title: METelemedicine: a pilot study with rural alcohol users on community supervision.
abstract: OBJECTIVE
  This pilot study examined a telemedicine-based intervention using motivational enhancement therapy (METelemedicine) to reduce alcohol use among a sample of at-risk, rural alcohol users.
  
  
  METHODS
  A total of 127 rural alcohol users were recruited from community supervision offices and engaged in brief intervention sessions using telemedicine. Analysis examined alcohol outcomes at 3 months postbaseline.
  
  
  RESULTS
  Findings indicated that although there were no overall differences between comparison groups on alcohol outcomes, 3+ sessions of METelemedicine significantly reduced the likelihood of any alcohol use by 72% (P < .05). In addition, 3+ sessions of the intervention predicted fewer days of drinking in the follow-up period, fewer drinks per week, and fewer days experiencing alcohol problems.
  
  
  CONCLUSIONS
  Findings demonstrate that telemedicine may be a promising approach to deliver interventions with alcohol users who may not utilize formal treatment services. This method has potential to decrease some of the barriers to access and use of evidence-based treatment for populations in need of services.
authors.affiliation: College of Social Work, University of Kentucky, Lexington, Kentucky; Center on Drug and Alcohol Research, University of Kentucky, Lexington, Kentucky.
authors.forename: Michele
authors.initials: M
authors.lastname: Staton-Tindall
authors.forename: Jennifer R
authors.initials: JR
authors.lastname: Havens
authors.forename: J Matthew
authors.initials: JM
authors.lastname: Webster
authors.forename: Carl
authors.initials: C
authors.lastname: Leukefeld
mesh_terms: D000428:Alcohol Drinking / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D009934:Organization and Administration; D010865:Pilot Projects; D012424:Rural Population; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D017216:Telemedicine
keywords: AUDIT; alcohol; motivational enhancement therapy; rural treatment; telemedicine