TY - JOUR
T1 - Computer-enhanced interventions for drug use and HIV risk in the emergency room
T2 - Preliminary results on psychological precursors of behavior change
AU - Bonar, Erin E.
AU - Walton, Maureen A.
AU - Cunningham, Rebecca M.
AU - Chermack, Stephen T.
AU - Bohnert, Amy S.B.
AU - Barry, Kristen L.
AU - Booth, Brenda M.
AU - Blow, Frederic C.
PY - 2014/1
Y1 - 2014/1
N2 - This article describes process data from a randomized controlled trial among 781 adults recruited in the emergency department who reported recent drug use and were randomized to: intervener-delivered brief intervention (IBI) assisted by computer, computerized BI (CBI), or enhanced usual care (EUC). Analyses examined differences between baseline and post-intervention on psychological constructs theoretically related to changes in drug use and HIV risk: importance, readiness, intention, help-seeking, and confidence. Compared to EUC, participants receiving the IBI significantly increased in confidence and intentions; CBI patients increased importance, readiness, confidence, and help-seeking. Both groups increased relative to the EUC in likelihood of condom use with regular partners. Examining BI components suggested that benefits of change and tools for change were associated with changes in psychological constructs. Delivering BIs targeting drug use and HIV risk using computers appears promising for implementation in healthcare settings. This trial is ongoing and future work will report behavioral outcomes.
AB - This article describes process data from a randomized controlled trial among 781 adults recruited in the emergency department who reported recent drug use and were randomized to: intervener-delivered brief intervention (IBI) assisted by computer, computerized BI (CBI), or enhanced usual care (EUC). Analyses examined differences between baseline and post-intervention on psychological constructs theoretically related to changes in drug use and HIV risk: importance, readiness, intention, help-seeking, and confidence. Compared to EUC, participants receiving the IBI significantly increased in confidence and intentions; CBI patients increased importance, readiness, confidence, and help-seeking. Both groups increased relative to the EUC in likelihood of condom use with regular partners. Examining BI components suggested that benefits of change and tools for change were associated with changes in psychological constructs. Delivering BIs targeting drug use and HIV risk using computers appears promising for implementation in healthcare settings. This trial is ongoing and future work will report behavioral outcomes.
KW - Brief interventions
KW - Computer-delivered therapy
KW - Drug use
KW - Emergency department
KW - HIV
UR - http://www.scopus.com/inward/record.url?scp=84886781984&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84886781984&partnerID=8YFLogxK
U2 - 10.1016/j.jsat.2013.08.005
DO - 10.1016/j.jsat.2013.08.005
M3 - Article
C2 - 24035142
AN - SCOPUS:84886781984
SN - 0740-5472
VL - 46
SP - 5
EP - 14
JO - Journal of Substance Abuse Treatment
JF - Journal of Substance Abuse Treatment
IS - 1
ER -
