Périodique
A randomized trial of a brief alcohol intervention for needle exchangers (BRAINE)
(Essai randomisé d'intervention brève sur l'alcoolisme de toxicomanes participant à un programme d'échange de seringues.)
Auteur(s) :
STEIN, M. D. ;
CHARUVASTRA, A. ;
MAKSAD, J. ;
ANDERSON, B. J.
Année :
2002
Page(s) :
691-700
Langue(s) :
Anglais
Refs biblio. :
41
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
ALCOOL
;
ABUS
;
INTERVENTION
;
REDUCTION DES RISQUES ET DES DOMMAGES
;
CONSULTATION
;
ECHANGE DE SERINGUES
Note générale :
Addiction, 2002, 97, (6), 691-700
Note de contenu :
tabl.
Résumé :
ENGLISH :
Aims. To test motivational interviewing (MI) as a brief intervention for reducing alcohol use among needle exchange clients. Design. Randomized clinical trial. Setting. Needle exchange program-Providence, Rhode Island, USA. Participants. Between 2/98 and 10/99, we recruited 1 87 AUDIT-positive (>8) active injection drug users. Intervention.Those assigned to a brief motivational intervention (MI) condition received two 1-hour therapist sessions following assessment visits, 1 month apart, focusing on alcohol use and HIV risk-taking. Measurements. Control and MI subjects received identical research assessments at baseline, 1 and 6 months following study enrollment. At 6 months, study outcomes included days of alcohol use measured using the time-line follow-back method. Findings. Study retention was 96.8%, at 6 months. Participants reported an average of 12.0 drinking days at baseline and 8.3 at 6 months. Significant reductions in drinking days were observed in both treatment conditions. We found significant treatment x baseline drinking day interaction effects.Tests for simple main effects were significant for subjects with above median (>9) baseline drinking day frequency, but not for those with below median baseline drinking frequency. Comparisons on dichotomous outcomes provided supporting evidence of treatment efficacy; those in MI were over two times more likely than controls to report reductions of 7 days or more (P
Affiliation :
Div. Gen. Internal Med., Rhode Island Hosp., 593 Eddy St., Providence, RI 02903
Etats-Unis. United States.
Etats-Unis. United States.