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The Motivation for Alcohol Reward: Predictors of Progressive-Ratio Intravenous Alcohol Self-Administration in Humans
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Motivational interviewing with hazardous drinkers
1Department of Nursing, Gonzaga University, Spokane, Washington 99258-0038, USA. beckham@gonzaga.edu
Journal of the American Academy of Nurse Practitioners
|February 16, 2007
Summary
Motivational interviewing significantly reduced daily alcohol consumption and improved liver function in hazardous drinkers in rural Idaho. This intervention shows promise for primary care settings.
Area of Science:
- Public Health
- Behavioral Science
- Primary Care Medicine
Background:
- Hazardous alcohol use is a significant public health issue, particularly in rural populations.
- Primary care settings offer a unique opportunity for early identification and intervention.
- Motivational interviewing (MI) is a counseling approach designed to facilitate behavior change.
Purpose of the Study:
- To evaluate the effectiveness of motivational interviewing in reducing hazardous drinking among individuals attending rural community health centers.
- To assess the impact of MI on alcohol consumption and liver function markers.
Main Methods:
- A randomized controlled trial was conducted with 26 hazardous drinkers identified via the Alcohol Use Disorders Identification Test (AUDIT).
- Participants were recruited from low-income community health centers in rural southeastern Idaho.
- The treatment group received one MI session, while the control group received no intervention. Alcohol use and serum gamma-glutamyltransferase (GGT) were measured at baseline and 6 weeks.
Main Results:
- The treatment group showed a significant decrease in average daily drinks from 4.65 to 1.95.
- The control group's average daily drinks decreased from 4.37 to 3.77.
- A significant reduction in serum GGT levels was observed in the treatment group from pretest to posttest.
Conclusions:
- Motivational interviewing is a promising intervention for hazardous drinkers in primary care settings.
- MI can effectively reduce alcohol consumption and improve liver function markers.
- Integrating MI into primary care can reduce healthcare costs and the stigma associated with alcohol treatment.
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