Effects of two types of brief intervention and readiness to change on alcohol use in hazardous drinkers.

Maisto, Stephen A.; Conigliaro, Joseph; McNeil, Melissa; Kraemer, Kevin L.; Conigliaro, Rosemarie L.; Kelley, Mary E.

doi:10.15288/jsa.2001.62.605

Cited by 102 publications

(104 citation statements)

References 26 publications

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“…Perhaps because of this, many primary care providers may also lack sufficient interest or investment in brief intervention approaches (Beich, Gannik, & Malterud, 2002). Brief interventions seeking more than an initial opportunistic session must also contend with significant attrition (e.g., Maisto et al, 2001). …”

Section: Introductionmentioning

confidence: 99%

Computer-based brief motivational intervention for perinatal drug use

Ondersma

Chase

Svikis

et al. 2005

Journal of Substance Abuse Treatment

159

134

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Computer-based brief motivational interventions may be able to reach a high proportion of at-risk individuals and thus have potential for significant population impact. The present studies were conducted to determine the acceptability and preliminary efficacy of a computer-based brief motivational intervention (the motivation enhancement system, or MES). In Study 1, quantitative and qualitative feedback from 30 postpartum women and 17 women in treatment for drug use were used to modify the software. In Study 2, 50 urban postpartum women who reported drug use in the month before pregnancy completed the intervention and provided repeated within-session ratings of state motivation. In Study 3, 30 women were randomly assigned to intervention or control conditions with 1-month follow-up. Overall, women rated the MES as highly acceptable and easy to use and reported significant increases in state motivation at postintervention and at 1-month follow-up (d = .49). These preliminary results are encouraging and suggest that further work in this area is warranted.

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Section: Introductionmentioning

confidence: 99%

Computer-based brief motivational intervention for perinatal drug use

Ondersma

Chase

Svikis

et al. 2005

Journal of Substance Abuse Treatment

159

134

View full text Add to dashboard Cite

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“…[7][8][9] For example, the content of brief counseling should refl ect whether the patient recognizes his drinking is a problem and whether he has contemplated or tried to change. [10][11][12] One study suggested that the effi cacy of brief alcohol counseling differed for patients with differing readiness to change. 11 Further, clinicians have reported concern that primary care patients who screen positive for alcohol misuse will deny that they misuse alcohol or will not be interested in discussing or changing their drinking when the issue is raised.…”

Section: Introductionmentioning

confidence: 99%

“…[10][11][12] One study suggested that the effi cacy of brief alcohol counseling differed for patients with differing readiness to change. 11 Further, clinicians have reported concern that primary care patients who screen positive for alcohol misuse will deny that they misuse alcohol or will not be interested in discussing or changing their drinking when the issue is raised. [13][14][15][16] Denial of alcohol misuse is sometimes assumed to be a characteristic of alcohol dependence.…”

Section: Introductionmentioning

confidence: 99%

Readiness to Change in Primary Care Patients Who Screened Positive for Alcohol Misuse

Williams

Kivlahan

Saitz

et al. 2006

The Annals of Family Medicine

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PURPOSE Readiness to change drinking may infl uence the content or effectiveness of brief alcohol counseling. This study was designed to assess readiness to change and its relationship to alcohol misuse severity among primary care patients whose screening questionnaire was positive for alcohol misuse.METHODS This study was a cross-sectional analysis of data collected from 2 consecutive mailed questionnaires. Male outpatients at 7 Veterans Affairs (VA) general medicine clinics were eligible if they returned both questionnaires, screened positive for alcohol misuse (augmented CAGE Questionnaire ≥1 point), responded to 3 readiness-to-change questions, and completed the Alcohol Use Disorders Identifi cation Test (AUDIT). A validated algorithm based on 3 standardized questions categorized participants into 3 readiness groups (precontemplation, contemplation, action). Measures of alcohol misuse severity included AUDIT, CAGE, and the 3 consumption questions from the AUDIT (AUDIT-C). Analyses were descriptive; linear-by-linear associations between alcohol misuse severity and readiness were tested with 2 statistics. RESULTSResponse rates to the fi rst and second surveys were 59% and 55%, respectively. Of the 6,419 eligible outpatients who screened positive for alcohol misuse, 4,797 (75%) reported any readiness to change (contemplation 24%, action 51%). Among patients with AUDIT scores >8, more than 90% indicated that they drank more than they should and/or had contemplated drinking less. Greater readiness was signifi cantly associated with greater alcohol misuse severity (P <.001 for all measures).CONCLUSIONS Most primary care patients who screen positive for alcohol misuse indicate some readiness to change. Contrary to stereotypes of denial, those with greater alcohol misuse severity are more likely to report readiness to change.

