Motivation to change risky drinking and motivation to seek help for alcohol risk drinking among general hospital inpatients with problem drinking and alcohol-related diseases

Lau, Katharina; Freyer‐Adam, Jennis; Gaertner, Beate; Rumpf, Hans‐Jürgen; John, Ulrich; Hapke, Ulfert

doi:10.1016/j.genhosppsych.2009.10.002

Cited by 36 publications

(34 citation statements)

References 22 publications

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“…The findings indicate that it is both feasible and acceptable for inpatient staff to engage inpatients in short burst discussions about their substance misuse whilst admitted to psychiatric hospitals as has been found in general and Emergency Department settings (Lau et al 2010;Buchbinder et al 2014). A definitive RCT is needed to establish the effectiveness and cost-effectiveness of this brief intervention to increase engagement in treatment and to reduce substance misuse, repeat hospitalisations, and risk.…”

Section: Discussionmentioning

confidence: 91%

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Mental Health Hospital Admissions: a Teachable Moment and Window of Opportunity To Promote Change in Drug and Alcohol Misuse

Graham

Copello

Griffith

et al. 2018

Int J Ment Health Addiction

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Hospital admissions provide a Bteachable moment^. Many patients admitted to mental health hospitals have co-existing substance misuse. As acute symptoms decline, a window of increased insight into factors that contributed to becoming unwell and admission may present. This study used this Bteachable^opportunity to assess the acceptability of delivering a brief integrated motivational intervention (BIMI) to inpatients and the feasibility of delivery by inpatient staff. Qualitative interviews were completed with 21 inpatients experiencing co-occurring schizophrenia-related or bipolar disorder diagnoses and substance misuse who received the BIMI. Twelve staff members completed either individual interviews or a focus group. Four themes were identified from the qualitative interviews with participants; these were openness/readiness to talk about substance use, feeling valued, understanding substance use and helpful skills and processes; each with a number of subthemes. Participants appeared to find the intervention useful; although, felt they did not always have the Bheadspace^. One theme emerged from the staff data, the acceptability of the approach for inpatient ward staff, which had four subthemes; training in the intervention; delivering the intervention; joint working; and feasibility. Staff considered the targeted style of the BIMI useful. Delivery considerations included Btiming^and competing ward duties. Hospital Int J Ment Health Addiction

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Section: Discussionmentioning

confidence: 91%

“…Substance misuse A hospital admission may represent a Bteachable moment^for health-related behaviours (e.g. Lau et al 2010;Buchbinder et al 2014), that is, a time when health-related behaviours (e.g. substance use) that may have indirectly contributed to the admission potentially become more open to change.…”

mentioning

confidence: 99%

Mental Health Hospital Admissions: a Teachable Moment and Window of Opportunity To Promote Change in Drug and Alcohol Misuse

Graham

Copello

Griffith

et al. 2018

Int J Ment Health Addiction

View full text Add to dashboard Cite

show abstract

“…A common element of health behavior change theories is the need for a trigger to action [29,36]. This is supported in studies of individual behavior change across a variety of health behaviors [37][38][39][40][41]. For many patients, hospitalization is often due to an exacerbation of one or more conditions.…”

Section: Resultsmentioning

confidence: 99%

Patient Engagement as Measured by Inpatient Portal Use: Methodology for Log File Analysis (Preprint)

Huerta¹,

Fareed²,

Hefner³

et al. 2018

Preprint

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Background: Inpatient Portals (IPPs) have the potential to increase patient engagement and satisfaction with their healthcare. An IPP provides a hospitalized patient with similar functions to those found in outpatient portals, including the ability to view vital signs, laboratory results, medication information, schedule appointments and communicate with their provider. However, IPPs may offer additional functions such as meal planning, real-time messaging with the inpatient care team, daily schedules, and access to educational materials relevant to their specific condition. In practice, IPPs have been developed as websites and tablet apps, with hospitals providing the required technology as a component of care during the patient's stay.

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“…Moni sairaus voi uusia tai pahentua alkoholin käytön takia ja sairastuminen on nähty otollisena hetke nä muutokseen motivoitumisessa (7)(8)(9)(10). Inter ventiotutkimuksissa on todettu alkoholin käytön vähenemistä käytön seurauksena sairastuneilla (8)(9)(10)(11), mutta myös muilla sairaalahoitoon ha keutuneilla alkoholin riskikuluttajilla (10).…”

Section: Asiasanat: Laadullinen Pitkittäistutkimus Raittius Juomiseunclassified

Muutoksen polku alkoholin käytössä alkoholihaimatulehduksen jälkeen – yhdeksän vuoden seurantatutkimus

Lappalainen-Lehto¹,

Koski-Jännes²,

Aalto³

et al. 2017

SLA

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Alkoholihaimatulehdus voi olla henkeä uhkaava ja alkoholin käytön lopettamista pidetään keskeisenä keinona ehkäistä uudelleen sairastumista. Tässä yhdeksän vuoden laadullisessaseurantatutkimuksessa kuvataan ensimmäiseen alkoholihaimatulehdukseen sairastuneiden (n=43) alkoholin käytölle asettamia tavoitteita, niiden toteutumista sekä kokemuksia muutokseen vaikuttaneista tekijöistä. Muutosta kuvataan kulkemisena erilaisilla poluilla (raittius, lähes raittius, kohtuus, kivikko). Raittiustavoitteen alussa valinneilla oli vähemmän runsasta alkoholin käyttöä ja enemmän raittiutta, vaikka heistä vain kolmannes säilytti raittiustavoitteen koko seurannan ajan. Myös juomisen vähentämisen valinneilla käyttö väheni ja lähes puolet heistä pysyi kohtuudessa seurannan ajan. Terveysongelmat koettiin keskeiseksi syyksi raittiuteen sitoutumiseen ja halu elää normaalia sosiaalista elämää syyksi raittiuden tavoittelusta luopumiseen. Pelko haimatulehduksen uusimisesta voi hillitä alkoholin käyttöä myös pitkällä aikavälillä vaikka henkilö ei haluaisi tai pystyisi sitoutumaan raittiuteen. Vuosittaiset seurantakäynnit sairaalassa saattoivat muistuttaa sairastumisesta ja siten edistää tavoitteen saavuttamista. Jatkossa tarvitaan lisää pitkän aikavälin tutkimusta alkoholiongelmasta selviytymiskeinoista alkoholihaimatulehdukseen sairastumisen jälkeen.

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Motivation to change risky drinking and motivation to seek help for alcohol risk drinking among general hospital inpatients with problem drinking and alcohol-related diseases

Cited by 36 publications

References 22 publications

Mental Health Hospital Admissions: a Teachable Moment and Window of Opportunity To Promote Change in Drug and Alcohol Misuse

Mental Health Hospital Admissions: a Teachable Moment and Window of Opportunity To Promote Change in Drug and Alcohol Misuse

Patient Engagement as Measured by Inpatient Portal Use: Methodology for Log File Analysis (Preprint)

Muutoksen polku alkoholin käytössä alkoholihaimatulehduksen jälkeen – yhdeksän vuoden seurantatutkimus

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