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. 2016 Jun;22(3):221-5.
doi: 10.1136/injuryprev-2015-041596. Epub 2015 Jun 29.

Effects of brief intervention on subgroups of injured patients who drink at risk levels

Gerald Cochran  1 , Craig Field  2 , Michael Foreman  3 , Thomas Ylioja  4 , Carlos V R Brown  5
Affiliations

Effects of brief intervention on subgroups of injured patients who drink at risk levels

Gerald Cochran et al. Inj Prev. 2016 Jun.

Abstract

Alcohol-related injuries are a major source of admission for trauma care. Screening and brief intervention (SBI) for injured patients can result in decreased drinking and risk behaviors. It is not clear SBI is equally beneficial for all injured patients. A secondary data analysis of 553 patients admitted to two Level-1 trauma centers was conducted. Latent class analysis was used to identify patient subgroups based on injury-related risks and consequences of alcohol use. Intervention effects on drinking were examined among subgroups. Five subgroups were identified. Drinking improved in patients reporting multiple risks and injuries/accidents and drinking and driving. Patients that reported drinking and driving and taking foolish risks or fighting while drinking and taking foolish risks did not show improvements. Trauma centers may benefit from targeting interventions based on injury-related risks and consequences of alcohol use. Further research is needed to test bedside approaches for tailored interventions.

Trial registration: ClinicalTrials.gov NCT00428181.

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Figures

Figure 1
Figure 1
depicts the conditional item probabilities of the five subgroup solution, the labels for each group, and the number and portion of the patients within each.
See this image and copyright information in PMC

References

    1. MacLeod JBA, Hungerford DW. Alcohol-related injury visits: Do we know the true prevalence in U.S. trauma centres? Injury. 2010;41(7):847–51. doi: 10.1016/j.injury.2010.01.098. [published Online First: Epub Date] - DOI - PubMed
    1. Nilsen P, Baird J, Mello MJ, et al. A systematic review of emergency care brief alcohol interventions for injury patients. Journal of Substance Abuse Treatment. 2008;35(2):184–201. - PubMed
    1. Field C, Baird J, Saitz R, Caetano R, Monti PM. The Mixed Evidence for Brief Intervention in Emergency Departments, Trauma Care Centers, and Inpatient Hospital Settings: What Should We Do? Alcoholism: Clinical & Experimental Research. 2010;34(12):2004–10. doi: 10.1111/j.1530-0277.2010.01297.x. [published Online First: Epub Date] - DOI - PMC - PubMed
    1. Longabaugh R, Wirtz PW, Beattie MC, Noel N, Stout R. Matching treatment focus to patient social investment and support: 18-month follow-up results. Journal of Consulting and Clinical Psychology. 1995;63(2):296–307. doi: 10.1037/0022-006x.63.2.296. [published Online First: Epub Date] - DOI - PubMed
    1. Cochran G, Field C, Caetano R. Injury-related consequences of alcohol misuse among injured patients who received screening and brief intervention for alcohol: a latent class analysis. Substance abuse: official publication of the Association for Medical Education and Research in Substance Abuse. 2014;35(2):153–62. doi: 10.1080/08897077.2013.820679. [published Online First: Epub Date] - DOI - PMC - PubMed

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