealthy alcohol use than those without (P‐values < 0.05). Adjusted prevalences of resolution were 47% [95% confidence interval (CI) = 42–52%] and 48% (95% CI = 42–54%) for patients with and without documented brief intervention, respectively (P= 0.50).ConclusionsDuring early implementation of brief intervention in the US Veterans Health Administration, documented brief intervention was not associated with subsequent changes in drinking among outpatients with unhealthy alcohol use and repeat alcohol screening.
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酒精中毒的自发缓解——一项社区研究。
DOI：
10.1111/j.1360-0443.1979.tb01346.x
发表时间：
1979
期刊：
The British journal of addiction to alcohol and other drugs
影响因子：
--
作者：
W. Saunders;P. Kershaw
通讯作者：
P. Kershaw
影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
影响初级保健医生使用酒精滥用预防干预措施变化的患者因素。
DOI：
10.15288/jsa.1996.57.203
发表时间：
1996
期刊：
Journal of studies on alcohol
影响因子：
--
作者：
Volk,RJ;Steinbauer,JR;Cantor,SB
通讯作者：
Cantor,SB
影响因子：
3.4
作者：
Kleinman, Lawrence C.;Norton, Edward C.
通讯作者：
Norton, Edward C.
使用电子临床提醒进行简短的酒精咨询与后续筛查中不健康饮酒问题的解决相关
影响因子：
5.7
作者：
E. Williams;Gwen Lapham;C. Achtmeyer;B. Volpp;D. Kivlahan;K. Bradley
通讯作者：
K. Bradley