Department of Psychology, Georgia State University, Atlanta, GA, 30302, USA.
Institute of Public & Preventive Health, Georgia Regents University, Augusta, GA, 30912, USA.
Qual Life Res. 2018 Sep;27(9):2329-2336. doi: 10.1007/s11136-018-1899-z. Epub 2018 Jun 5.
Screening, brief intervention, and referral to treatment interventions have been shown to positively impact alcohol use. These programs utilize motivational interviewing techniques in an effort to reduce risky substance use among those at elevated risk of developing a disorder. However, there is a dearth of research assessing positive impacts above and beyond changes in alcohol use. This study examines potential benefits of brief interventions, utilizing motivation interviewing, on mental and physical quality of life.
The present quasi-experimental study examined changes in health-related quality of life among individuals presenting at urban emergency departments. The analyses included the use of propensity score matching to minimize potential biases resulting from differences between groups at baseline.
The results indicated that the intervention group experienced significant increases in perceptions of mental health over those of the comparison group, regardless of changes in substance use.
These findings have implications for practice, as they suggest that brief substance abuse interventions delivered in the emergency department settings may have effects beyond those targeted by the intervention. Specifically, brief substance abuse interventions may positively impact mental health, thus enhancing the quality of life among targets of the intervention.
筛查、简短干预和转介治疗干预已被证明对改善酒精使用有积极影响。这些方案利用动机访谈技术，努力减少有发展障碍风险的人群中危险物质的使用。然而，评估除了饮酒变化之外的积极影响的研究很少。本研究探讨了利用动机访谈进行简短干预对心理和身体生活质量的潜在益处。
本准实验研究检查了在城市急诊室就诊的个体的健康相关生活质量的变化。分析包括使用倾向评分匹配来最小化由于基线时组间差异导致的潜在偏差。
结果表明，干预组在心理健康方面的感知显著高于对照组，而不管物质使用的变化如何。
这些发现对实践具有意义，因为它们表明在急诊环境中提供的简短药物滥用干预可能会产生超出干预目标的效果。具体而言，简短的药物滥用干预可能会对心理健康产生积极影响，从而提高干预对象的生活质量。
