ArticleDrug and alcohol dependence reports2025
The influence of age on brief motivational intervention for unhealthy alcohol use.
Article in Drug and alcohol dependence reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: The influence of age on brief motivational interventions (BMI) effects remains unknown. In the present study, we explored whether change in alcohol consumption after BMI differs across age groups and whether these differences are reflected in motivational interviewing (MI) counsellor skills. Method: Secondary analysis of a randomized controlled trial among emergency room (ER) patients screened for unhealthy alcohol consumption. Participants (N = 97, 80 % men, 18-21 y: 19.6 %, 22-29 y: 22.7 %, 30-49 y: 34.0 % and ≥50 y: 23.7 %) received a single BMI in the ER, which was coded using the MI Skills Code 2.0. Alcohol outcomes were measured at 12-month. First, we tested whether BMI effect varied by age group using negative binomial regression for weekly drinking consumption, and logistic regression for change to low-risk drinking. Second, MI counsellor skills (global ratings of empathy, MI spirit and acceptance, and percentages of open questions, complex reflections (CR) and MI-consistent behaviors) were examined through one-way ANOVA or Welch test. Results: The 22-29 y group i) reported lower consumption at follow-up compared to the 30-49 y group (IRR=1.60, Conclusion: This exploratory study shows that BMI was associated with significantly better 12-month alcohol outcomes among patients aged 22-29 years, which corresponded with higher counsellor empathy ratings and percentage of CR.
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