Nilsen Per, Festin Karin, Guldbrandsson Karin, Carlfjord Siw, Holmqvist Marika, Bendtsen Preben
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine, SE-581 83 Linköping, Sweden.
Int Emerg Nurs. 2009 Apr;17(2):113-21. doi: 10.1016/j.ienj.2008.11.006. Epub 2009 Jan 20.
There is a growing body of evidence for computer-generated advice for many health behaviours. This study evaluated the implementation of a computerized concept to provide tailored advice on alcohol in a Swedish emergency department (ED).
The aim was to evaluate the usage of the concept over 12 months: participation rate among the ED population; representativeness of the participants; and participation development over time.
The target population was defined as all patients aged 18-69 years given a card from ED triage staff with a request to conduct a computerized test about their alcohol use. After completing the 5-10-min programme, the patient received a printout, containing personalised alcohol habit feedback, as calculated by the computer from the patient's answers. Data for this study were primarily obtained from the computer programme and ED logs.
Forty-one percent of the target population completed the computerized test and received tailored alcohol advice. The number of patients who used the concept showed a slight decreasing trend during the first half of the year, leveling off for the second half of the year.
A computerized concept for provision of alcohol advice can be implemented in an ED without unrealistic demands on staff and with limited external support to attain sustainability.
越来越多的证据表明计算机生成的建议适用于多种健康行为。本研究评估了一种计算机化概念在瑞典急诊科（ED）提供个性化酒精使用建议方面的实施情况。
目的是评估该概念在12个月内的使用情况：急诊科人群的参与率；参与者的代表性；以及随时间的参与度发展。
目标人群定义为所有年龄在18 - 69岁之间、从急诊科分诊人员处拿到卡片并被要求进行关于其酒精使用情况的计算机化测试的患者。完成5 - 10分钟的程序后，患者会收到一份打印件，其中包含计算机根据患者答案计算得出的个性化饮酒习惯反馈。本研究的数据主要从计算机程序和急诊科日志中获取。
41%的目标人群完成了计算机化测试并收到了个性化酒精使用建议。使用该概念的患者数量在上半年呈轻微下降趋势，下半年趋于平稳。
在急诊科可以实施一种提供酒精使用建议的计算机化概念，对工作人员没有不切实际的要求，且在外部支持有限的情况下也能实现可持续性。
