Multidisciplinary Approach to Reduce Injury and Alcohol Use

减少伤害和饮酒的多学科方法

基本信息

批准号：
7679038
负责人：
CRAIG A FIELD
金额：
$ 52.7万
依托单位：
UNIVERSITY OF TEXAS AT AUSTIN
依托单位国家：
美国
项目类别：
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/7679038
关键词：
Address Adult Alcohol abuse Alcohol consumption Alcohol dependence Alcohols Caring Characteristics Classification Client Clinical effectiveness Development Disease Drug Addiction Effectiveness Enrollment Evaluation Frequencies Harm Reduction Health Heavy Drinking Homelessness Impulsivity Injury Intervention Lead Length Medical Motivation Nature Outcome Outcome Measure Participant Patients Population Preparation Randomized Randomized Clinical Trials Randomized Controlled Clinical Trials Readiness Research Risk Behaviors Screening procedure Staging Telephone Time Treatment Effectiveness Treatment outcome alcohol abuse therapy alcohol screening base brief alcohol intervention brief intervention compare effectiveness depression drinking behavior follow-up improved injured interdisciplinary approach interest patient population primary outcome psychosocial recidivism reduced alcohol use research study response risk perception screening, brief intervention, referral, and treatment treatment as usual treatment effect

项目摘要

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）：需要对短期酒精干预对处于不同变化阶段的受伤患者的不同效果进行系统评估。对受伤患者进行了几项短期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）。总的来说，这些研究表明，对受伤患者进行短暂的酒精干预可以有效减少酒精摄入量和相关后果，包括伤害累犯。然而，对受伤患者进行一次简短的干预尚未证明对所有接受酒精相关损伤治疗的患者群体都有效。目前的研究表明，一些受伤患者可能需要加强治疗才能获得积极的治疗结果，而其他患者可能需要转诊接受额外治疗。不同强度干预的需要可能与客户的准备情况或变化阶段有关。该提议假设，加强治疗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，目前提出的研究将扩展目前有关受伤患者短暂干预的研究结果，包括对治疗转诊和减少伤害部分的评估。对于酒精依赖和药物依赖或抑郁症等共病患者以及有无家可归等社会心理问题的患者来说，后续治疗的利用是一个特别重要的结果。先前对受伤患者进行短暂干预的研究排除了患有共病心理社会问题的患者群体，并发现对严重酗酒问题的患者效果有限。因此，研究结果对成年受伤患者的普遍适用性可能有限，并且这种方法在更广泛的受伤患者群体中的有效性仍然未知。通过解决上述关键问题，本研究将巩固和扩展我们目前对各种简短干预策略对受伤患者的效用的理解，并将显着提高当前研究结果的临床有效性和普遍性。