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Can screening and simple written advice reduce excessive alcohol consumption among emergency care patients?
Alcohol Alcohol. 2005 Sep-Oct; 40(5):401-8.AA

Abstract

AIMS

Emergency care patients have an overrepresentation of risky drinkers. Despite the evidence on the effectiveness of a short feedback on screening or self-help material, most studies performed so far have required considerable time from staff and thus been difficult to implement in the real world. The present study evaluates the effect of the screening and whether simple written advice has any additional effect on risky drinking.

METHODS

An alcohol screening routine was implemented among injury patients in a Swedish emergency care department. Over 12 months, two cohorts were invited to answer an alcohol screening questionnaire in the waiting room. In the first 6 months, 771 patients were screened without any written advice (cohort A) and in the following 6 months, 563 were screened and in addition received simple written advice about sensible drinking (cohort B). None of the patients received one-to-one feedback. Six months after the screening, a follow-up interview by telephone explored the changes in drinking.

RESULTS

In cohort A 182 (24%) of the patients were defined as risky drinkers and in cohort B 125 (22%). Reached at follow-up after 6 months were 81 (44%) risky and 278 (47%) non-risky drinkers in cohort A, and 40 (32%) risky and 220 (50%) non-risky drinkers in cohort B. The number of patients with heavy episodic drinking decreased significantly in cohort A from 76 (94% of the risky drinkers) to 49 (59%). In cohort B a similar change was seen from 37 (92%) to 27 (68%). Only in cohort B, was a significant increase in readiness to change drinking habits seen [from 3 (8%) to 9 (23%)]. The reduction in heavy episodic drinking was comparable with previous reports from more extensive interventions. However, at the time of follow-up, drinking among non-risky drinkers at baseline had increased. When considering the greater numbers of non-risky drinkers, the total consumption in the study group increased during the study period.

CONCLUSIONS

Owing to the reported difficulties of integrating more time-consuming alcohol interventions in emergency departments, it is suggested that at least screening for drinking should be implemented as routine in emergency departments. More research is needed in order to establish the optimal balance between effective alcohol intervention, and acceptable time and effort requirement from staff.

Authors+Show Affiliations

Department of Health and Society, Division of Social Medicine and Public Health Science, Linköping University, S-581 83 Linköping Sweden. cecno@ihs.liu.seNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15955776

Citation

Nordqvist, Cecilia, et al. "Can Screening and Simple Written Advice Reduce Excessive Alcohol Consumption Among Emergency Care Patients?" Alcohol and Alcoholism (Oxford, Oxfordshire), vol. 40, no. 5, 2005, pp. 401-8.
Nordqvist C, Wilhelm E, Lindqvist K, et al. Can screening and simple written advice reduce excessive alcohol consumption among emergency care patients? Alcohol Alcohol. 2005;40(5):401-8.
Nordqvist, C., Wilhelm, E., Lindqvist, K., & Bendtsen, P. (2005). Can screening and simple written advice reduce excessive alcohol consumption among emergency care patients? Alcohol and Alcoholism (Oxford, Oxfordshire), 40(5), 401-8.
Nordqvist C, et al. Can Screening and Simple Written Advice Reduce Excessive Alcohol Consumption Among Emergency Care Patients. Alcohol Alcohol. 2005 Sep-Oct;40(5):401-8. PubMed PMID: 15955776.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Can screening and simple written advice reduce excessive alcohol consumption among emergency care patients? AU - Nordqvist,Cecilia, AU - Wilhelm,Elisabeth, AU - Lindqvist,Kent, AU - Bendtsen,Preben, Y1 - 2005/06/13/ PY - 2005/6/16/pubmed PY - 2006/1/13/medline PY - 2005/6/16/entrez SP - 401 EP - 8 JF - Alcohol and alcoholism (Oxford, Oxfordshire) JO - Alcohol Alcohol. VL - 40 IS - 5 N2 - AIMS: Emergency care patients have an overrepresentation of risky drinkers. Despite the evidence on the effectiveness of a short feedback on screening or self-help material, most studies performed so far have required considerable time from staff and thus been difficult to implement in the real world. The present study evaluates the effect of the screening and whether simple written advice has any additional effect on risky drinking. METHODS: An alcohol screening routine was implemented among injury patients in a Swedish emergency care department. Over 12 months, two cohorts were invited to answer an alcohol screening questionnaire in the waiting room. In the first 6 months, 771 patients were screened without any written advice (cohort A) and in the following 6 months, 563 were screened and in addition received simple written advice about sensible drinking (cohort B). None of the patients received one-to-one feedback. Six months after the screening, a follow-up interview by telephone explored the changes in drinking. RESULTS: In cohort A 182 (24%) of the patients were defined as risky drinkers and in cohort B 125 (22%). Reached at follow-up after 6 months were 81 (44%) risky and 278 (47%) non-risky drinkers in cohort A, and 40 (32%) risky and 220 (50%) non-risky drinkers in cohort B. The number of patients with heavy episodic drinking decreased significantly in cohort A from 76 (94% of the risky drinkers) to 49 (59%). In cohort B a similar change was seen from 37 (92%) to 27 (68%). Only in cohort B, was a significant increase in readiness to change drinking habits seen [from 3 (8%) to 9 (23%)]. The reduction in heavy episodic drinking was comparable with previous reports from more extensive interventions. However, at the time of follow-up, drinking among non-risky drinkers at baseline had increased. When considering the greater numbers of non-risky drinkers, the total consumption in the study group increased during the study period. CONCLUSIONS: Owing to the reported difficulties of integrating more time-consuming alcohol interventions in emergency departments, it is suggested that at least screening for drinking should be implemented as routine in emergency departments. More research is needed in order to establish the optimal balance between effective alcohol intervention, and acceptable time and effort requirement from staff. SN - 0735-0414 UR - https://www.unboundmedicine.com/medline/citation/15955776/Can_screening_and_simple_written_advice_reduce_excessive_alcohol_consumption_among_emergency_care_patients L2 - https://academic.oup.com/alcalc/article-lookup/doi/10.1093/alcalc/agh175 DB - PRIME DP - Unbound Medicine ER -