1. Some medical inpatients with unhealthy alcohol use may benefit from brief intervention
- Author
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Saitz, Richard, Palfai, Tibor P., Cheng, Debbie M., Horton, Nicholas J., Dukes, Kim, Kraemer, Kevin L., Roberts, Mark S., Guerriero, Rosanne T., and Samet, Jeffrey H.
- Subjects
Alcoholism -- Care and treatment ,Psychiatric services -- Standards -- Usage ,Hospital patients -- Alcohol use ,Health ,Psychology and mental health ,Alcohol use ,Standards ,Usage - Abstract
Objective: Studies of alcohol brief intervention for medical inpatients have mixed results. We explored potential moderators of the effectiveness of brief intervention for unhealthy alcohol use among medical inpatients. Method: This is a secondary analysis of a randomized controlled trial of brief motivational counseling among 341 urban-hospital medical inpatients (99 women) with unhealthy alcohol use. Self-reported main outcomes were receipt of alcohol treatment by 3 months in subjects with dependence and change in the mean number of drinks per day 3 and 12 months after enrollment in all subjects. Results: Among subjects with dependence, the effect of brief intervention on receipt of alcohol treatment differed significantly by gender and age (p = .02 for each interaction). In stratified analyses, brief intervention was associated with receipt of alcohol treatment in women (adjusted odds ratio [AOR] = 3.9, 95% confidence interval [CI]: 1.2-12.7), and younger (, PROFESSIONAL ORGANIZATIONS RECOMMEND screening and brief intervention for all adults with unhealthy alcohol use (i.e., the spectrum from drinking risky amounts through dependence; Institute of Medicine, 1990; U.S. Preventive Services [...]
- Published
- 2009