Professor Leanne Hides holds an Australian National Health and Medical Research Council (NHMRC) Senior Research Fellowship and the industry-supported Lives Lived Well Chair in Alcohol, Drugs and Mental Health at the University of Queensland, Australia. Her research primarily focuses on the development and testing of treatments for primary substance use and comorbid mental disorders in young people, including web and mobile based programs.
A randomised controlled trial of personality risk-targeted coping skills training for young people with alcohol related illnesses/injuries
Aims: The efficacy of brief motivational interviewing (MI) interventions in young people been questioned. This randomized controlled trial determines if MI enhanced with PI s more efficacious than MI alone or an assessment feedback/information (AFI) only control.
Methods: Participants were 398 young people accessing an emergency department (ED) or rest-recovery service with an alcohol related injury/illness in Brisbane, Australia. Young people were randomized to receive (i) 2 sessions of MI; (ii) 2 sessions of PI or (iii) 1-session of AFI. Participants were followed up at 1, 3, 6 and 12 months.
Results: Reductions in alcohol-use and related-problems were seen across the sample at all post-baseline assessments. Significantly greater reductions in total standard drinks were found in the PI group compared to the MI group at 1 month follow up. At 12 months, this effect was maintained and was joined by differential effects on drinking days. PI also resulted in greater reductions in drinks/drinking day than AFI at 12 months. MI only had slightly better effects than AFI on drinking days at 6 months. No between group differences in alcohol-related problems were found
Conclusion: PI had stronger effects on the alcohol consumption than MI at 1 month, and effects are well maintained to 12 months. Telephone-delivered brief interventions appear acceptable to young people with alcohol related injuries/illness accessing EDs or rest-recovery services.