The Impact of Screening, Brief Intervention and Referral for Treatment in Emergency Department Patients' Alcohol Use: A 3-, 6-and 12-month Follow-up

被引：80

作者：

Bernstein, Edward ^{[1
]}

Bernstein, Judith ^{[1
]}

Feldman, James ^{[1
]}

Fernandez, William ^{[1
]}

Hagan, Melissa ^{[1
]}

Mitchell, Patricia ^{[1
]}

Safi, Clara ^{[1
]}

Woolard, Robert ^{[2
]}

Mello, Mike ^{[2
]}

Baird, Janette ^{[2
]}

Lee, Cristina ^{[2
]}

Bazargan-Hejazi, Shahrzad

Durham, Brittan A.

Broderick, Kerry ^{[3
]}

LaPerrier, Kathryn A. ^{[3
]}

Kellermann, Arthur ^{[4
]}

Wald, Marlena M. ^{[4
]}

Taylor, Robert E. ^{[5
]}

Walton, Kim ^{[5
]}

Grant-Ervin, Michelle ^{[5
]}

Rollinson, Denise ^{[6
]}

Edwards, David ^{[6
]}

Chan, Theodore ^{[7
]}

Davis, Dan ^{[7
]}

Marshall, Jean Buchanan ^{[7
]}

Aseltine, Robert H., Jr. ^{[8
]}

James, Amy

Schilling, Elizabeth A.

Abu-Hasaballah, Khamis

Harel, Ofer

Yan, Jun

Baumann, Brigitte M. ^{[9
]}

Boudreaux, Edwin D. ^{[9
]}

Maio, Ronald ^{[10
]}

Cunningham, Rebecca ^{[10
]}

Murrell, Teresa ^{[10
]}

Bauer, Michael ^{[11
]}

Doezema, David ^{[11
]}

Anglin, Deirdre ^{[12
]}

Eliassen, Adriana ^{[12
]}

Martin, Marcus ^{[13
]}

Pines, Jesse ^{[13
]}

Buchanan, Leslie ^{[13
]}

Turner, James ^{[13
]}

D'Onofrio, Gail ^{[14
]}

Degutis, Linda C. ^{[14
]}

Owens, Patricia ^{[14
]}

机构：

[1] Boston Univ, Boston, MA 02215 USA

[2] Brown Univ, Providence, RI 02912 USA

[3] Denver Hlth Med Ctr, Denver, CO USA

[4] Emory Univ, Atlanta, GA 30322 USA

[5] Howard Univ, Washington, DC 20059 USA

[6] Tufts Univ, Medford, MA 02155 USA

[7] Univ Calif San Diego, San Diego, CA 92103 USA

[8] Univ Connecticut, Ctr Hlth, Div Behav Sci & Community Hlth, Farmington, CT 06030 USA

[9] Univ Med & Dent New Jersey, Robert Wood Johnson Med Sch Camden, Newark, NJ 07103 USA

[10] Univ Michigan, Ann Arbor, MI 48109 USA

[11] Univ New Mexico, Albuquerque, NM 87131 USA

[12] Univ So Calif, Los Angeles, CA 90089 USA

[13] Univ Virginia, Charlottesville, VA 22903 USA

[14] Yale Univ, New Haven, CT 06520 USA

来源：

ALCOHOL AND ALCOHOLISM | 2010年 / 45卷 / 06期

关键词：

BRIEF MOTIVATIONAL INTERVENTION; HARMFUL DRINKERS; PRIMARY-CARE; EFFICACY; METAANALYSIS; STRATEGIES; REDUCTION; ATTITUDES;

D O I：

10.1093/alcalc/agq058

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：

Aims: This study aims to determine the impact of Screening, Brief Intervention and Referral for Treatment (SBIRT) in reducing alcohol consumption in emergency department (ED) patients at 3, 6, and 12 months following exposure to the intervention. Methods: Patients drinking above the low-risk limits (at-risk to dependence), as defined by National Institute of Alcohol Abuse and Alcoholism (NIAAA), were recruited from 14 sites nationwide from April to August 2004. A quasi-experimental comparison group design included sequential recruitment of intervention and control patients at each site. Control patients received a written handout. The Intervention group received the handout and participated in a brief negotiated interview with direct referral for treatment if indicated. Follow-up surveys were conducted at 3, 6, and 12 months by telephone using an Interactive Voice Response (IVR) system. Results: Of the 1132 eligible patients consented and enrolled (581 control, 551 intervention), 699 (63%), 575 (52%) and 433 (38%) completed follow-up surveys via IVR at 3, 6, and 12 months, respectively. Regression analysis adjusting for the clustered sampling design and using multiple imputation procedures to account for subject attrition revealed that those receiving SBIRT reported roughly three drinks less per week than controls (B = -3.00, SE = 1.06, P < 0.05) and the level of maximum drinks per occasion was approximately three-fourths of a drink less than controls (B = -0.76, SE = 0.29, P < 0.05) at 3 months. At 6 and 12 months post-intervention, these effects had weakened considerably and were no longer statistically or substantively significant. Conclusion: SBIRT delivered by ED providers appears to have short-term effectiveness in reducing at-risk drinking, but multi-contact interventions or booster programs may be necessary to maintain long-term reductions in risky drinking.

引用

页码：514 / 519

页数：6

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