PURPOSE/OBJECTIVE Compare the effects of an adapted Screening, Education, and Brief Intervention (Adapted SBI) for alcohol misuse following traumatic brain injury (TBI) to a Screening and Education with Attention Control (SEA) condition. STUDY DESIGN A single-masked, parallel group, randomized controlled trial was conducted with 58 participants who were 18 and older, sustained a TBI requiring inpatient rehabilitation, had a history of alcohol misuse, were English-speaking, cleared posttraumatic amnesia, were free of language impairments precluding participation in the intervention, and who provided informed consent. Outcomes were collected at 3, 6, and 12 months postdischarge. The primary outcome was drinks per week at 12 months postdischarge. RESULTS Participants in both conditions reduced alcohol use following their injury. The number of drinks per week at 12 months did not differ between the treatment conditions; the number of drinks consumed across the entire sample was very low (median = 0). A lower percentage of participants in the Adapted SBI condition resumed alcohol use by 12 months postdischarge (32% vs. 62% in the SEA condition, p < .05). No significant differences were found on other outcomes (binging, facts recalled about the negative effects of alcohol, drug use). The inclusion of a booster session did not appear to alter the intervention effects. The interventions did not impact other healthy behaviors, however healthy eating and stress management practices were associated with abstaining from alcohol use at the 12-month follow-up. CONCLUSIONS/IMPLICATIONS While alcohol misuse generally declines postinjury, by 12 months postdischarge many individuals resume alcohol use. Adapted SBI may slow the resumption of alcohol use. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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创伤性脑损伤后酒精滥用的简短干预的比较有效性：一项随机对照试验。

目的/目的 将针对创伤性脑损伤 (TBI) 后酒精滥用的适应性筛查、教育和简短干预 (Adapted SBI) 与注意力控制筛查和教育 (SEA) 条件进行比较。研究设计 一项单盲、平行组、随机对照试验纳入了 58 名年龄在 18 岁及以上、患有需要住院康复的 TBI、有酗酒史、会说英语、已清除创伤后健忘症、没有妨碍参与干预的语言障碍，以及谁提供了知情同意。在出院后 3、6 和 12 个月收集结果。主要结果是出院后 12 个月时每周的饮酒量。结果 两种情况下的参与者在受伤后都减少了饮酒。12 个月时每周的饮酒次数在治疗条件之间没有差异；整个样本消耗的饮料数量非常少（中位数 = 0）。适应 SBI 条件下的参与者在出院后 12 个月恢复饮酒的比例较低（32% 与 SEA 条件下的 62%，p < .05）。在其他结果（暴饮暴食、回忆酒精的负面影响、吸毒）方面没有发现显着差异。包括加强会议似乎没有改变干预效果。干预措施不会影响其他健康行为，但健康饮食和压力管理实践与在 12 个月的随访中戒酒有关。结论/影响 虽然酒精滥用通常会在伤后下降，到出院后 12 个月，许多人恢复饮酒。调整后的 SBI 可能会减缓酒精使用的恢复。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。