title: Treatment completion in a brief motivational intervention in the emergency department: the effect of multiple interventions and therapists' behavior.
abstract: BACKGROUND
  The aim of this study was to identify therapist behaviors during a brief motivational intervention (BMI) given to injured emergency department patients that predicted participant return for a second BMI session and 12-month alcohol-related outcomes.
  
  
  METHODS
  This was a secondary data analysis of a randomized controlled trial (n = 539) previously demonstrating that random assignment to a BMI and booster session resulted in a significant reduction of 12-month post-intervention alcohol-related injuries and negative consequences relative to standard care.
  
  
  RESULTS
  Participants who actually received 2 BMI sessions had significantly less alcohol-related negative consequences than those who received only 1 BMI session. Therapists who reported a higher focus on emotional support and low focus on participant drinking behaviors during the initial BMI session were more likely to have assigned participants return for the second BMI session.
  
  
  CONCLUSIONS
  The results of these secondary analyses show that compliance with a 2-session therapeutic intervention (BIB) predicted fewer negative alcohol-related consequences, and that therapists' supportive emotional emphasis during the first BMI session was important in predicting participants returning for the second MI session.
authors: Injury Prevention Center at Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903, USA. jbaird@lifespan.org
authors: Janette
authors: J
authors: Baird
authors: Richard
authors: R
authors: Longabaugh
authors: Christina S
authors: CS
authors: Lee
authors: Ted D
authors: TD
authors: Nirenberg
authors: Robert
authors: R
authors: Woolard
authors: Michael J
authors: MJ
authors: Mello
authors: Bruce
authors: B
authors: Becker
authors: Kathleen
authors: K
authors: Carty
authors: P
authors: P
authors: Allison Minugh
authors: Lynda
authors: L
authors: Stein
authors: Patrick R
authors: PR
authors: Clifford
authors: Aruna
authors: A
authors: Gogineni
mesh_terms: D000328:Adult; D019973:Alcohol-Related Disorders / Q000523:psychology / Q000628:therapy*; D004636:Emergency Service, Hospital; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D011369:Professional-Patient Relations; D011614:Psychotherapy, Brief / Q000706:statistics & numerical data*