Screening and concurrent brief intervention of conjoint hazardous or harmful alcohol and tobacco use in hospital out-patients in Thailand: a randomized controlled trial

被引：13

作者：

Pengpid, Supa ^{[1
,2
]}

Peltzer, Karl ^{[1
,2
,3
]}

Puckpinyo, Apa ^{[1
]}

Viripiromgool, Somchai ^{[1
]}

Thamma-Aphiphol, Kriengsak ^{[1
]}

Suthisukhon, Kawinarat ^{[1
]}

Dumee, Dussanee ^{[1
]}

Kongtapan, Thiprada ^{[1
]}

机构：

[1] Mahidol Univ, ASEAN Inst Hlth Dev, Salaya Phutthamonthon, Nakhonpathom, Thailand

[2] Univ Limpopo, Turfloop, South Africa

[3] Human Sci Res Council, HIV AIDS STIs & TB HAST, Pretoria, South Africa

来源：

SUBSTANCE ABUSE TREATMENT PREVENTION AND POLICY | 2015年 / 10卷

关键词：

Conjoint alcohol and tobacco use; Brief intervention; Moderate risk; Tobacco use alcohol use; Hospital out-patients; Thailand; PRIMARY-HEALTH-CARE; TEST ASSIST; SMOKING INTERVENTION; TIMELINE FOLLOWBACK; NICOTINE DEPENDENCE; DRINKING; SMOKERS; DRINKERS; EFFICACY; CONSUMPTION;

D O I：

10.1186/s13011-015-0018-1

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

Background: The aim of this study was to conduct a cluster randomized control trial to assess the efficacy of screening and brief intervention (SBI) for conjoint alcohol and tobacco use among hospital out-patients. Method: In all 620 hospital out-patients who screened positive for both tobacco and alcohol moderate risk in four hospitals were randomized into 2 control and 1 intervention condition using the hospital as a unit of randomization (2 intervention and 2 control hospitals) to 405 patients in the two control groups (tobacco only intervention, n = 199, and alcohol only intervention, n = 206) and 215 in the intervention group. The intervention or control consisted of three counselling sessions. Results: Results of the interaction (Group x Time) effects using GEE indicated that there were statistically significant differences between the three study groups over the 6-month follow-up on the ASSIST tobacco score (Wald chi(2) = 8.43, P = 0.004), and past week tobacco use abstinence (Wald chi(2) = 7.34, P = 0.007). Although there were no significant interaction effects on the other outcomes (Alcohol ASSIST score, low alcohol risk score, past week tobacco abstinence or low alcohol risk score, and past week tobacco abstinence and low alcohol risk score), the scores in all of the six outcome measures showed consistent improvements. For past week tobacco abstinence the tobacco only intervention was more effective than the alcohol only intervention and the integrated alcohol and tobacco intervention. For the outcome of low alcohol risk, the alcohol only intervention and the integrated alcohol and tobacco intervention was more effective than the tobacco only or alcohol only intervention. Conclusions: The study found that for past week tobacco abstinence the tobacco only intervention was more effective than the alcohol only intervention and the polydrug use (alcohol and tobacco) integrated intervention.

引用

页数：10

共 51 条

[1] Tobacco and hazardous or harmful alcohol use in Thailand: Joint prevalence and associations with socioeconomic factors [J].