Results of a Randomized Trial of Screening, Brief Intervention, and Referral to Treatment (SBIRT) to Reduce Alcohol Misuse Among Active-Duty Military Personnel.

Autor:	Reed MB; School of Social Work, San Diego State University, San Diego, California., Woodruff SI; School of Social Work, San Diego State University, San Diego, California., DeMers G Capt; Naval Hospital Camp Pendleton, Camp Pendleton, California., Matteucci M Capt; Naval Medical Center San Diego, San Diego, California., Chavez SJ; School of Social Work, San Diego State University, San Diego, California., Hellner M; School of Social Work, San Diego State University, San Diego, California., Hurtado SL; Naval Health Research Center, San Diego, California.
Jazyk:	angličtina
Zdroj:	Journal of studies on alcohol and drugs [J Stud Alcohol Drugs] 2021 Mar; Vol. 82 (2), pp. 269-278.
Abstrakt:	Objective: Rates of heavy alcohol use among active-duty military personnel in the United States are high and negatively affect individuals within the service branches. This study tested the effectiveness of a military-focused screening, brief intervention, and referral to treatment (SBIRT) intervention for reducing risky alcohol use among active-duty patients. Method: We used a randomized, parallel, two-group design to test the effectiveness of the SBIRT intervention in a convenience sample of service members recruited from the emergency department of a military hospital. A total of 791 participants were randomized to the SBIRT or usual care conditions, and 472 participants (59.7%) completed a 6-month follow-up. Fifteen percent of the sample was female. Self-reported Alcohol Use Disorders Identification Test (AUDIT), controlled drinking self-efficacy (CDSE), and readiness to change drinking behaviors were assessed at baseline and follow-up. Results: Among higher risk participants (i.e., AUDIT ≥8), results of a complete case analysis showed a significant reduction in scores on the AUDIT-C (consumption questions from the AUDIT) and a significant increase in CDSE. Null findings were observed for intent-to-treat analyses testing the effectiveness of the SBIRT intervention; significant decreases in AUDIT and AUDIT-C scores and significant increases in CDSE were observed over time, irrespective of condition assignment for both complete case and intent-to-treat analyses. Conclusions: Results of a complete case analysis provided some support for the effectiveness of the SBIRT intervention for higher risk participants. The results of the more conservative intent-to-treat analyses did not support any of the study hypotheses. Future SBIRT effectiveness trials should also test electronic SBIRT intervention approaches.
Databáze:	MEDLINE
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