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本文引用的文献

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Do patient intervention ratings predict alcohol-related consequences?患者干预评分能否预测与酒精相关的后果?
Addict Behav. 2007 Dec;32(12):3136-41. doi: 10.1016/j.addbeh.2007.07.011. Epub 2007 Aug 3.
2
Brief motivational interventions: an introduction.简短动机干预:引言
J Trauma. 2005 Sep;59(3 Suppl):S21-6. doi: 10.1097/01.ta.0000179899.37332.8a.
3
Development and implementation of an emergency practitioner-performed brief intervention for hazardous and harmful drinkers in the emergency department.急诊科针对危险和有害饮酒者开展并实施由急诊医生进行的简短干预措施。
Acad Emerg Med. 2005 Mar;12(3):249-56. doi: 10.1197/j.aem.2004.10.021.
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Screening and referral for brief intervention of alcohol-misusing patients in an emergency department: a pragmatic randomised controlled trial.急诊科酒精滥用患者简短干预的筛查与转诊:一项实用随机对照试验
Lancet. 2004;364(9442):1334-9. doi: 10.1016/S0140-6736(04)17190-0.
5
US emergency department visits for alcohol-related diseases and injuries between 1992 and 2000.1992年至2000年间美国急诊科因酒精相关疾病和损伤的就诊情况。
Arch Intern Med. 2004 Mar 8;164(5):531-7. doi: 10.1001/archinte.164.5.531.
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The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials.动机性访谈的疗效:对照临床试验的荟萃分析。
J Consult Clin Psychol. 2003 Oct;71(5):843-61. doi: 10.1037/0022-006X.71.5.843.
7
Brief interventions for alcohol problems: a meta-analytic review of controlled investigations in treatment-seeking and non-treatment-seeking populations.针对酒精问题的简短干预措施:对寻求治疗和未寻求治疗人群的对照研究的荟萃分析综述
Addiction. 2002 Mar;97(3):279-92. doi: 10.1046/j.1360-0443.2002.00018.x.
8
Evaluating the effects of a brief motivational intervention for injured drinkers in the emergency department.评估急诊科针对受伤饮酒者的简短动机干预措施的效果。
J Stud Alcohol. 2001 Nov;62(6):806-16. doi: 10.15288/jsa.2001.62.806.
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Interventions for preventing injuries in problem drinkers.针对问题饮酒者预防伤害的干预措施。
Cochrane Database Syst Rev. 2000(2):CD001857. doi: 10.1002/14651858.CD001857.
10
Screening for alcohol problems in the U.S. general population: a comparison of the CAGE and TWEAK by gender, ethnicity, and services utilization.美国普通人群酒精问题筛查:按性别、种族和服务利用情况对CAGE和TWEAK进行比较。
J Stud Alcohol. 1999 Sep;60(5):705-11. doi: 10.15288/jsa.1999.60.705.

急诊科简短动机性干预中的治疗完成情况:多种干预措施及治疗师行为的影响

Treatment completion in a brief motivational intervention in the emergency department: the effect of multiple interventions and therapists' behavior.

作者信息

Baird Janette, Longabaugh Richard, Lee Christina S, Nirenberg Ted D, Woolard Robert, Mello Michael J, Becker Bruce, Carty Kathleen, Allison Minugh P, Stein Lynda, Clifford Patrick R, Gogineni Aruna

机构信息

Injury Prevention Center at Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903, USA.

出版信息

Alcohol Clin Exp Res. 2007 Oct;31(10 Suppl):71s-75s. doi: 10.1111/j.1530-0277.2007.00498.x.

DOI:10.1111/j.1530-0277.2007.00498.x
PMID:17880351
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2728218/
Abstract

BACKGROUND

The aim of this study was to identify therapist behaviors during a brief motivational intervention (BMI) given to injured emergency department patients that predicted participant return for a second BMI session and 12-month alcohol-related outcomes.

METHOD

This was a secondary data analysis of a randomized controlled trial (n = 539) previously demonstrating that random assignment to a BMI and booster session resulted in a significant reduction of 12-month post-intervention alcohol-related injuries and negative consequences relative to standard care.

RESULTS

Participants who actually received 2 BMI sessions had significantly less alcohol-related negative consequences than those who received only 1 BMI session. Therapists who reported a higher focus on emotional support and low focus on participant drinking behaviors during the initial BMI session were more likely to have assigned participants return for the second BMI session.

CONCLUSION

The results of these secondary analyses show that compliance with a 2-session therapeutic intervention (BIB) predicted fewer negative alcohol-related consequences, and that therapists' supportive emotional emphasis during the first BMI session was important in predicting participants returning for the second MI session.

摘要

背景

本研究的目的是确定在对急诊科受伤患者进行简短动机干预(BMI)期间治疗师的行为,这些行为可预测参与者是否会返回接受第二次BMI治疗以及12个月与酒精相关的结果。

方法

这是一项对随机对照试验(n = 539)的二次数据分析,该试验先前表明,相对于标准护理,随机分配接受BMI和强化治疗可显著减少干预后12个月与酒精相关的伤害和负面后果。

结果

实际接受2次BMI治疗的参与者与酒精相关的负面后果明显少于仅接受1次BMI治疗的参与者。在初始BMI治疗期间报告更关注情感支持且较少关注参与者饮酒行为的治疗师,更有可能安排参与者返回接受第二次BMI治疗。

结论

这些二次分析的结果表明,遵循两阶段治疗干预(BIB)可预测与酒精相关的负面后果减少,并且治疗师在首次BMI治疗期间对情感支持的强调对于预测参与者返回接受第二次MI治疗很重要。