%0期刊文章%@ 1438-8871 %I JMIR出版物%V 19%卡塔尔世界杯8强波胆分析 N 5% P e119% T健康评估和转诊助理:一项基于网络的筛查、简单干预和转诊治疗系统的随机对照试验，以减少急诊科患者的危险酒精使用%A Haskins,Brianna L %A Davis-Martin,Rachel %A Abar,Beau %A Baumann,Brigitte M %A Harralson,Tina %A Boudreaux,Edwin D %+马萨诸塞大学医学院，伍斯特湖大道北55号，MA, 01655，美国，1 5084211400，brianna.haskins@umassmed.edu %K酒精消费%K干预研究%K急诊医学%K转诊和咨询%D 2017 %7 01.05.2017 %9原始论文%J J医学互联网Res %G英文%X背景:计算机技术有望实现酒精筛查、短暂干预和转诊治疗(SBIRT)。关于最有效和最合适的SBIRT模型的问题仍然存在。目的:本研究的目的是评估名为健康评估和转诊助理(HERA)的计算机化SBIRT系统对危险酒精使用治疗开始的影响。方法:考虑到急诊(ED)的酒精使用者(N=319)。入组的患者(n=212)被随机分配到HERA，使用平板电脑完成患者管理的评估，或进行最低限度的治疗控制，随访3个月。分析使用单变量比较、广义估计方程(GEEs)和事后卡方分析比较了酒精治疗提供者接触、治疗开始、治疗完成和跨条件的酒精使用。结果:HERA参与者(n=212;控制= 115; intervention=97) did not differ between conditions on initial contact with an alcohol treatment provider, treatment initiation, treatment completion, or change in risky alcohol use behavior. Subanalyses indicated that HERA participants, who accepted a faxed referral, were more likely to initiate contact with a treatment provider and initiate treatment for risky alcohol use, but were not more likely to continue engaging in treatment, or to complete treatment and change risky alcohol use behavior over the 3-month period following the ED visit. Conclusions: The HERA promoted initial contact with an alcohol treatment provider and initiation of treatment for those who accepted the faxed referral, but it did not lead to reduced risky alcohol use behavior. Factors which may have limited the HERA’s impact include lack of support for the intervention by clinical staff, the low intensity of the brief and stand-alone design of the intervention, and barriers related to patient follow-through, (eg, a lack of transportation or childcare, fees for services, or schedule conflicts). Trial Registration: International Standard Randomized Controlled Trial Number (ISRCTN): NCT01153373; https://clinicaltrials.gov/ct2/show/NCT01153373 (Archived by WebCite at http://www.webcitation.org/6pHQEpuIF) %M 28461283 %R 10.2196/jmir.6812 %U //www.mybigtv.com/2017/5/e119/ %U https://doi.org/10.2196/jmir.6812 %U http://www.ncbi.nlm.nih.gov/pubmed/28461283