Measurement Invariance of the Readiness to Change Questionnaire Among Injured Patients Who Received a Brief Intervention for Alcohol Use

Assessment ◽  
2021 ◽  
pp. 107319112110401
Author(s):  
Dylan K. Richards ◽  
Osvaldo F. Morera ◽  
Frank J. Schwebel ◽  
Matthew R. Pearson ◽  
Craig A. Field
Keyword(s):  
Alcohol Use ◽  
Measurement Invariance ◽  
Brief Intervention ◽  
Stages Of Change ◽  
Readiness To Change ◽  
Brief Motivational Intervention ◽  
Biological Sex ◽  
Scalar Invariant ◽  
Level I ◽  
Injured Patients

We tested measurement invariance of the Readiness to Change Questionnaire (RCQ) to evaluate its utility in assessing the stages of change in the context of brief intervention for alcohol use in opportunistic settings. Participants ( N = 596) were patients admitted from three Level I trauma centers who were randomly assigned to one of three brief alcohol interventions. The RCQ was administered at baseline and 3-month follow-up. The RCQ was scalar invariant across biological sex and partially scalar invariant across race/ethnicity and alcohol use severity. Hispanic participants were higher on contemplation and action and Black participants were higher on action than White participants. Hazardous drinkers were lower in precontemplation and higher in contemplation and action than nonhazardous drinkers. The RCQ was scalar invariant across intervention conditions and time. Brief motivational intervention with a booster increased action from baseline to 3 month. These findings provide further support for the use of the RCQ.

scholarly journals The Effects of a Brief Motivational Intervention for Alcohol Use through Stages of Change among Nontreatment Seeking Injured Patients

2020 ◽  
Vol 44 (11) ◽  
pp. 2361-2372
Author(s):  
Craig A. Field ◽  
Dylan K. Richards ◽  
Yessenia Castro ◽  
José Alonso Cabriales ◽  
Amy Wagler ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Stages Of Change ◽  
Motivational Intervention ◽  
Brief Motivational Intervention ◽  
Injured Patients

scholarly journals Screening, Brief Intervention, and Referral to Treatment: Implementation Into an RN-BSN Curriculum

2019 ◽  
Vol 67 (11) ◽  
pp. 537-542
Author(s):  
Chad Rittle ◽  
Heather Santa ◽  
Alexandra Falk ◽  
Alexandra Nowalk
Keyword(s):  
Alcohol Use ◽  
Occupational Health ◽  
Brief Intervention ◽  
Online Community ◽  
Readiness To Change ◽  
Drug Misuse ◽  
Standard Drink ◽  
Bachelor Of Science ◽  
Treatment Implementation ◽  
Health Course

Background: The incidence of alcohol and substance misuse continues to be a problem in the workplace. Methods: A partnership between two universities and a federal agency implemented SBIRT (Screening, Brief Intervention, and Referral to Treatment) into a three-credit, 7-week online Community and Environmental Health Course for licensed nurses earning their Bachelor of Science in Nursing degree. SBIRT is an early intervention, targeting nondependent substance users before needing specialized treatment. Findings: Over seven semesters, 119 students completed the SBIRT curriculum. We observed a significant increase in knowledge about standard drink sizes and recognizing the most reliable alcohol use questionnaire (Alcohol Use Disorders Identification Test [AUDIT]). Students perceived themselves as competent in assessing patient readiness to change, making the best treatment decisions, and referring patients for appropriate care. Most students found significant value of SBIRT in their current practice setting. Conclusion/Application to Practice: The SBIRT curriculum was found to be a valuable tool for nurses in screening and referring patients to care who are at risk of alcohol and drug misuse. It is important for occupational health nurses to learn the necessary skills for assessing workers for alcohol and drug misuse. The occupational health nurse is encouraged to practice their skills at every patient encounter for purposes of refining their skills. Employers are concerned about drug and alcohol misuse in the workplace and occupational health nurses are the optimal group to intervene with workers who need assistance.

scholarly journals A systematic review of the transtheoretical model of behaviour change and alcohol use

Psychologica ◽  
2014 ◽  
Vol 57 (1) ◽  
pp. 7-22
Author(s):  
Flaviane Bevilaqua Felicíssimo ◽  
Víviam Vargas Barros ◽  
Sabrina Maura Pereira ◽  
Natália Quintela Rocha ◽  
Lélio Moura Lourenço
Keyword(s):  
Systematic Review ◽  
Alcohol Use ◽  
Rhode Island ◽  
Behaviour Change ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Readiness To Change ◽  
Change Processes ◽  
Processes Of Change ◽  
Change Assessment

Introdução: O estudo sobre o álcool tem aumentado em todo o mundo devido ao seu impacto social e econômico, e as doenças relacionadas ao uso de álcool estarem entre os distúrbios mais comuns de abuso de substâncias. Desta forma, faz-se necessário investigar os métodos mais eficazes e adequados de tratamento para diferentes populações. Método: Este trabalho analisou a literatura científica sobre o Modelo Transteórico de Mudança de Comportamento relacionados ao consumo de álcool. Foram consultadas as bases de dados Scopus, PubMed, PsycINFO, PepsiCo e Lilacs, utilizando os descritores transtheoretical model, transtheoretical approach, stages of change, processes of change e cycle of change cruzado com o descritor alcoholism, no período de dez anos (2001 a 2011). Principais resultados: A maioria das pesquisas encontradas utilizavam métodos longitudinais e quantitativos, além de uma prevalência no uso dos questionários Readiness to Change Questionnaire e University of Rhode Island Change Assessment utilizados na mensuração do ModeloTransteórico. Os resultados indicaram que outras variáveis podem influenciar o comportamento do indivíduo em relação à sua fase de mudança de comportamento e identificou problemas relacionados ao uso de álcool em pacientes que procuravam tratamento para outras condições de saúde. Esta constatação reforça a necessidade de práticas de triagens para a prevenção dos agravos relacionados ao uso de álcool.Implicações: O modelo Transteórico é importante no processo de mudança de comportamento, uma vez que permite a identificação dos estágios e a escolha de intervenções mais adequadas ao estágio do paciente, além de evitar que esforços sejam feitos na direção contrária à necessidade do usuário. Conclusão: Ressalta-se a necessidade de mais estudos na área, especialmente em relação às práticas de profissionais de saúde.

