TY  - JOUR
PY  - 2011//
TI  - Six-month follow-up of computerized alcohol screening, brief intervention, and referral to treatment in the emergency department
JO  - Substance abuse
A1  - Arcila, Mauricio
A1  - Kim, Doug
A1  - Anderson, Craig Lewis
A1  - Winn, Diane G.
A1  - Vaca, Federico E.
SP  - 144
EP  - 152
VL  - 32
IS  - 3
N2  - The goal of this observational study was to measure change in alcohol consumption at 6 months following emergency department computerized alcohol screening brief intervention (CASI) and referral to treatment (ED-SBIRT) with integrated brief negotiated interview (BNI) and computer-generated personal alcohol reduction plans. At-risk patients received a BNI by CASI, including personalized feedback, assessment of readiness to change, reasons for cutting down, goal setting, and a printed personal alcohol reduction plan. Alcohol use was assessed by telephone interview 6 months after CASI. Factors associated with lower alcohol consumption were examined. Of the 385 participants who completed the BNI, were consented, and enrolled, 221 subjects completed the 6-month follow-up interview. Forty-seven percent of the study sample of at-risk patients were no longer drinking over the National Institute on Alcohol Abuse and Alcoholism (NIAAA)-recommended limits. Reductions were greater for patients with Alcohol Use Disorders Identification Test (AUDIT) scores of 1 to 7. Readiness to change was a good predictor of drinking below the recommended limits. The use of computerized ED-SBIRT with integrated personalized messaging and BNI holds promise as a viable screening and intervention modality for a wide range of emergency department patients.<p />  <p>Language: en</p>
LA  - en
SN  - 0889-7077
UR  - http://dx.doi.org/10.1080/08897077.2011.562743
ID  - ref1
ER  -