Center for Trauma and Injury Prevention Research, Department of Emergency Medicine, University of California, Irvine, School of Medicine, Orange, California, USA.
Subst Abus. 2011 Jul;32(3):144-52. doi: 10.1080/08897077.2011.562743.
The goal of this observational study was to measure change in alcohol consumption at 6 months following emergency department computerized alcohol screening brief intervention (CASI) and referral to treatment (ED-SBIRT) with integrated brief negotiated interview (BNI) and computer-generated personal alcohol reduction plans. At-risk patients received a BNI by CASI, including personalized feedback, assessment of readiness to change, reasons for cutting down, goal setting, and a printed personal alcohol reduction plan. Alcohol use was assessed by telephone interview 6 months after CASI. Factors associated with lower alcohol consumption were examined. Of the 385 participants who completed the BNI, were consented, and enrolled, 221 subjects completed the 6-month follow-up interview. Forty-seven percent of the study sample of at-risk patients were no longer drinking over the National Institute on Alcohol Abuse and Alcoholism (NIAAA)-recommended limits. Reductions were greater for patients with Alcohol Use Disorders Identification Test (AUDIT) scores of 1 to 7. Readiness to change was a good predictor of drinking below the recommended limits. The use of computerized ED-SBIRT with integrated personalized messaging and BNI holds promise as a viable screening and intervention modality for a wide range of emergency department patients.
这项观察性研究的目的是测量在接受急诊计算机酒精筛查简短干预（CASI）和转介治疗（ED-SBIRT）后 6 个月内的酒精消费变化，该治疗结合了简短协商性访谈（BNI）和计算机生成的个人酒精减少计划。风险患者通过 CASI 接受 BNI，包括个性化反馈、改变意愿评估、减少饮酒的原因、目标设定和打印个人酒精减少计划。在 CASI 后 6 个月通过电话访谈评估酒精使用情况。检查了与较低酒精消耗相关的因素。在完成 BNI、同意并入组的 385 名参与者中，有 221 名完成了 6 个月的随访访谈。在有风险的患者中，有 47%的研究样本不再饮用超过国家酒精滥用和酒精中毒研究所（NIAAA）推荐的限量。对于酒精使用障碍识别测试（AUDIT）得分为 1 到 7 的患者，减少幅度更大。改变意愿是饮酒低于推荐限量的良好预测指标。使用计算机化的 ED-SBIRT 结合个性化信息传递和 BNI 有望成为一种可行的筛查和干预模式，适用于广泛的急诊患者。
