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首页> 外文期刊>Journal of studies on alcohol >The efficacy of two brief intervention strategies among injured, at-risk drinkers in the emergency department: impact of tailored messaging and brief advice.
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The efficacy of two brief intervention strategies among injured, at-risk drinkers in the emergency department: impact of tailored messaging and brief advice.

机译：急诊科受伤，高危饮酒者的两种简短干预策略的功效：量身定制的消息传递和简要建议的影响。

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OBJECTIVE: This study used a randomized controlled trial design to compare the effectiveness of four interventions at reducing alcohol consumption, consequences, and heavy episodic drinking among injured, at-risk drinkers in the emergency department (ED). METHOD: Injured patients (n=4,476) completed a computerized survey; 575 at- risk drinkers were randomly assigned to one of four intervention conditions: tailored message booklet with brief advice, tailored message booklet only, generic message booklet with brief advice, and generic message booklet only. Regression models using the generalized estimating equation approach were constructed comparing the intervention conditions at baseline, 3-month follow-up, and 12-month follow-up. Gender and age were entered in models along with their interaction. RESULTS: Each of the intervention groups significantly decreased their alcohol consumption from baseline to 12-month follow-up; subjects in the tailored message booklet with brief advice group significantly decreased their average weekly alcohol consumption by 48.5% (p<.0001). Those in the brief advice conditions (tailored or generic) significantly decreased their average consumption during the 12 months of the study compared with the no brief advice conditions. Younger adult women (ages 19-22) who received some brief advice were the most likely to decrease their heavy episodic drinking. CONCLUSIONS: This was the first large-scale, brief intervention trial that included development and testing of computerized, highly tailored interventions with injured drinkers in the ED. ED-based interventions for alcohol problems would benefit from computerized screening, brief advice, and booklets to positively impact risky drinking practices.
机译：目的：本研究使用随机对照试验设计，比较了四种干预措施在急诊科（ED）受伤，高危饮酒者中减少酒精消耗，后果和大量发作性饮酒的有效性。方法：受伤的患者（n = 4,476）完成了计算机调查; 575名高危饮酒者被随机分配到以下四种干预条件之一：量身定制的信息手册和简要建议，仅量身定制的信息手册，普通信息包含简要建议的手册和仅通用信息手册。使用广义估计方程法构建回归模型，比较基线，3个月随访和12个月随访的干预条件。在模型中输入了性别和年龄及其相互作用。结果：每个干预组的饮酒量均从基线降低至12个月随访。量身定制的带有简短建议的信息手册中的受试者，其每周平均饮酒量显着降低了48.5％（p <.0001）。与没有简短建议条件的患者相比，处于简短建议条件（定制或通用）的患者在研究的12个月中平均饮食量明显减少。接受一些简短建议的年轻成年女性（19-22岁）最有可能减少重度饮酒。结论：这是第一例大规模，简短的干预试验，包括急诊部针对受伤饮酒者的计算机化，高度定制化干预措施的开发和测试。基于ED的酒精问题干预措施将从计算机筛查，简要建议和小册子中受益，从而对危险的饮酒习惯产生积极影响。

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