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Title: The evaluation of a pilot programme for alcohol relapse prevention in patients with traumatic brain injuries
Author: Harding, Christopher
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 2005
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Background: Approximately, 30-50% of people, who acquire a traumatic brain injury (TBI), have a pre-morbid alcohol abuse or alcohol dependency history. Alcohol abuse providers tend not to have sufficient understanding of the cognitive or emotional problems that brain injured patients present with or they are reluctant to include these patients in their programmes due to their behavioural difficulties. Brain injury providers are generally not trained to identify or treat patients with alcohol problems. Socio-behavioural approaches form the basis for the majority of current therapeutic programmes but little work has been done on administering any of these with brain injured patients. Previous studies have piloted and evaluated psycho-educational and motivational enhancement approaches. As, relapse prevention is gradually being seen as the more appropriate and effective way of treating patients with alcohol problems, a standardised relapse programme (Warnigaratne et al. 1990) was adapted for the brain injury population and evaluated for efficiency. Method: Twenty hospital inpatients, with TBIs and alcohol problems, were recruited for the study. Ten of these received relapse prevention treatment, over the course of seven weeks and ten were used as controls. Data was collected pre and post intervention on three questionnaires examining motivation, knowledge and self-efficacy. Feedback questionnaires were also administered at the end of each session. Results: No significant difference was found, on any of the questionnaires, between those who had received treatment and those who hadn’t, post intervention. However, all mean scores demonstrated a non-significant trend in the hypothesised direction. Discussion: Although the results were not significant, this study demonstrated that it was possible to actively engage individuals with a brain injury, in therapeutic work addressing their alcohol problems. It also highlighted the need for further research in this area.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available