Titel | Seks måneders opfølgning af en kort intervention om selvrapporteret selebrug blandt akutmodtagelsespatienter |
Publikationstype | Tidsskriftsartikel |
Udgivelsesår | 2009 |
Forfattere | Fernandez, WG, Winter, MR, Mitchell, premierminister, Bullock, H, Donovan, J, St. George, J, Feldman, JA, Gallagher, SS, McKay, MP, Bernstein, E, Colton, T |
tidsskrift | Akademisk akutmedicin |
Bind | 16 |
Paginering | 1221-1224 |
Udgivelsessprog | eng |
ISBN nummer | 1069-6563 |
nøgleord | Ulykker, Trafik, Voksen, Analysis of Covariance, Bilsikkerhedsanordninger -- Udnyttelse, Chi Square test, kliniske forsøg, Tillidsintervaller, Beskrivende statistik, Emergency Care, Emergency Patients, Emergency service, Kvinde, Finansieringskilde, Sundhedsfremme, Mand, Massachusetts, Middelalder, motiverende interview, Multiple Logistic Regression, Oddsforhold, Ambulante patienter, P-værdi, Fremtidsstudier, spørgeskemaer, Repeated Measures, Scales, Selvrapportering, Summeret vurderingsskalering, Undersøgelser, T-tests |
Abstrakt | Objectives: Safety belt use (SBU) reduces motor vehicle deaths by 45%. We previously reported that a brief intervention improved self-reported SBU among emergency department (ED) patients at 3 months. We sought to determine if these effects were sustained at 6 months postenrollment. Methods: This was a prospective, randomized controlled trial of adult patients (age >= 21 years) at an academic medical center ED from February 2006 to May 2006. Patients were systematically sampled for self-reported SBU. Those with self-reported SBU less than "always" were asked to participate. Subjects were surveyed at baseline with a nine-item series of situational SBU questions scored on a five-point Likert scale (e.g., 5 = always, 1 = never). This nine-item average comprised the mean SBU score. Subjects were randomized to a control group (CG) and an intervention group (IG). The CG received an injury prevention brochure; the IG received a brief motivation interview by a trained interventionist and the brochure. Subjects were phoned at 3 and 6 months to determine interval change in SBU scores via a standard script. Repeated-measures analysis of covariance and t-tests were used to analyze trends in mean SBU scores between groups, as well as to test mean changes in SBU scores from the 3- to 6-month intervals. Results: Of 432 eligible patients, 292 enrolled (mean age = 35 years, SD ± 11.2 years; 61% male). At baseline, there were no significant demographic differences; the IG ( n = 147) and CG ( n = 145) had similar mean SBU scores (2.8 vs. 2.6, p = 0.31), and 66% ( n = 96 in each) completed both 3- and 6-month follow-up. The mean SBU score at 6 months in the IG was greater than in the CG group (3.6 vs. 2.9, p < 0.001), as were the mean SBU score differences from baseline (IG = 0.84 vs. CG = 0.29, p < 0.001). These differences were sustained from the 3-month interval (IG = -0.02 vs. CG = -0.06, p > 0.05). Conclusions: The previously reported finding that ED patients who received a brief motivation interview reported higher SBU scores at 3 months compared to a CG was sustained at 6-month follow-up. Although limited by self-report, a brief intervention may enhance lasting SBU behavior among high-risk ED patients. |
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