在急诊室对亲密伴侣暴力和大量饮酒进行简短的激励干预:随机临床试验
Karin V Rhodes1,2, Melissa Rodgers1, Marilyn Sommers3
1Perelman School of Medicine, University of Pennsylvania, Philadelphia.
JAMA
|August 5, 2015
概括
在急诊室对女性进行简短的激励干预并没有显著减少亲密伴侣暴力 (IPV) 或重度饮酒. 需要进一步的研究来探索有效的干预措施.
科学领域:
- 公共卫生
- 临床研究
- 干预研究
背景情况:
- 亲密伴侣暴力 (IPV) 和重度饮酒是严重的公共卫生问题.
- 缺乏针对这些共同问题的综合干预措施.
- 紧急部门 (ED) 是可能提供干预的场所.
研究的目的:
- 评估短暂的动机干预措施在女性ED患者中减少IPV和重度饮酒的有效性.
- 与评估和无接触对照组相比,评估干预措施的影响.
主要方法:
- 这是一项随机临床试验,涉及600名女性ED患者 (年龄在18-64岁),他们患有IPV和大量饮酒.
- 参与者被随机分配到简短的激励干预,评估对照组或无接触对照组.
- 通过使用交互式语音响应系统,对12次每周评估的结果 (IPV事件,大量饮酒) 进行了测量.
主要成果:
- 在干预和评估对照组之间没有发现IPV或重饮.
- 这两组的IPV和重度饮酒从基线下降到12周.
- 在12个月后,两组的相似比例报告没有IPV或将酒精消耗降低到安全水平.
结论:
- 在ED环境下进行的简短激励干预并没有显著减少IPV或重度饮酒.
- 结果不支持在ED患者中使用这种特殊的简短的激励干预措施.
- 需要进一步的研究来开发IPV和重饮的有效综合干预措施.
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