A Multisite Randomized Controlled Trial of Brief Intervention to Reduce Drinking in the Trauma Care Setting: How Brief Is Brief?
제목
A Multisite Randomized Controlled Trial of Brief Intervention to Reduce Drinking in the Trauma Care Setting: How Brief Is Brief?
저자
Craig Field
; Scott Walters
; C. Nathan Marti
; Jun, Jina
; Michael Foreman
; Carlos Brown
발행연도
2013-11-20
발행기관
Lippincott Williams & Wilkins
인용정보
Annals of Surgery, vol. 259, no. 5, pp. 873 - 880
초록
Objective-Determine the efficacy of three brief intervention strategies that address heavy drinking among injured patients. Summary of Background Data-The content or structure of brief interventions most effective at reducing alcohol misuse following traumatic injury is not known. Methods-Injured patients from three trauma centers were screened for heavy drinking and randomly assigned to brief advice or BA (n=200), brief motivational intervention or BMI (n=203), or brief motivational intervention plus a telephone booster using personalized feedback or BMI+B (n=193). Among those randomly assigned, 57% met criteria for moderate to severe alcohol problems. The primary drinking outcomes were assessed at 3, 6, and 12 months. Results-Compared with BA and BMI, BMI+B showed significant reductions in the number of standard drinks consumed per week at 3 (Δ adjusted means=-1.22, 95% C.I.=-.99 ∼ -1.49, p=.01) and 6 months (Δ adjusted means=-1.42, 95% C.I.=-1.14 ∼ -1.76, p=.02), percent days of heavy drinking at 6 months (Δ adjusted means=-5.90, 95% C.I.=-11.40 ∼ -0.40, p=.04), maximum number of standard drinks consumed in one day at 3 (Δ adjusted means=-1.38, 95% C.I.=-1.18 ∼ -1.62, p=.003) and 12 months (Δ adjusted means=-1.71, 95% C.I.=-1.47 ∼ -1.99, p=.02), and number of standard drinks consumed per drinking day at 3 (Δ adjusted means=-1.49, 95% C.I.=-1.35∼-1.65, p=.002) and 6 months (Δ adjusted means=-1.28,, 95% C.I.=-1.17 ∼ -1.40, p=.01). Conclusion-Brief interventions based on motivational interviewing with a telephone booster using personalized feedback were most effective at achieving reductions in alcohol intake across the three trauma centers.
