Comparative effectiveness of a brief intervention for alcohol misuse following traumatic brain injury: A randomized controlled trial

Model System:

TBI

Reference Type:

Journal article

Accession No.:

J88286

Journal:

Rehabilitation Psychology

Year, Volume, Issue, Page(s):

2021 , 66, 4, 345-355

Publication Website:

Abstract:

Study compared the effects of an adapted Screening, Education, and Brief Intervention (Adapted SBI) with those of Screening and Education with Attention Control (SEA) for reducing alcohol misuse following traumatic brain injury (TBI). Adapted SBI is a brief intervention for alcohol misuse that includes screening, education, motivational interviewing, and accommodations for cognitive deficits while the SEA is limited to screening and education. Fifty-eight participants with TBI were randomly assigned to Adapted SBI or SEA. Outcomes were collected at 3, 6, and 12 months after rehabilitation discharge. The primary outcome was the number of alcoholic drinks per week at 12 months post discharge. Participants in both conditions reduced alcohol use following their injury. The number of drinks per week at 12 months did not differ between the treatment conditions; the number of drinks consumed across the entire sample was very low (median = 0). A lower percentage of participants in the Adapted SBI condition resumed alcohol use by 12 months after discharge (32 percent vs. 62 percent in the SEA condition). No significant differences were found on other outcomes (binging, facts recalled about the negative effects of alcohol, drug use). The interventions did not impact other healthy behaviors, however healthy eating and stress management practices were associated with abstaining from alcohol use at the 12-month follow-up.

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