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首页> 外文期刊>Journal of studies on alcohol and drugs. >Results of a Randomized Trial of Screening, Brief Intervention, and Referral to Treatment (SBIRT) to Reduce Alcohol Misuse Among Active-Duty Military Personnel
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Results of a Randomized Trial of Screening, Brief Intervention, and Referral to Treatment (SBIRT) to Reduce Alcohol Misuse Among Active-Duty Military Personnel

机译：随机试验的筛选，简短干预和转诊治疗（SBIRT），以减少有效军事人员之间的酒精滥用

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Objective: Rates of heavy alcohol use among active-duty military personnel in the United States are high and negatively affect individuals within the service branches. This study tested the effectiveness of a military-focused screening, brief intervention, and referral to treatment (SBIRT) intervention for reducing risky alcohol use among active-duty patients. Method: We used a randomized, parallel, two-group design to test the effectiveness of the SBIRT intervention in a convenience sample of service members recruited from the emergency department of a military hospital. A total of 791 participants were randomized to the SBIRT or usual care conditions, and 472 participants (59.7%) completed a 6-month follow-up. Fifteen percent of the sample was female. Self-reported Alcohol Use Disorders Identification Test (AUDIT), controlled drinking self-efficacy (CDSE), and readiness to change drinking behaviors were assessed at baseline and follow-up. Results: Among higher risk participants (i.e., AUDIT >= 8), results of a complete case analysis showed a significant reduction in scores on the AUDIT-C (consumption questions from the AUDIT) and a significant increase in CDSE. Null findings were observed for intent-to-treat analyses testing the effectiveness of the SBIRT intervention; significant decreases in AUDIT and AUDIT-C scores and significant increases in CDSE were observed over time, irrespective of condition assignment for both complete case and intent-to-treat analyses. Conclusions: Results of a complete case analysis provided some support for the effectiveness of the SBIRT intervention for higher risk participants. The results of the more conservative intent-to-treat analyses did not support any of the study hypotheses. Future SBIRT effectiveness trials should also test electronic SBIRT intervention approaches.
机译：目标：美国现役军人酗酒率很高，对军种内的个人产生负面影响。这项研究测试了军事重点筛查、短期干预和转诊治疗（SBIRT）干预对减少现役患者危险饮酒的有效性。方法：我们采用随机、平行、两组设计，从一家军队医院急诊科招募的方便样本中测试SBIRT干预的有效性。共有791名参与者被随机分配到SBIRT或常规护理条件下，472名参与者（59.7%）完成了6个月的随访。15%的样本是女性。在基线检查和随访时，对自我报告的酒精使用障碍识别测试（AUDIT）、控制性饮酒自我效能（CDSE）和改变饮酒行为的准备情况进行评估。结果：在高风险参与者中（即审计>=8），完整案例分析的结果显示审计C（审计中的消费问题）得分显著降低，CDSE显著增加。在意向治疗分析中观察到无效结果，以测试SBIRT干预的有效性；随着时间的推移，无论完整病例分析和意向治疗分析的条件分配如何，观察到AUDIT和AUDIT-C得分显著降低，CDSE显著增加。结论：完整病例分析的结果为高风险参与者SBIRT干预的有效性提供了一些支持。更保守的意向性治疗分析结果不支持任何研究假设。未来的SBIRT有效性试验还应测试电子SBIRT干预方法。

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