PubMed:24553532 JSONTXT

{"project":"Allie","denotations":[{"id":"SS1_24553532_2_0","span":{"begin":237,"end":255},"obj":"expanded"},{"id":"SS2_24553532_2_0","span":{"begin":258,"end":260},"obj":"abbr"},{"id":"SS1_24553532_3_0","span":{"begin":378,"end":416},"obj":"expanded"},{"id":"SS2_24553532_3_0","span":{"begin":418,"end":421},"obj":"abbr"},{"id":"SS1_24553532_8_0","span":{"begin":937,"end":978},"obj":"expanded"},{"id":"SS2_24553532_8_0","span":{"begin":980,"end":985},"obj":"abbr"},{"id":"SS1_24553532_14_0","span":{"begin":1447,"end":1473},"obj":"expanded"},{"id":"SS2_24553532_14_0","span":{"begin":1475,"end":1477},"obj":"abbr"},{"id":"SS1_24553532_14_1","span":{"begin":1573,"end":1592},"obj":"expanded"},{"id":"SS2_24553532_14_1","span":{"begin":1594,"end":1596},"obj":"abbr"},{"id":"SS1_24553532_15_0","span":{"begin":1659,"end":1672},"obj":"expanded"},{"id":"SS2_24553532_15_0","span":{"begin":1674,"end":1676},"obj":"abbr"}],"relations":[{"id":"AE1_24553532_2_0","pred":"abbreviatedTo","subj":"SS1_24553532_2_0","obj":"SS2_24553532_2_0"},{"id":"AE1_24553532_3_0","pred":"abbreviatedTo","subj":"SS1_24553532_3_0","obj":"SS2_24553532_3_0"},{"id":"AE1_24553532_8_0","pred":"abbreviatedTo","subj":"SS1_24553532_8_0","obj":"SS2_24553532_8_0"},{"id":"AE1_24553532_14_0","pred":"abbreviatedTo","subj":"SS1_24553532_14_0","obj":"SS2_24553532_14_0"},{"id":"AE1_24553532_14_1","pred":"abbreviatedTo","subj":"SS1_24553532_14_1","obj":"SS2_24553532_14_1"},{"id":"AE1_24553532_15_0","pred":"abbreviatedTo","subj":"SS1_24553532_15_0","obj":"SS2_24553532_15_0"}],"text":"The effect on problematic drinking behavior of a brief motivational interview shortly after a first arrest for driving under the influence of alcohol: a randomized trial.\nBACKGROUND: In medical settings, motivational interviewing-based \"brief intervention\" (BI) counseling reduces alcohol-related risk-taking behavior and harm in high-risk populations. Individuals arrested for driving under the influence of alcohol (DUI) are another at-risk population. We sought to determine whether a BI administered shortly after a first DUI arrest might decrease problematic drinking behavior.\nMETHODS: We conducted a single-center, parallel-group, double-blinded superiority randomized trial (NCT01270217), enrolling first-time DUI arrestees at a county jail from December 2010 through April 2011. Before their release, we randomized participants by computer-generated sequence to either a single BI or no discussion. We assessed 90-day change in Alcohol Use Disorders Identification Test (AUDIT) scores (range 0-40, higher values indicating more problematic drinking) as the primary outcome.\nRESULTS: We enrolled 200 subjects (100 to each arm), and 181 (90.5%, 86 control and 95 BI) completed the 90-day follow-up. Mean (SD) age was 30 (10) years, and 50% were men. Mean (SD) blood alcohol concentration upon arrest was 0.14% (0.04%). Mean (SD) baseline AUDIT scores were 8.8 (5.8) among control subjects and 7.7 (6.3) among BI subjects. At 90 days, AUDIT scores decreased by a mean (SD) 4.7 (5.1) units among control subjects and 3.4 (5.0) among BI subjects (difference, -1.3; 95% confidence interval [CI], -2.8 to +0.1). The likelihood of subsequent binge drinking [relative risk (RR) 1.6; 95% CI, 0.8-3.0; BI vs. control], abstinence (RR, 0.9; 95% CI, 0.4-2.1), alcohol-related injury to self or others (RR, 0.4; 95% CI, 0.1-2.4), and seeking treatment (RR, 1.2; 95% CI, 0.8-1.7) did not differ.\nCONCLUSION: A single BI counseling session shortly after first-time DUI arrest does not reduce 90-day self-reported drinking behavior or increase seeking treatment for drinking beyond that which occurs without such a discussion.\nLEVEL OF EVIDENCE: Therapeutic study, level III."}