Volume 8 Supplement 1

International Network on Brief Interventions for Alcohol and Other Drugs (INEBRIA) Meeting 2013

Open Access

The impact of patient- and SBI process-level variables on six-month drinking outcomes in a level I trauma center

  • Jennifer L Rogers1Email author,
  • Laura Veach2, 3,
  • Preston Miller2 and
  • Mary Claire O’Brien2
Addiction Science & Clinical Practice20138(Suppl 1):A59

https://doi.org/10.1186/1940-0640-8-S1-A59

Published: 4 September 2013

Researchers have decried the lack of investigation regarding the “how and why” of brief intervention effects. Additional research is needed to explicate the processes at work during motivational interviewing brief interventions, as well as the most salient factors influencing these processes. The overall aim of the current study was to better understand the nature and possible active ingredients of the screening and brief intervention encounter. Specifically, this inquiry focused upon the effect of patient-level variables and two distinct brief motivational interviewing-based counseling interventions on six-month drinking outcomes. Three hundred and thirty-three adult participants were recruited from a Level I trauma center. Participants were randomized to one of two brief counseling intervention arms. All interventions were conducted by professional mental health counselors or graduate student counselors-in-training. Follow-up data regarding participants’ drinking patterns and well-being were collected via telephone approximately 6 months subsequent to the intervention. Data were analyzed using MANOVA and hierarchical regression. There were two primary significant findings of this study: one, that a new standardized brief counseling intervention appeared to be as efficacious as a widely-used brief intervention focusing upon quantity and frequency of drinking; and two, that patient pre-intervention AUDIT scores were a major predictor of changes in patient AUDIT scores at 6 months post-intervention in a way that was theoretically counter-intuitive: namely, that high scores (indicating possible alcohol dependence) were associated with the greatest changes at follow-up. Limitations and implications of findings are discussed. Future investigation of the construct of patient engagement is recommended.

Authors’ Affiliations

(1)
Department of Counseling, Wake Forest University
(2)
Wake Forest School of Medicine
(3)
Department of Counseling, University of North Carolina at Charlotte

Copyright

© Rogers et al; licensee BioMed Central Ltd. 2013

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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