A Multisite Randomized Controlled Trial of Brief Intervention to Reduce Drinking in the Trauma Care Setting: How Brief Is Brief?

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dc.contributor.authorCraig Field
dc.contributor.authorScott Walters
dc.contributor.authorC. Nathan Marti
dc.contributor.authorJun, Jina
dc.contributor.authorMichael Foreman
dc.contributor.authorCarlos Brown
dc.date.accessioned2017-01-25T04:10:21Z
dc.date.available2017-01-25T04:10:21Z
dc.date.issued2013-11-20
dc.identifier.issn0003-4932
dc.identifier.urihttp://repository.kihasa.re.kr/handle/201002/25082
dc.description.abstractObjective-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.
dc.format.extent21
dc.languageeng
dc.publisherLippincott Williams & Wilkins
dc.titleA Multisite Randomized Controlled Trial of Brief Intervention to Reduce Drinking in the Trauma Care Setting: How Brief Is Brief?
dc.typeArticle
dc.type.localArticle(Academic)
dc.identifier.apprname학술논문평가
dc.contributor.affiliatedAuthor전진아
dc.citation.titleAnnals of Surgery
dc.citation.volume259
dc.citation.number5
dc.citation.startPage873
dc.citation.endPage880
dc.identifier.bibliographicCitationAnnals of Surgery, vol. 259, no. 5, pp. 873 - 880
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