@article{ref1,
title="Protective behavioral strategies predict alcohol-related problems among injured patients following a brief intervention",
journal="Drug and alcohol dependence",
year="2019",
author="Richards, Dylan K. and Pearson, Matthew R. and Morera, Osvaldo F. and Field, Craig A.",
volume="205",
number="",
pages="e107535-e107535",
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. <br><br>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. <br><br>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. <br><br>CONCLUSIONS: The present study suggests that PBS use reduces alcohol-related problems among trauma patients and implications for future studies are discussed.<br><br>Copyright © 2019 Elsevier B.V. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0376-8716",
doi="10.1016/j.drugalcdep.2019.06.037",
url="http://dx.doi.org/10.1016/j.drugalcdep.2019.06.037"
}