在急诊科进行的简短动机干预中,年轻人的改变谈话与一年内大量饮酒的减少有关。

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Psychology of Addictive Behaviors Pub Date : 2024-05-01 Epub Date: 2024-03-28 DOI:10.1037/adb0001000
Stéphanie Blanc, Joseph Studer, Molly Magill, Jim McCambridge, Nicolas Bertholet, Olivier Hugli, Jean-Bernard Daeppen, Jacques Gaume
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引用次数: 0

摘要

目的:调查连续简短动机干预中的改变谈话(CT)作为酒精使用改变机制的效果:调查连续简短动机干预(BMI)中的改变谈话(CT)作为改变酒精使用机制的效果:我们对一项随机对照试验的数据进行了二次分析,在该试验中,瑞士急诊科收治的 344 名酒精中毒的年轻人(18-35 岁)接受了 BMI(171 人)或简短建议(173 人)。其中包括有基线 BMI 录音的参与者(人数 = 140;年龄中位数为 23 [Q1-Q3: 20-27],72.9% 为男性)。在 1 周、1 个月和 3 个月时通过电话提供了多达三次加强训练。CT 百分比和 CT 平均强度被用作预测变量。结果是在 1 个月、3 个月、6 个月和 12 个月的随访中进行研究评估前 30 天内的大量饮酒天数 (HDD)。首先使用潜伏生长曲线建模框架来估计预测变量和结果变量随时间变化的生长参数(即截距和斜率),然后将 HDD 生长参数与 CT 生长参数进行回归:从基线到为期一周的强化训练期间,CT 有着明显的增长,此后保持稳定。基线 CT 越高,1 个月后 HDD 越低(CT 百分比:b = -0.04,95% 置信区间 [-0.06, -0.01];平均强度:b = -0.99 [-1.67, -0.31])。从基线到 1 周强化训练期间 CT 的增加与 1 个月到 12 个月期间 HDD 的减少有关(CT 百分比:b = -0.08 [-0.14, -0.03];平均强度:b = -2.29 [-3.52, -1.07]):结论:基线 CT 和第一周的 CT 轨迹都能有效预测 HDD。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Young adults' change talk within brief motivational intervention in the emergency department and booster sessions is associated with a decrease in heavy drinking over 1 year.

Objective: Investigate the effect of change talk (CT) within successive brief motivational interventions (BMIs) as a mechanism of change for alcohol use.

Method: We conducted a secondary analysis of data from a randomized controlled trial in which 344 young adults (18-35 years old) admitted to a Swiss emergency department with alcohol intoxication received either BMI (N = 171) or brief advice (N = 173). Participants with a baseline audio-recorded BMI were included (N = 140; median age 23 [Q1-Q3: 20-27], 72.9% men). Up to three booster sessions by phone were offered at 1 week, 1 month, and 3 months. Percent CT and CT Average Strength were used as predictor variables. The outcome was the number of heavy drinking days (HDD) over the 30 days prior to research assessments at 1-, 3-, 6-, and 12-month follow-up. A latent growth curve modeling framework was first used to estimate predictor and outcome variable growth parameters (i.e., intercept and slope) over time, and then to regress HDD growth parameters on CT growth parameters.

Results: CT increased specifically from baseline to the 1-week booster session and thereafter remained stable. Higher baseline CT was associated with lower HDD at 1 month (Percent CT: b = -0.04, 95% confidence interval [-0.06, -0.01]; Average Strength: b = -0.99 [-1.67, -0.31]). An increase in CT from baseline to the 1-week booster session was related to a decrease in HDD from 1 month to 12 months (Percent CT: b = -0.08 [-0.14, -0.03]; Average Strength: b = -2.29 [-3.52, -1.07]).

Conclusions: Both baseline CT and CT trajectory over the first week are meaningful predictors of HDD. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
4.90
自引率
11.80%
发文量
165
期刊介绍: Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.
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