Assessment of readiness to change and relationship to AUDIT score in a trauma population utilizing computerized alcohol screening and brief intervention

Subst Abus. 2012;33(4):378-86. doi: 10.1080/08897077.2011.645951.

Abstract

Trauma patient readiness-to-change score and its relationship to the Alcohol Use Disorder Identification Test (AUDIT) score were assessed in addition to the feasibility of computerized alcohol screening and brief intervention (CASI). A bilingual computerized tablet for trauma patients was utilized and the data were analyzed using Stata. Twenty-five percent of 1145 trauma patients drank more than recommended and 4% were dependent. As many Spanish-speaking as English-speaking males did not drink, but a higher percentage of Spanish-speaking males drank more than recommended and were dependent. Half of patients who drank more than recommended rated themselves 8 or higher on a 10-point readiness-to-change scale. CASI also provided personalized feedback. A high percentage of trauma patients (92%) found CASI easy and a comfort in use (87%). Bilingual computerized technology for trauma patients is feasible, acceptable, and an innovative approach to alcohol screening, brief intervention, and referral to treatment in a tertiary care university.

Publication types

  • Clinical Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Alcohol-Related Disorders / complications
  • Alcohol-Related Disorders / psychology*
  • Alcohol-Related Disorders / therapy
  • Feasibility Studies
  • Female
  • Hispanic or Latino / psychology
  • Humans
  • Language
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care / psychology*
  • Patient Satisfaction / statistics & numerical data
  • Psychotherapy, Brief / methods
  • Sex Characteristics
  • Substance Abuse Detection / methods
  • Substance Abuse Detection / psychology*
  • Therapy, Computer-Assisted / methods
  • Wounds and Injuries / complications
  • Wounds and Injuries / psychology*
  • Wounds and Injuries / therapy