Some Medical Inpatients With Unhealthy Alcohol Use May Benefit From Brief Intervention
Open accessAbstract
OBJECTIVE: Studies of alcohol brief intervention for medical inpatients have mixed results. We explored potential moderators of the effectiveness of brief intervention for unhealthy alcohol use among medical inpatients. METHOD: This is a secondary analysis of a randomized controlled trial of brief motivational counseling among 341 urban-hospital medical inpatients (99 women) with unhealthy alcohol use. Self-reported main outcomes were receipt of alcohol treatment by 3 months in subjects with dependence and change in the mean number of drinks per day 3 and 12 months after enrollment in all subjects. RESULTS: Among subjects with dependence, the effect of brief intervention on receipt of alcohol treatment differed significantly by gender and age (p = .02 for each interaction). In stratified analyses, brief intervention was associated with receipt of alcohol treatment in women (adjusted odds ratio [AOR] = 3.9, 95% confidence interval [CI]: 1.2-12.7), and younger (<44 years) subjects (AOR = 3.6, 95% CI: 1.3-10.1). Among subjects with nondependent, unhealthy alcohol use, brief intervention was significantly associated with fewer drinks per day and better physical health-related quality of life at 3 months. However, among those with dependence, intervention was associated with worse physical health-related quality of life and more hospital use, and no changes in drinking. In adjusted analyses among those with and without dependence, brief intervention was not associated with mental health-related quality of life, alcohol problems, or readiness to change. Effects of brief intervention on consumption outcomes were not consistently moderated by demographic characteristics, comorbidity/health, or readiness to change. CONCLUSIONS: Some medical inpatients with unhealthy alcohol use, particularly women, younger adults, and patients without dependence may benefit from brief intervention. Few factors that were expected to moderate brief intervention effects did so. Additional research should assess which medical inpatients, if any, can benefit from brief intervention.
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A single trial reported that brief intervention raised treatment use for women and for adults younger than 44, despite non-significant main effects.
“For instance, although their main effects were not statistically significant (33), one study found that brief intervention increased treatment utilization among women and adults under age 44 (77).”
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“For instance, although their main effects were not statistically significant [33], one study found that brief intervention increased treatment utilization among women and adults below age 44years [77].”
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- Authors
- Saitz, R., Palfai, T. P., Cheng, D. M., Horton, N. J., Dukes, K., Kraemer, K. L., Roberts, M. S., Guerriero, R. T., & Samet, J. H.
- Affiliations
- Boston University (US)
- ORCID
- Venue
- Journal of Studies on Alcohol and Drugs
- Publisher
- Alcohol Research Documentation, Inc.
- Published
- 2009-05
- Volume
- 70
- Issue
- 3
- Pages
- 426-435
- ISSN
- 1937-1888 (ISSN-L)
- 1938-4114
- PMC
- PMC2670748
- OpenAlex
- W2015514241
- Cited by
- 39
- References
- 3
- Citations by year
- 2026: 1 · 2023: 1 · 2020: 3 · 2019: 1 · 2017: 2 · 2015: 7 · 2014: 1 · 2013: 10 · 2012: 5
- FWCI
- 2.92
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Studies on Alcohol and Drugs (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (R01-12617)
- National Center for Research Resources (M01-RR-00533, M01RR000533)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- brief intervention, motivational counseling, unhealthy alcohol use, medical inpatients, alcoholism, alcohol consumption reduction, health-related quality of life, gender differences, age differences, moderators of intervention effectiveness, hospital utilization
- MeSH terms
- Adult, Age Factors, Alcoholism, Female, Humans, Inpatients, Male, Middle Aged, Psychotherapy, Brief, Quality of Life, Risk Factors, Sex Factors, Comorbidity, Diagnosis, Dual (Psychiatry)
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