title: Assessment of readiness to change and relationship to AUDIT score in a trauma population utilizing computerized alcohol screening and brief intervention.
abstract: Trauma patient readiness-to-change score and its relationship to the Alcohol Use Disorder Identification Test (AUDIT) score were assessed in addition to the feasibility of computerized alcohol screening and brief intervention (CASI). A bilingual computerized tablet for trauma patients was utilized and the data were analyzed using Stata. Twenty-five percent of 1145 trauma patients drank more than recommended and 4% were dependent. As many Spanish-speaking as English-speaking males did not drink, but a higher percentage of Spanish-speaking males drank more than recommended and were dependent. Half of patients who drank more than recommended rated themselves 8 or higher on a 10-point readiness-to-change scale. CASI also provided personalized feedback. A high percentage of trauma patients (92%) found CASI easy and a comfort in use (87%). Bilingual computerized technology for trauma patients is feasible, acceptable, and an innovative approach to alcohol screening, brief intervention, and referral to treatment in a tertiary care university.
authors.affiliation: Center for Trauma and Injury Prevention Research, Department of Emergency Medicine, University of California, Irvine, School of Medicine, Orange, California 92868, USA. shl@uci.edu
authors.forename: Shahram
authors.initials: S
authors.lastname: Lotfipour
authors.forename: Victor
authors.initials: V
authors.lastname: Cisneros
authors.forename: Bharath
authors.initials: B
authors.lastname: Chakravarthy
authors.forename: Cristobal
authors.initials: C
authors.lastname: Barrios
authors.forename: Craig L
authors.initials: CL
authors.lastname: Anderson
authors.forename: John Christian
authors.initials: JC
authors.lastname: Fox
authors.forename: Samer
authors.initials: S
authors.lastname: Roumani
authors.forename: Wirachin
authors.initials: W
authors.lastname: Hoonpongsimanont
authors.forename: Federico E
authors.initials: FE
authors.lastname: Vaca
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D019973:Alcohol-Related Disorders / Q000150:complications / Q000523:psychology* / Q000628:therapy; D005240:Feasibility Studies; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011614:Psychotherapy, Brief / Q000379:methods; D012727:Sex Characteristics; D015813:Substance Abuse Detection / Q000379:methods / Q000523:psychology*; D013813:Therapy, Computer-Assisted / Q000379:methods; D014947:Wounds and Injuries / Q000150:complications / Q000523:psychology* / Q000628:therapy