Effects of two types of brief intervention and readiness to change on alcohol use in hazardous drinkers.
Effects of two types of brief intervention and readiness to change on alcohol use in hazardous drinkers.
复制标题
两种类型的简短干预和准备改变对危险饮酒者饮酒的影响。
DOI：
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发表时间：
2001
期刊：
影响因子：
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通讯作者：
M. Kelley
中科院分区：
文献类型：
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作者：
S. Maisto;J. Conigliaro;M. McNeil;K. Kraemer;R. Conigliaro;M. Kelley
客观化
在初级保健环境中对危险和低依赖的饮酒者进行短暂干预得到了相当大的经验支持。本研究的目的是(1)评估简短建议(BA)和动机增强(ME)干预对饮酒的影响。此外，后见之明的配对设计被用来(2)研究患者准备改变(饮酒)对饮酒的调节作用。
方法
受试者(N=301，70%为男性)是在12家初级保健诊所之一就诊的21岁或以上的患者。在筛选合格并同意参与研究后，患者完成了基线评估，并被随机分配到BA、ME或标准护理(SC)干预条件下。在基线评估后1个月、3个月、6个月、9个月和12个月完成随访评估。
结果
对第一个假设(这些分析中的n=232)的评估表明，在基线评估和12个月评估之间，所有参与者都倾向于大幅减少饮酒。此外，对第二个假设的评估显示，在预测12个月后饮酒量时，准备改变的准备程度起到了调节作用，因此BA干预对准备改变相对较低的患者似乎比准备较高的患者更有效。改变的意愿似乎与SC或ME条件下参与者饮酒的变化无关。
结论
结果证实，在初级保健患者中，酒精消费可能发生实质性变化。他们进一步建议，对患者改变饮酒准备情况以及其他变量的匹配研究是有根据的。
OBJECTIVE
Brief interventions for hazardous and low-dependent drinkers in the primary care setting have considerable empirical support. The purpose of this study was to (1) evaluate the effects of brief advice (BA) and motivational enhancement (ME) interventions on alcohol consumption. In addition, a hindsight matching design was used to (2) study the moderator effects of patient readiness to change (alcohol use) on alcohol consumption.
METHOD
The subjects (N = 301, 70% men) were patients 21 years of age or older who presented for treatment at one of 12 primary care clinics. After screening for eligibility and providing consent to participate in the study, the patients completed a baseline assessment and were randomly assigned to the BA, ME or standard care (SC) interventions condition. Follow-up assessments were completed at 1-, 3-, 6-, 9- and 12-months postbaseline assessment.
RESULTS
Evaluation of the first hypothesis (n = 232 for these analyses) showed that all participants tended to reduce their alcohol use considerably between the baseline and 12-month assessments. In addition, evaluation of the second hypothesis showed a moderator effect of readiness to change in predicting the number of drinks at 12 months, such that the BA intervention seemed more effective for patients relatively low in readiness to change compared to those higher in readiness. Readiness to change did not seem to be related to changes in drinking of participants in the SC or ME conditions.
CONCLUSIONS
The results confirm that, among primary care patients, substantial changes in alcohol consumption are possible. They further suggest that matching studies of patient readiness to change their alcohol use, as well as other variables, are warranted.
加强对酒精问题的认识：自我关注和规范信息影响的自我调节模型。
DOI：
10.15288/jsa.1999.60.685
发表时间：
1999
期刊：
Journal of studies on alcohol
影响因子：
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作者：
Nye,EC;Agostinelli,G;Smith,JE
通讯作者：
Smith,JE
影响因子：
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作者：
Ockene, JK;Adams, A;Hebert, JR
通讯作者：
Hebert, JR
无家可归妇女的酒精依赖量表和诊断访谈时间表的比较。
DOI：
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发表时间：
1997
期刊：
Alcoholism, clinical and experimental research.
影响因子：
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作者：
Chantarujikapong,SI;Smith,EM;Fox,LW
通讯作者：
Fox,LW