TY  - JOUR
PY  - 2008//
TI  - Brief alcohol intervention for general hospital inpatients: a randomized controlled trial
JO  - Drug and alcohol dependence
A1  - Freyer-Adam, Jennis
A1  - Coder, Beate
A1  - Baumeister, Sebastian E.
A1  - Bischof, Gallus
A1  - Riedel, Jeannette
A1  - Paatsch, Karin
A1  - Wedler, Barbara
A1  - Rumpf, Hans-Jurgen
A1  - John, Ulrich
A1  - Hapke, Ulfert
SP  - 233
EP  - 243
VL  - 93
IS  - 3
N2  - AIM: To test the effectiveness of a brief alcohol intervention among non-dependent general hospital inpatients with alcohol problems, delivered by either a specialized liaison service or hospital physicians. METHOD: All inpatients of 29 wards from four general hospitals of one region in Germany were screened for alcohol problems (n=14,332). Of those screening positive, 595 patients were included in a randomized controlled group design using a time-frame. Patients with alcohol dependence were not considered in this study. Patients received Motivational Interviewing based counselling either by a specialized liaison service, by hospital physicians trained under routine conditions or received hospital treatment as usual without additional counselling. One year later, alcohol consumption, motivation and well-being were assessed. Sample survey analyses and generalized estimating equations were conducted. RESULTS: At baseline, the three groups differed regarding motivation, with higher motivation among the controls. At follow-up, the groups did not differ regarding alcohol consumption, alcohol-related problems and well-being. All groups decreased their alcohol consumption significantly. Regarding motivation, longitudinal analyses revealed significant interaction effects of time and intervention (p<0.05), indicating a stronger increase of readiness to change drinking and a less profound drop of readiness to seek help among those who received intervention compared to the controls. CONCLUSION: The intervention was not effective in reducing alcohol consumption or in increasing well-being 12 months after hospitalization. It had a positive effect on readiness to change drinking and on readiness to seek formal help for alcohol problems. The intervention groups compensated their lag of motivation.<p /> <p>Language: en</p> 
LA  - en
SN  - 0376-8716
UR  - http://dx.doi.org/10.1016/j.drugalcdep.2007.09.016
ID  - ref1
ER  -