• Janette Baird, Richard Longabaugh, Christina S Lee, Ted D Nirenberg, Robert Woolard, Michael J Mello, Bruce Becker, Kathleen Carty, P Allison Minugh, Lynda Stein, Patrick R Clifford, and Aruna Gogineni.
• Injury Prevention Center at Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903, USA. jbaird@lifespan.org
• Alcohol. Clin. Exp. Res. 2007 Oct 1;31(10 Suppl):71s-75s.

BackgroundThe aim of this study was to identify therapist behaviors during a brief motivational intervention (BMI) given to injured emergency department patients that predicted participant return for a second BMI session and 12-month alcohol-related outcomes.MethodThis was a secondary data analysis of a randomized controlled trial (n = 539) previously demonstrating that random assignment to a BMI and booster session resulted in a significant reduction of 12-month post-intervention alcohol-related injuries and negative consequences relative to standard care.ResultsParticipants who actually received 2 BMI sessions had significantly less alcohol-related negative consequences than those who received only 1 BMI session. Therapists who reported a higher focus on emotional support and low focus on participant drinking behaviors during the initial BMI session were more likely to have assigned participants return for the second BMI session.ConclusionThe results of these secondary analyses show that compliance with a 2-session therapeutic intervention (BIB) predicted fewer negative alcohol-related consequences, and that therapists' supportive emotional emphasis during the first BMI session was important in predicting participants returning for the second MI session.

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