Multidisciplinary Approach to Reduce Injury and Alcoho

减少伤害和酒精的多学科方法

• 批准号: 7147743
• 负责人: CRAIG A FIELD
• 金额: $ 52.02万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-30 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7147743
• 关键词: alcoholic beverage consumption; alcoholism /alcohol abuse therapy; clinical research; early /brief intervention /therapy; health care service utilization; high risk behavior /lifestyle; human subject; human therapy evaluation; impulsive behavior; injury; longitudinal human study; motivation; patient oriented research; substance abuse related behavior

DESCRIPTION (provided by applicant): A systematic evaluation of the differential effectiveness of brief alcohol interventions with injured patients at various stages of change is needed. Several randomized trials of brief alcohol interventions have been conducted with injured patients (Bazargan-Hejazi et al, 2005; Gentilello et al.,1999; Longabaugh et al., 2001; Monti et al.,1999, Mello et al, 2005). In general, these studies demonstrate that brief alcohol interventions with injured patients may effectively reduce alcohol intake and related consequences, including injury recidivism. However, a single brief intervention with injured patients has not proven effective with all patient populations presenting for treatment of an alcohol related injury. As suggested by current research, some injured patients may need a booster session to achieve positive treatment outcomes and others may require referral for additional treatment. The need for intervention at different levels of intensity may be associated with the client's readiness or stage of change. This proposal hypothesizes that the necessity of a booster session is dependent upon the patient's motivation to change their drinking behavior at the time they present for treatment of an alcohol related injury. Further, the currently proposed study will extend current findings regarding brief intervention with injured patients to include an evaluation of the treatment referral and harm reduction components. Subsequent treatment utilization is a particularly important outcome of interest among patients with alcohol dependence and comorbid disorders including drug dependence or depression as well as those with psychosocial problems such as homelessness. Prior studies of brief intervention with injured patients have excluded patient groups with comorbid psychosocial problems and found limited effectiveness among patients with severe alcohol problems. As a result, the generalizibility of findings to adult injured patients may be limited and the effectiveness of this approach in the broader population of injured patients remains unknown. By addressing the key issues described above, this study will consolidate and expand our current understanding regarding the utility of various brief intervention strategies with injured patients and will significantly enhance the clinical effectiveness and generalizability of current findings.

描述(由申请人提供)：需要对处于不同变化阶段的受伤患者进行短暂酒精干预的不同效果进行系统评估。对受伤患者进行了几项简短酒精干预的随机试验(Bazargan-Hejazi等人，2005年；Gentilello等人，1999年；Longabaugh等人，2001年；Monti等人，1999年，Mello等人，2005年)。总体而言，这些研究表明，对受伤患者进行短暂的酒精干预可能有效地减少酒精摄入量和相关后果，包括伤害复发。然而，对受伤患者进行单一的短暂干预并不能证明对所有接受酒精相关损伤治疗的患者有效。目前的研究表明，一些受伤患者可能需要加强治疗才能取得积极的治疗结果，而其他患者可能需要转诊进行额外治疗。对不同强度干预的需要可能与客户的准备程度或变化阶段有关。这项建议假设，增强疗程的必要性取决于患者在接受酒精相关损伤治疗时改变饮酒行为的动机。此外，目前拟议的研究将扩展目前关于对受伤患者进行短暂干预的研究结果，以包括对治疗转诊和减少伤害部分的评估。在酒精依赖和包括药物依赖或抑郁在内的共病以及无家可归等心理社会问题患者中，后续治疗利用是一个特别重要的结果。以前对受伤患者进行短暂干预的研究排除了合并心理社会问题的患者组，并发现在有严重酒精问题的患者中效果有限。因此，对成年受伤患者的研究结果的普适性可能是有限的，这种方法在更广泛的受伤患者群体中的有效性仍不清楚。通过解决上述关键问题，这项研究将巩固和扩大我们目前对各种简短干预策略在受伤患者中的应用的理解，并将显著提高当前发现的临床有效性和普适性。