Citation

Richards DK, Pearson MR, Morera OF, Field CA. Drug Alcohol Depend. 2019; 205: e107535.

Affiliation

Latino Alcohol and Health Disparities Research and Training Center, University of Texas at El Paso, 500 West University Avenue, El Paso, TX 79968, USA; Department of Psychology, University of Texas at El Paso, 500 West University Avenue, El Paso, TX 79968, USA.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.drugalcdep.2019.06.037

PMID

31689640

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.

Copyright © 2019 Elsevier B.V. All rights reserved.

Language: en

Keywords

Alcohol; Alcohol-related problems; Multiple mediation; Protective behavioral strategies; Trauma care setting