Brief motivational interview and educational brochure in emergency room settings for adolescents and young adults with alcohol related problems: a randomized single blind clinical trial

Revista Brasileira de Psiquiatria

Maria Luiza Segatto²  Solange Andreoni¹  Rebeca De Souza E Silva¹  Alessandra Diehl¹  Ilana Pinsky¹ 

[1] ,Universidade Federal de Uberlândia Compulsion Care Sector Uberlândia MG ,Brazil

关键词: Alcohol related disorders;    Crisis intervention;    Emergency medical services;    Clinical trial;    Young adult;    Transtornos relacionados ao uso de álcool;    Intervenção na crise;    Serviços médicos de emegência;    Ensaio clínico;    Adultos jovens;   

DOI  :  10.1590/S1516-44462011000300004

来源: SciELO

【 摘 要 】

OBJECTIVE: To evaluate the effectiveness of brief motivational interviewing and an educational brochure when delivered in emergency room to reduce alcohol abuse and related problems among adolescents and young adults. METHOD: a randomized single blind clinical trial with a 3 month follow-up was carried out at three emergency rooms from October 2004 to November 2005; subjects assessed were 16-25 years old treated for alcohol related events up to 6 hours after consumption. Socio-demographic data, quantity, frequency and negative consequences of alcohol consumption, motivation to change habits and future risk preception were evaluated. Statistical analysis was performed on subjects who completed follow up (completers). ANCOVA model was used to analyze the difference between the intervention groups with statistical significance level α = 5% and Confidence Interval (CI) 95%. RESULTS: 186 subjects formed the initial sample, being n = 175 included and randomized to educational brochure group (n = 88) or motivational interviewing group (n = 87). Follow-up assessment was performed in 85.2% sample. No significant difference between groups was observed. However, significant reductions (p < 0.01) in related problems and alcohol abuse were found in both groups. CONCLUSION: In this sample a reduction of alcohol use and related problems was observed. Preliminary data indicates that controlled clinical trials with motivational interviewing, educational brochure and nonintervention should be of future interest among Brazilian adolescent population.

【 授权许可】

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