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“…Sin embargo, encontramos que puntuar alto en la subescala de mantenimiento se relaciona con la abstinencia, resultado que se encuentra en la misma dirección que el hallado en otro estudio anterior (Henderson, Saules y Galen, 2004). No obstante, aún no se conoce la influencia de la motivación al cambio sobre la eficacia de la entrevista motivacional y cómo mediatizaría el cambio de comportamiento (Berman et al, 2010;Dunn, Deroo y Rivara, 2001;Maisto et al, 2001;Vasilaki et al, 2006), siendo necesaria mayor investigación en este sentido. Diana Bachiller, Lara Grau-López, Carmen Barral, Constanza Daigre, Cristina Alberich, Laia Rodríguez-Cintas, Sergi Valero, Miquel Casas, Carlos Roncero Uno de los objetivos principales del grupo terapéutico fue motivar la retención postalta.…”

Section: Discussionunclassified

Grupo motivacional en unidad hospitalaria desintoxicación, su influencia en mantenimiento de la abstinencia y retención al tratamiento tras alta

et al. 2015

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The relapse rate after discharge from inpatient detoxification is high.The objective of this pilot study is to assess the sociodemographic, clinical and therapeutic factors associated with maintaining abstinence in patients who participated in a brief motivational interviewing group during admission for detoxification.A total of 46 patients, diagnosed substance dependent according to DSM -IV, and admitted to the Hospital Detoxification Unit, participated in a brief motivational interviewing group. Sociodemographic, clinical, motivation to change (University of Rhode Island Change Assessment, URICA) and satisfaction with the treatment group (Treatment Perceptions Questionnaire, CPT) data were collected. Abstinence and treatment retention two months after discharge were assessed by weekly telephone calls. A survival analysis was performed. Being male, having more cognitions of the maintenance stage of change at discharge, being satisfied with group therapy and therapist during hospitalization are associated with longer abstinence after discharge.The brief motivational interviewing group approach with patients admitted for detoxification is related to greater likelihood of maintaining abstinence and subsequent treatment retention. Los resultados muestran que ser varón, tener cogniciones del estadio de mantenimiento del cambio al alta y tener una buena satisfacción con la terapia grupal y su terapeuta durante el ingreso, se asocia con mayor tiempo en abstinencia tras el alta.El abordaje psicoterapéutico grupal breve de corte motivacional, en pacientes ingresados para la desintoxicación, se relaciona con mayor probabilidad de mantenimiento de abstinencia y de retención al tratamiento posterior.Palabras clave: Entrevista Motivacional, trastorno por uso de sustancias, recaída, desintoxicación hospitalaria, terapia grupal. 110Grupo motivacional en unidad hospitalaria desintoxicación, su influencia en mantenimiento de la abstinencia y retención al tratamiento tras alta

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Effects of two types of brief intervention and readiness to change on alcohol use in hazardous drinkers.

Cited by 102 publications

References 26 publications

Computer-based brief motivational intervention for perinatal drug use

Computer-based brief motivational intervention for perinatal drug use

Readiness to Change in Primary Care Patients Who Screened Positive for Alcohol Misuse

Grupo motivacional en unidad hospitalaria desintoxicación, su influencia en mantenimiento de la abstinencia y retención al tratamiento tras alta

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