지역사회 기반 SBIRT-AC 효과성 연구

Effectiveness of SBIRT-AC in the Community

Objectives : The purpose of this study was to examine the effect of screening, brief intervention, and referral to treatment (SBIRT-AC) for alcohol use on drinking behavior, the stages of change, drinking refusal self-efficacy, and insight in a community-based intervention. Methods ： This study used a quasi-experimental study design. SBIRT-AC was conducted once per week for four weeks. The data were obtained from October 2017 to December 2019. A total of 65 subjects from two addiction management centers with Korean Version of Alcohol Use Disorder Identification Test (AUDIT-K) scores of 10 or above in males or 6 or above in females, which were used to identify alcohol use disorder, were included in the study. The data were analyzed using descriptive statistics, independent t-test, χ2 test, and Cronbach’s alpha. Results ： Of the 65 subjects, 34 subjects in the experimental group participated in SBIRT-AC and 31 subjects in the control group did not participate in SBIRT-AC. SBIRT-AC improved drinking behavior, and the stages of change, drinking refusal self-efficacy, and insight in the experimental group compared to the control group (p<0.05). Conclusion : This study showed that SBIRT-AC was effective in improving drinking behavior, increasing the stages of change, and improving drinking refusal self-efficacy and insight in patients with alcohol use disorder. Therefore, SBIRT-AC should be considered a useful community-based intervention.