Kaigang Li, Tanya Jolly, James Dziura, Federico E Vaca
{"title":"更愿意减少饮酒行为增加了数字行为健康干预工具在减少拉丁裔急诊科患者不健康饮酒方面的效果。","authors":"Kaigang Li, Tanya Jolly, James Dziura, Federico E Vaca","doi":"10.1093/alcalc/agaf062","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This study examined the association between readiness to change and reductions in unhealthy alcohol use among Latino adults in the emergency department (ED) who used the Automated Bilingual Computerized Alcohol Screening Intervention (AB-CASI), a digital behavioral health intervention tool.</p><p><strong>Methods: </strong>The study included 310 self-identified US Latino ED patients with unhealthy drinking. The primary independent variable was baseline readiness to reduce alcohol consumption. Outcomes included binge drinking episodes in the past 28 days and average weekly drinks, assessed at baseline and 1-, 6-, and 12-month follow-ups. Alcohol severity was measured via the Alcohol Use Disorders Identification Test scores, with gender and language preference (English vs Spanish) as covariates. Generalized linear mixed models in SAS accounted for within-subject variability across time points for analysis.</p><p><strong>Results: </strong>Binge drinking ratios comparing those \"more ready\" to cut down to those \"less ready\" were 0.61 at 1 month [95% confidence interval (CI): 0.42, 0.90; P = .013], 0.46 at 6 months (95% CI: 0.31, 0.69; P < .0001), and 0.61 at 12 months (95% CI: 0.41, 0.89; P = .011). Weekly drinks ratios were 0.60 at 1 month (95% CI: 0.40, 0.90; P = .001), 0.45 at 6 months (95% CI: 0.29, 0.71; P < .0001), and 0.63 at 12 months (95% CI: 0.41, 0.97; P = .006).</p><p><strong>Conclusion: </strong>In the original AB-CASI clinical trial, Latino ED patients more ready to reduce alcohol intake showed significant decreases in drinking after the intervention. This highlights the importance of readiness-to-change models in alcohol interventions for vulnerable ED populations. AB-CASI's bilingual, culturally sensitive design effectively promotes behavioral health, supporting both English- and Spanish-speaking patients in reducing unhealthy drinking behaviors.</p>","PeriodicalId":7407,"journal":{"name":"Alcohol and alcoholism","volume":"60 6","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477594/pdf/","citationCount":"0","resultStr":"{\"title\":\"Greater readiness to cut down on drinking behaviors increases effects of a digital behavioral health intervention tool in reducing unhealthy alcohol use among Latino emergency department patients.\",\"authors\":\"Kaigang Li, Tanya Jolly, James Dziura, Federico E Vaca\",\"doi\":\"10.1093/alcalc/agaf062\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>This study examined the association between readiness to change and reductions in unhealthy alcohol use among Latino adults in the emergency department (ED) who used the Automated Bilingual Computerized Alcohol Screening Intervention (AB-CASI), a digital behavioral health intervention tool.</p><p><strong>Methods: </strong>The study included 310 self-identified US Latino ED patients with unhealthy drinking. The primary independent variable was baseline readiness to reduce alcohol consumption. Outcomes included binge drinking episodes in the past 28 days and average weekly drinks, assessed at baseline and 1-, 6-, and 12-month follow-ups. Alcohol severity was measured via the Alcohol Use Disorders Identification Test scores, with gender and language preference (English vs Spanish) as covariates. Generalized linear mixed models in SAS accounted for within-subject variability across time points for analysis.</p><p><strong>Results: </strong>Binge drinking ratios comparing those \\\"more ready\\\" to cut down to those \\\"less ready\\\" were 0.61 at 1 month [95% confidence interval (CI): 0.42, 0.90; P = .013], 0.46 at 6 months (95% CI: 0.31, 0.69; P < .0001), and 0.61 at 12 months (95% CI: 0.41, 0.89; P = .011). Weekly drinks ratios were 0.60 at 1 month (95% CI: 0.40, 0.90; P = .001), 0.45 at 6 months (95% CI: 0.29, 0.71; P < .0001), and 0.63 at 12 months (95% CI: 0.41, 0.97; P = .006).</p><p><strong>Conclusion: </strong>In the original AB-CASI clinical trial, Latino ED patients more ready to reduce alcohol intake showed significant decreases in drinking after the intervention. This highlights the importance of readiness-to-change models in alcohol interventions for vulnerable ED populations. AB-CASI's bilingual, culturally sensitive design effectively promotes behavioral health, supporting both English- and Spanish-speaking patients in reducing unhealthy drinking behaviors.</p>\",\"PeriodicalId\":7407,\"journal\":{\"name\":\"Alcohol and alcoholism\",\"volume\":\"60 6\",\"pages\":\"\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-09-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477594/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Alcohol and alcoholism\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/alcalc/agaf062\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"SUBSTANCE ABUSE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Alcohol and alcoholism","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/alcalc/agaf062","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SUBSTANCE ABUSE","Score":null,"Total":0}
Greater readiness to cut down on drinking behaviors increases effects of a digital behavioral health intervention tool in reducing unhealthy alcohol use among Latino emergency department patients.
Background: This study examined the association between readiness to change and reductions in unhealthy alcohol use among Latino adults in the emergency department (ED) who used the Automated Bilingual Computerized Alcohol Screening Intervention (AB-CASI), a digital behavioral health intervention tool.
Methods: The study included 310 self-identified US Latino ED patients with unhealthy drinking. The primary independent variable was baseline readiness to reduce alcohol consumption. Outcomes included binge drinking episodes in the past 28 days and average weekly drinks, assessed at baseline and 1-, 6-, and 12-month follow-ups. Alcohol severity was measured via the Alcohol Use Disorders Identification Test scores, with gender and language preference (English vs Spanish) as covariates. Generalized linear mixed models in SAS accounted for within-subject variability across time points for analysis.
Results: Binge drinking ratios comparing those "more ready" to cut down to those "less ready" were 0.61 at 1 month [95% confidence interval (CI): 0.42, 0.90; P = .013], 0.46 at 6 months (95% CI: 0.31, 0.69; P < .0001), and 0.61 at 12 months (95% CI: 0.41, 0.89; P = .011). Weekly drinks ratios were 0.60 at 1 month (95% CI: 0.40, 0.90; P = .001), 0.45 at 6 months (95% CI: 0.29, 0.71; P < .0001), and 0.63 at 12 months (95% CI: 0.41, 0.97; P = .006).
Conclusion: In the original AB-CASI clinical trial, Latino ED patients more ready to reduce alcohol intake showed significant decreases in drinking after the intervention. This highlights the importance of readiness-to-change models in alcohol interventions for vulnerable ED populations. AB-CASI's bilingual, culturally sensitive design effectively promotes behavioral health, supporting both English- and Spanish-speaking patients in reducing unhealthy drinking behaviors.
期刊介绍:
About the Journal
Alcohol and Alcoholism publishes papers on the biomedical, psychological, and sociological aspects of alcoholism and alcohol research, provided that they make a new and significant contribution to knowledge in the field.
Papers include new results obtained experimentally, descriptions of new experimental (including clinical) methods of importance to the field of alcohol research and treatment, or new interpretations of existing results.
Theoretical contributions are considered equally with papers dealing with experimental work provided that such theoretical contributions are not of a largely speculative or philosophical nature.