| 1. |
- Buchholz, Angela, et al.
(författare)
-
Placement matching of alcohol-dependent patients based on a standardized intake assessment : rationale and design of a randomized controlled trial
- 2014
-
Ingår i: BMC Psychiatry. - : Springer Science and Business Media LLC. - 1471-244X. ; 14, s. 286-
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Despite considerable research on substance-abuse placement matching, evidence is still inconclusive. The aims of this exploratory trial are to evaluate (a) the effects of following matching guidelines on health-care costs and heavy drinking, and (b) factors affecting the implementation of matching guidelines in the treatment of alcohol-dependent patients. Methods: A total of 286 alcohol-dependent patients entering one of four participating detoxification units and having no arrangements for further treatment will be recruited. During the first week of treatment, all patients will be administered Measurements in the Addictions for Triage and Evaluation (MATE), European Quality of Life-Five Dimensions health status questionnaire (EQ-5D), and the Client Socio-Demographic and Service Receipt Inventory-European Version (CSSRI-EU). Patients who are randomly allocated to the intervention group will receive feedback regarding their assessment results, including clear recommendations for subsequent treatment. Patients of the control group will receive treatment as usual and, if requested, global feedback regarding their assessment results, but no recommendations for subsequent treatment. At discharge, treatment outcome and referral decisions will be recorded. Six months after discharge, patients will be administered MATE-Outcome, EQ-5D, and CSSRI-EU during a telephone interview. Discussion: This trial will provide evidence on the effects and costs of using placement-matching guidelines based on a standardized assessment with structured feedback in the treatment of alcohol-dependent patients. A process evaluation will be conducted to facilitate better understanding of the relationship between the use of guidelines, outcomes, and potential mediating variables.
|
|
| 2. |
- Piontek, Daniela, et al.
(författare)
-
Social context and the occurrence of episodic heavy drinking
- 2013
-
Ingår i: International Journal of Alcohol and Drug Research. - : International Journal of Alcohol and Drug Research. - 1925-7066. ; 2:2, s. 45-52
-
Tidskriftsartikel (refereegranskat)abstract
- Aims: This study aims to investigate the influence of social context variables on Episodic Heavy Drinking (EHD) among young adults. It will assess (a) whether EHD is predicted by characteristics of the specific drinking situation and drinking motives, and (b) whether the influence of drinking motives is moderated by public versus private drinking. Design/Setting: Data were collected by means of an online survey conducted at the University of Münster (Germany) in December 2008. Participants: The analytical sample consisted of 1,638 students. Instruments: Information was collected on socio-demographics, habitual drinking behavior (beverage-specific quantity and frequency within the past 30 days, EHD, drunkenness), and drinking motives (Drinking Motive Questionnaire Revised, DMQ-R). Moreover, participants described a recent drinking situation (beverage-specific quantity, drunkenness) as well as the social context related to this situation (time, place, people present, other substances used). Multivariate regression analyses were used to test the influence of context variables and their interaction with drinking motives. Findings: Drinking at a birthday or special party, during the weekend, or in a group where many people were drunk and playing drinking games increased the risk of EHD. Social and enhancement motives were associated with a higher risk for EHD, whereas conformity motives had a protective effect on heavy drinking. The effect of conformity motives was only present in public drinking situations. Conclusions: Drinking in young people is a social phenomenon related to situational influences as well as individual characteristics. In addition, there seems to be situational moderation of the impact of specific drinking motives.
|
|
