An evaluation of two primary care interventions for alcohol abuse among Mexican-American patients

Sandra K. Burge, Nancy Amodei, Bernice Elkin, Selina Catala, Sylvia Rodriguez Andrew, Patricia A. Lane, J. Paul Seale

Research output: Contribution to journalArticle

47 Scopus citations

Abstract

Aims. This study examined the effects of two primary care interventions (a physician intervention and a clinic-based psychoeducational group) on drinking patterns, psychosocial problems and blood test results (MCV, GGT, SGOT and SGPT). Design. Subjects were randomized into one of four treatment groups: physician intervention, psychoeducation, both interventions, or no intervention. Follow-up data were collected at 12 and 18 months. Setting. Subjects were recruited from a family practice outpatient clinic managed by a public hospital. Participants. Included 175 Mexican-American female and male primary care patients who screened positive for alcohol abuse or dependence. These patients were not seeking help for alcohol problems. Interventions. Included a brief physician intervention and a 6-week patient psychoeducational group. Measurements. The Diagnostic Interview Schedule assessed subjects for alcohol abuse; the Addiction Severity Index measured alcohol-related problems, including psychosocial issues. Findings. All four treatment groups demonstrated significant improvement over time, with few differences between intervention and control groups. Conclusions. Assessment can be confounded with brief interventions; future investigators should use non-assessed control groups.

Original languageEnglish (US)
Pages (from-to)1705-1716
Number of pages12
JournalAddiction
Volume92
Issue number12
DOIs
StatePublished - 1997

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health

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