Randomized trial of motivational interviewing plus feedback for soldiers with untreated alcohol abuse.
Abstract/Contents
- Abstract
Objective: Alcohol use disorders (AUDs) are prevalent in the military and are a major public health concern. Although efficacious AUD interventions exist, few service members seek treatment. Army-specific barriers to AUD treatment include treatment being recorded on health records, command being notified of participation, and perceptions that seeking treatment would interfere with promotion or retention in the military. Evaluate a telephone delivered motivational interviewing plus feedback (MIF) intervention designed to attract self-referral and reduce
substance use from active-duty military with untreated AUD. Method: A randomized controlled trial enrolled 242 Army personnel who met criteria for AUD according to the Diagnostic and Statistical Manual of Mental Disorders (4th ed.) and who were not engaged in AUD treatment. Participants were screened and assessed at baseline, 1-week, and 3- and 6-month follow-ups. Participants were randomly assigned to receive 1 session of MIF or psychoeducation
(control). All participation occurred over the telephone. Primary outcomes included number of drinks per week, substance use disorder (SUD) diagnosis and consequences, and treatment-seeking behavior. Results: Generalized linear models were used to test group differences in drinking behaviors and substance use problems. Results indicated that all participants significantly reduced their drinking over time. MIF participants reported significantly fewer drinks per week than did control participants. Similarly, alcohol dependence diagnosis was
marginally lower among MIF participants than control participants at the 6-month assessment. SUD treatment seeking significantly increased for both conditions. Conclusions: This novel adaptation of MIF shows promise for decreasing drinking and alcohol dependence among this high-risk sample of non-treatment-seeking soldiers and may complement existing AUD services already provided by the Army.
Description
Type of resource | text |
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Publication date | January 5, 2023; October 13, 2016 |
Creators/Contributors
Author | Walker, Denise |
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Author | Walton, Thomas |
Author | Neighbors, Clayton |
Author | Kaysen, Debra |
Author | Mbiliny, Lyungai |
Author | Darnell, Jolee |
Author | Rodriguez, Lindsey |
Author | Roffman, Roger |
Subjects
Subject | Soldiers |
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Subject | Substance abuse |
Subject | Alcohol |
Subject | Motivational interviewing |
Subject | Personalized feedback |
Genre | Text |
Genre | Article |
Bibliographic information
Related item |
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Location | https://purl.stanford.edu/hz978nr7520 |
Access conditions
- Use and reproduction
- User agrees that, where applicable, content will not be used to identify or to otherwise infringe the privacy or confidentiality rights of individuals. Content distributed via the Stanford Digital Repository may be subject to additional license and use restrictions applied by the depositor.
- License
- This work is licensed under a Creative Commons Attribution Non Commercial No Derivatives 4.0 International license (CC BY-NC-ND).
Preferred citation
- Preferred citation
- Walker, D., Walton, T., Neighbors, C., Kaysen, D., Mbiliny, L., Darnell, J., Rodriguez, L., and Roffman, R. (2023). Randomized trial of motivational interviewing plus feedback for soldiers with untreated alcohol abuse.. Stanford Digital Repository. Available at https://purl.stanford.edu/hz978nr7520.
Collection
Stanford University Open Access Articles
View other items in this collection in SearchWorksContact information
- Contact
- dkaysen@stanford.edu
- ddwalker@uw.edu
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