Effects of two types of brief intervention and readiness to change on alcohol use in hazardous drinkers.

2001 ◽  
Vol 62 (5) ◽  
pp. 605-614 ◽  
Author(s):  
S A Maisto ◽  
J Conigliaro ◽  
M McNeil ◽  
K Kraemer ◽  
R L Conigliaro ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Brief Intervention ◽  
Readiness To Change

Moderators of Outcome in a Web-Based Substance Use Intervention for Adolescents

2015 ◽  
Vol 61 (6) ◽  
pp. 377-387 ◽  
Author(s):  
Nicolas Arnaud ◽  
Christiane Baldus ◽  
Tobias H. Elgán ◽  
Hanne Tønnesen ◽  
Nina De Paepe ◽  
...  
Keyword(s):  
Substance Use ◽  
Brief Intervention ◽  
Self Efficacy ◽  
Parental Monitoring ◽  
Readiness To Change ◽  
Motivational Intervention ◽  
Risk Status ◽  
Web Based ◽  
Brief Motivational Intervention ◽  
Alcohol Risk

Abstract. Aims: In this article we explore the moderators of effectiveness of WISEteens (Web-based brief Intervention for SubstancE using teens), a fully automated web-based brief motivational intervention targeting risky substance use among adolescents. Based on previous studies, we examined the differential effects on drinking of sex, readiness to change, self-efficacy, alcohol risk status, and parental monitoring as hypothesized moderators. Methods: We analyzed completers data from a two-armed RCT study with follow-up assessment after 3 months, including N = 211 self-enrolled adolescents (16 – 18 years) who screened positive for at-risk substance use in Sweden, Belgium, the Czech Republic, and Germany. The trial compared a single-session brief motivational intervention to an assessment-only control group with AUDIT-C scores for drinking frequency, quantity, and frequency of binge drinking in the past month as study outcome. Results: The analyses revealed a statistically significant moderation effect for sex on drinking in the previous month, with a stronger effect for males. In contrast, readiness to change, self-efficacy, alcohol risk status, and parental monitoring did not moderate the effects. Conclusions: Although the trial was limited by large dropout, our findings imply that web-based interventions can be particularly effective for male adolescents, although the effects of WISEteens were largely independent of other individual characteristics. Web-based brief intervention should integrate gender-specific components to raise effectiveness for females.

Target-Population Specific Screening and Brief Intervention Addressing College Student Alcohol Use

2014 ◽  
Author(s):  
M. Dolores Cimini ◽  
Karen L. Sokolowski ◽  
Joseph M. Monserrat ◽  
Joyce Y. Dewitt-Parker ◽  
Estela M. Rivero ◽  
...  
Keyword(s):  
College Student ◽  
Alcohol Use ◽  
Brief Intervention ◽  
Target Population ◽  
Screening And Brief Intervention

Interventions to Reduce Alcohol Harms in Low and Middle Income Countries: a Systematic Review and Meta Analysis

2018 ◽  
Author(s):  
Joao Ricardo Nickenig Vissoci
Keyword(s):  
Systematic Review ◽  
Alcohol Use ◽  
Randomized Controlled Trials ◽  
Brain Stimulation ◽  
Meta Analysis ◽  
World Health ◽  
Controlled Trials ◽  
Middle Income ◽  
Brief Motivational Intervention ◽  
Randomized Controlled

BackgroundHarmful alcohol use leads to a large burden of disease and disability which disportionately impacts LMICs. The World Health Organization and the Lancet have issued calls for this burden to be addressed, but issues remain, primarily due to gaps in information. While a variety of interventions have been shown to be effective at reducing alcohol use in HICs, their efficacy in LMICs have yet to be assessed. This systematic review describes the current published literature on alcohol interventions in LMICs and conducts a meta analysis of clinical trials evaluating interventions to reduce alcohol use and harms in LMICs.MethodsIn accordance with PRISMA guidelines we searched the electronic databases Pubmed, EMBASE, Scopus,Web of Science, Cochrane, and Psych Info. Articles were eligible if they evaluated an intervention targeting alcohol-related harm in LMICs. After a reference and citation analysis, we conducted a quality assessment per PRISMA protocol. A meta-analysis was performed on the 39 randomized controlled trials that evaluated an alcohol-related outcome.ResultsOf the 3,801 articles from the literature search, 87 articles from 25 LMICs fit the eligibility and inclusion criteria. Of these studies, 39 randomized controlled trials were included in the meta-analysis. Nine of these studies focused specifically on medication, while the others focused on brief motivational intervention, brain stimulation, AUDIT-based brief interventions, WHO ASSIST-based interventions, group based education, basic screening and interventions, brief psychological or counseling, dyadic relapse prevention, group counseling, CBT, motivational + PTSD based interview, and health promotion/awareness. Conclusion Issues in determining feasible options specific to LMICs arise from unstandardized interventions, unequal geographic distribution of intervention implementation, and uncertain effectiveness over time. Current research shows that brain stimulation, psychotherapy, and brief motivational interviews have the potential to be effective in LMIC settings, but further feasibility testing and efforts to standardize results are necessary to accurately assess their effectiveness.

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