Brief Intervention in the Emergency Department Among Mexican-Origin Young Adults at the US-Mexico Border: Outcomes of a Randomized Controlled Clinical Trial Using Promotores.

Brief Intervention in the Emergency Department Among Mexican-Origin Young Adults at the US-Mexico Border: Outcomes of a Randomized Controlled Clinical Trial Using Promotores.
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对美墨边境墨西哥裔年轻人急诊室的简短干预:使用 Promotores 的随机对照临床试验的结果。

DOI:
10.1093/alcalc/agv084
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发表时间:
2016
期刊:
Alcohol and alcoholism (Oxford, Oxfordshire)
影响因子:
--
通讯作者:
Ramos,Rebeca
Ramos,Rebeca
中科院分区:
--
文献类型:
--
作者:
Cherpitel,CherylJ;Ye,Yu;Bond,Jason;Woolard,Robert;Villalobos,Susana;Bernstein,Judith;Bernstein,Edward;Ramos,Rebeca

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目的:一项随机对照试验,使用同伴健康促进倡导者对饮酒和相关问题进行短暂干预(BI)在18- 30岁的高危和酒精依赖的墨西哥裔年轻成人急诊科(艾德)患者中进行。仅筛查(n= 78)、评估(n= 310)和干预(n= 310)。主要结果是危险饮酒和快速酒精问题筛查(RAPS 4)评分。次要结果是每周饮酒天数,每饮酒日的饮料,在一天中最大的饮料和负面后果drinking.ResultsAt 3-和12个月的后续干预条件显示出显着较低的值或趋势的所有结果变量相比,评估条件,与RAPS 4评分的例外;例如,在评估条件下,3个月时的危险饮酒天数从2.9天降至1.7天,在干预条件下从3.2天降至1.2天。使用控制人口统计学和基线值的随机效应模型,干预条件在12个月时显示所有消费措施均有显著改善,但RAPS 4或饮酒的负面后果没有改善。结果的改善在未受伤的患者中更为明显,那些在事件发生前报告饮酒的患者,和那些风险承担倾向较低的人。ConclusionsAt 12-month follow this study demonstrated significantly improved drinking outcomes for Mexican-origin young adults in the艾德who received a BI delivered by promotorescompared to those who did not.临床试验注册号NCT 02056535.
AimsA randomized controlled trial of brief intervention (BI), for drinking and related problems, using peer health promotion advocates (promotores), was conducted among at-risk and alcohol-dependent Mexican-origin young adult emergency department (ED) patients, aged 18–30.MethodsSix hundred and ninety-eight patients were randomized to: screened only (n= 78), assessed (n= 310) and intervention (n= 310). Primary outcomes were at-risk drinking and Rapid Alcohol Problems Screen (RAPS4) scores. Secondary outcomes were drinking days per week, drinks per drinking day, maximum drinks in a day and negative consequences of drinking.ResultsAt 3- and 12-month follow-up the intervention condition showed significantly lower values or trends on all outcome variables compared to the assessed condition, with the exception of the RAPS4 score; e.g. at-risk drinking days dropped from 2.9 to 1.7 at 3 months for the assessed condition and from 3.2 to 1.2 for the intervention condition. Using random effects modeling controlling for demographics and baseline values, the intervention condition showed significantly greater improvement in all consumption measures at 12 months, but not in the RAPS4 or negative consequences of drinking. Improvements in outcomes were significantly more evident for non-injured patients, those reporting drinking prior to the event, and those lower on risk taking disposition.ConclusionsAt 12-month follow-up this study demonstrated significantly improved drinking outcomes for Mexican-origin young adults in the ED who received a BI delivered bypromotorescompared to those who did not.Trial RegisterClinicalTrials.gov.Clinical Trial Registration NumberNCT02056535.
DOI: 10.5694/j.1326-5377.1991.tb121368.x
发表时间: 1991-06-17
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