Abstract: Objective: To test the feasibility and efficacy of a psychosocial intervention to address high-risk substance use in patients scheduled for elective surgery.Method: A group-format intervention, based in motivational interviewing principles, was provided prior to elective surgery to 107 participants with at-risk substance use, identified using the AUDIT-C and self-report of illicit drug use. Patient satisfaction was assessed with an anonymous survey. Within-subject comparisons of substance use at baseline and at a postoperative follow-up evaluation were conducted

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