title: Effects of brief intervention on subgroups of injured patients who drink at risk levels.
abstract: Alcohol-related injuries are a major source of admission for trauma care. Screening and brief intervention (SBI) for injured patients can result in decreased drinking and risk behaviors. It is not clear SBI is equally beneficial for all injured patients. A secondary data analysis of 553 patients admitted to two Level-1 trauma centers was conducted. Latent class analysis was used to identify patient subgroups based on injury-related risks and consequences of alcohol use. Intervention effects on drinking were examined among subgroups. Five subgroups were identified. Drinking improved in patients reporting multiple risks and injuries/accidents and drinking and driving. Patients that reported drinking and driving and taking foolish risks or fighting while drinking and taking foolish risks did not show improvements. Trauma centers may benefit from targeting interventions based on injury-related risks and consequences of alcohol use. Further research is needed to test bedside approaches for tailored interventions.
authors.affiliation: School of Social Work; School of Medicine, Department of Psychiatry, University of Pittsburgh.
authors.forename: Gerald
authors.initials: G
authors.lastname: Cochran
authors.affiliation: Department of Psychology, University of Texas, El Paso, Texas, USA.
authors.forename: Craig
authors.initials: C
authors.lastname: Field
authors.affiliation: Baylor University Medical Center, Dallas, Texas, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Foreman
authors.affiliation: University of Pittsburgh, School of Social Work, Pittsburgh, Pennsylvania, USA.
authors.forename: Thomas
authors.initials: T
authors.lastname: Ylioja
authors.affiliation: University Medical Center at Brackenridge, Austin, Texas, USA.
authors.forename: Carlos V R
authors.initials: CV
authors.lastname: Brown
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects / Q000517:prevention & control*; D019973:Alcohol-Related Disorders / Q000517:prevention & control*; D000066448:Driving Under the Influence / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D010353:Patient Education as Topic / Q000379:methods*; D016032:Randomized Controlled Trials as Topic; D012309:Risk-Taking; D014193:Trauma Centers; D014754:Violence / Q000517:prevention & control*; D014947:Wounds and Injuries / Q000517:prevention & control*; D055815:Young Adult