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
Injury Prevention Center at Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903, USA.
Alcohol Clin Exp Res. 2007 Oct;31(10 Suppl):71s-75s. doi: 10.1111/j.1530-0277.2007.00498.x.
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.
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.
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.
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.
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。
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。
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。
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。