期刊
SUBSTANCE ABUSE
卷 42, 期 4, 页码 699-705出版社
SAGE PUBLICATIONS INC
DOI: 10.1080/08897077.2020.1846150
关键词
Sentinel event; mechanisms of change; alcohol use; brief intervention
资金
- Patient Centered Outcomes Research Institute [RAD130603852]
- National Cancer Institute [K01CA157689]
- National Institute of General Medical Sciences [RL5GM118969, TL4GM118971, UL1GM118970]
- National Institute of Minority Health and Health Disparities [1R21MD011431]
The study found that sentinel events may increase motivation to change behavior by triggering negative emotional reactions, encouraging reflection on the consequences of behavior, and prompting a reevaluation of the severity and significance of the behavior.
Background Sentinel events are negative health-related events that trigger change in risky health behaviors. Despite its presumed major role in behavior change, the sentinel event effect has received little empirical attention. Through analysis of qualitative interviews, we explored how sentinel events trigger behavior change. Methods: Thematic analysis and concept mapping were used to develop a preliminary model of the sentinel event effect among a sample of 24 adult heavy drinking Mexican-origin men previously admitted to a hospital due to injury. The model was checked against cases that did versus did not report change in alcohol use following an alcohol-related negative event. Results: Findings suggest that sentinel events may arouse negative emotional reactions, encourage reflection on the negative consequences of drinking, and cause reevaluation of the severity and significance of drinking. These processes may increase motivation to change. Conclusions: Findings support the concept of the sentinel event as a natural intervention, and identifies potential social-cognitive and motivational mechanisms through which it influences change. Findings stand to inform research on mechanisms underlying brief intervention effects, and research that seeks to identify treatment targets.
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