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针对伊拉克和阿富汗战争退伍军人的个性化饮酒反馈干预:一项随机对照试验。

Personalized drinking feedback intervention for veterans of the wars in Iraq and Afghanistan: a randomized controlled trial.

作者信息

Martens Matthew P, Cadigan Jennifer M, Rogers Randall E, Osborn Zachary H

机构信息

Department of Educational, School, and Counseling Psychology, University of Missouri, Columbia, Missouri.

Harry S. Truman Memorial Veterans' Hospital, Columbia, Missouri.

出版信息

J Stud Alcohol Drugs. 2015 May;76(3):355-9. doi: 10.15288/jsad.2015.76.355.

Abstract

OBJECTIVE

Research has shown that U.S. military veterans are at risk relative to the general adult population for excessive alcohol consumption, and veterans of the wars in Afghanistan and Iraq (Operation Enduring Freedom [OEF], Operation Iraqi Freedom [OIF], and Operation New Dawn [OND]) particularly so. The purpose of this study was to examine the efficacy of a brief personalized drinking feedback intervention tailored for veterans.

METHOD

All veterans who presented to the OEF/OIF/OND Seamless Transition Clinic at the Harry S. Truman Memorial Veterans' Hospital (Columbia, MO) were eligible to participate. Participants were 325 veterans (93% male; 82% White, 75% Army, M(age) = 32.20 years) who were randomly assigned to one of two conditions: personalized drinking feedback (PDF) or educational information (EDU). Those in the PDF condition received personalized information about their alcohol use, including social norms comparisons, risks associated with reported drinking levels, and a summary of their alcohol-related problems. Follow-up assessments were completed at 1 and 6 months after intervention (response rates = 93% and 86%, respectively).

RESULTS

Results indicated a significant (p < .05) Omnibus Group × Time effect for estimated peak blood alcohol concentration, although tests of simple main effects did not indicate between-group differences at the individual follow-up points. Among baseline abstainers, those in the PDF condition were more likely than those in the EDU condition to remain an abstainer at 6-month follow-up (p < .05).

CONCLUSIONS

These findings provide preliminary support for the efficacy of a brief, inexpensive alcohol prevention/intervention for young adult military veterans.

摘要

目的

研究表明,与普通成年人群相比,美国退伍军人存在过度饮酒的风险,阿富汗和伊拉克战争(持久自由行动[OEF]、伊拉克自由行动[OIF]和新黎明行动[OND])的退伍军人尤其如此。本研究的目的是检验一种为退伍军人量身定制的简短个性化饮酒反馈干预措施的效果。

方法

所有前往哈里·S·杜鲁门纪念退伍军人医院(密苏里州哥伦比亚)的OEF/OIF/OND无缝过渡诊所的退伍军人都有资格参与。参与者为325名退伍军人(93%为男性;82%为白人,75%为陆军,年龄中位数 = 32.20岁),他们被随机分配到两种情况之一:个性化饮酒反馈(PDF)或教育信息(EDU)。处于PDF情况的人收到了关于他们饮酒情况的个性化信息,包括社会规范比较、与报告饮酒水平相关的风险以及他们与酒精相关问题的总结。在干预后1个月和6个月完成随访评估(回复率分别为93%和86%)。

结果

结果表明,估计的血液酒精浓度峰值存在显著的(p < .05)综合组×时间效应,尽管简单主效应检验并未表明在各个随访点存在组间差异。在基线戒酒者中,处于PDF情况的人在6个月随访时比处于EDU情况的人更有可能保持戒酒状态(p < .05)。

结论

这些发现为针对年轻成年退伍军人的简短、低成本酒精预防/干预措施的效果提供了初步支持。

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