Abstract：
BACKGROUND:Alcohol protective behavioral strategies (PBS) have been proposed as mechanisms of change underlying interventions for reducing alcohol use and alcohol-related problems. Few studies have examined PBS use among non-college student populations and no study has examined PBS use among adult injured patients. The current study tested types of PBS as mediators of the effects of a brief motivational intervention (BMI) delivered in the trauma care setting on alcohol-related problems. METHOD:Secondary data analyses were conducted using data from a multisite randomized controlled trial of brief intervention in the trauma care setting. The current study used data from a subset of participants who reported having consumed alcohol at least once at 3-month follow-up (N = 324). Following a baseline assessment, participants were assigned to either brief advice (BA; n = 107), BMI (n = 119), or BMI with a telephone booster (BMI + B; n = 98). Participants completed measures of PBS at 3-month follow-up and of alcohol-related problems at baseline and 6-month follow-up. A multiple mediation model was conducted to simultaneously test the mediation effects of types of PBS. RESULTS:BMI and BMI + B relative to BA did not increase PBS use. However, more frequent use of certain types of PBS at 3-month follow-up were predictors of greater reductions in alcohol-related problems from baseline to 6-month follow-up. There were no statistically significant mediation effects. CONCLUSIONS:The present study suggests that PBS use reduces alcohol-related problems among trauma patients and implications for future studies are discussed.
journal_name
Drug Alcohol Dependjournal_title
Drug and alcohol dependenceauthors
Richards DK,Pearson MR,Morera OF,Field CAdoi
10.1016/j.drugalcdep.2019.06.037subject
Has Abstractpub_date
2019-12-01 00:00:00pages
107535eissn
0376-8716issn
1879-0046pii
S0376-8716(19)30294-7journal_volume
205pub_type
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