A brief alcohol intervention for hazardously drinking incarcerated women
Open accessAbstract
Objective To test the hypothesis that among hazardously drinking incarcerated women who are returning to the community, a brief alcohol intervention will result in less alcohol use at follow‐up relative to standard of care. Methods Eligible participants endorsed hazardous alcohol consumption—four or more drinks at a time on at least 3 separate days in the previous 3 months or a score of 8 or above on the Alcohol Use Disorders Identification Test. Participants were randomized to either an assessment‐only condition or to two brief motivationally focused sessions, the first delivered during incarceration, the second 1 month later after community re‐entry. Participants recalled drinking behaviors at 3 and 6 months after the baseline interview using a 90‐day time‐line follow‐back method. Results The 245 female participants averaged 34 years of age, and were 71% Caucasian. The mean percentage of alcohol use days in the 3 months prior to incarceration was 51.7% and heavy alcohol use days was 43.9%. Intervention effects on abstinent days were statistically significant at 3 months (odds ratio = 1.96, 95% confidence interval 1.17, 3.30); the percentage of days abstinent was 68% for those randomized to intervention and 57% for controls. At 6 months the effect of the intervention was attenuated and no longer statistically significant. Conclusions Among incarcerated women who reported hazardous drinking, a two‐session brief alcohol intervention increased abstinent days at 3 months, but this effect decayed by 6 months. Study participants continued to drink heavily after return to the community. More intensive intervention pre‐release and after re‐entry may benefit hazardously drinking incarcerated women.
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The included studies were heterogeneous in outcome variables, outcome assessment, and intervention duration, so meta-analysis was not conducive.
“though interventions were similar in a few studies,17–21 the outcome variables, outcome assessment, and duration of the intervention were heterogeneous and therefore not conducive for a meta-analysis.”
From Psychosocial Interventions for Prisoners with Mental and Substance Use Disorders: A Systematic Review (2022) · cites this paper as [18]
In most studies, significant improvement was noted in primary and secondary outcomes.
“In most studies,18, 33, 35, 44, 52 significant improvement was noted in primary and secondary outcomes.32, 38, 44, 53”
From Psychosocial Interventions for Prisoners with Mental and Substance Use Disorders: A Systematic Review (2022) · cites this paper as [18]
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- Authors
- Stein, M. D., Caviness, C. M., Anderson, B. J., Hebert, M., & Clarke, J. G.
- Affiliations
- Brown University (US)
- Butler Hospital (US)
- Corresponding author
- Stein, Michael D.
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2010-02-05
- Volume
- 105
- Issue
- 3
- Pages
- 466-475
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- PMC
- PMC2858363
- OpenAlex
- W2077777343
- Cited by
- 49
- References
- 31
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 5 · 2019: 2 · 2018: 7 · 2017: 2 · 2016: 5 · 2015: 3 · 2014: 2 · 2013: 3 · 2012: 3
- FWCI
- 3.03
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute on Alcohol Abuse and Alcoholism (AA 014495, R01AA014495)
- National Institute on Drug Abuse (K24DA000512, Z01DA000512)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- brief alcohol intervention, hazardous drinking, women prisoners, alcohol consumption, abstinence, community reentry, heavy drinking
- MeSH terms
- Adolescent, Adult, Aged, Alcohol Drinking, Alcoholism, Counseling, Female, Follow-Up Studies, Humans, Middle Aged, Motivation, Prisoners, Psychotherapy, Brief, Young Adult
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