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Brief alcohol intervention and alcohol assessment do not influence alcohol use in injured patients treated in the emergency department: a randomized controlled clinical trial.
Addiction. 2007 Aug; 102(8):1224-33.A

Abstract

AIMS

To evaluate the effectiveness of brief alcohol intervention (BAI) in reducing alcohol use among hazardous drinkers treated in the emergency department (ED) after an injury; in addition it tests whether assessment of alcohol use without BAI is sufficient to reduce hazardous drinking.

DESIGN

Randomized controlled clinical trial with 12-month follow-up conducted between January 2003 and June 2005.

SETTING

Urban academic emergency department (ED) of the Lausanne University Hospital, Lausanne, Switzerland.

PARTICIPANTS

A total of 5136 consecutive patients attending ED after an injury completed a seven-item general and a three-item alcohol screen and 1472 (28.7%) were positive for hazardous drinking according to the National Institute on Alcohol Abuse and Addiction definition; of these 987 (67.1%) were randomized into a BAI group (n = 310) or a control group with screening and assessment (n = 342) or a control group with screening only (n = 335) and then a total of 770 patients (78.0%) completed the 12-month follow-up procedures.

INTERVENTION

A single 10-15-minute session of standardized BAI conducted by a trained research assistant.

MEASUREMENTS

Percentage of participants who have changed to low-risk drinking at follow-up.

FINDINGS

Data obtained at 12 months indicated that similar proportions were low-risk drinkers in BAI versus control groups with and without assessment (35.6%, 34.0%, 37.0%, respectively, P = 0.71). Data also indicated similar reductions in drinking frequency, quantity, binge drinking frequency and Alcohol Use Disorders Identification Test (AUDIT) scores across groups. All groups reported similar numbers of days hospitalized and numbers of medical consults in the last 12 months. A model including age groups, gender, AUDIT and injury severity scores indicated that BAI had no influence on the main alcohol use outcome.

CONCLUSIONS

This study provides the evidence that a 10-15-minute BAI does not decrease alcohol use and health resource utilization in hazardous drinkers treated in the ED, and demonstrates that commonly found decreases in hazardous alcohol use in control groups cannot be attributed to the baseline alcohol assessment.

Authors+Show Affiliations

Emergency Department, Lausanne University Hospital, Lausanne, Switzerland. jean-bernard.daeppen@chuv.chNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

17565563

Citation

Daeppen, Jean-Bernard, et al. "Brief Alcohol Intervention and Alcohol Assessment Do Not Influence Alcohol Use in Injured Patients Treated in the Emergency Department: a Randomized Controlled Clinical Trial." Addiction (Abingdon, England), vol. 102, no. 8, 2007, pp. 1224-33.
Daeppen JB, Gaume J, Bady P, et al. Brief alcohol intervention and alcohol assessment do not influence alcohol use in injured patients treated in the emergency department: a randomized controlled clinical trial. Addiction. 2007;102(8):1224-33.
Daeppen, J. B., Gaume, J., Bady, P., Yersin, B., Calmes, J. M., Givel, J. C., & Gmel, G. (2007). Brief alcohol intervention and alcohol assessment do not influence alcohol use in injured patients treated in the emergency department: a randomized controlled clinical trial. Addiction (Abingdon, England), 102(8), 1224-33.
Daeppen JB, et al. Brief Alcohol Intervention and Alcohol Assessment Do Not Influence Alcohol Use in Injured Patients Treated in the Emergency Department: a Randomized Controlled Clinical Trial. Addiction. 2007;102(8):1224-33. PubMed PMID: 17565563.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Brief alcohol intervention and alcohol assessment do not influence alcohol use in injured patients treated in the emergency department: a randomized controlled clinical trial. AU - Daeppen,Jean-Bernard, AU - Gaume,Jacques, AU - Bady,Pierre, AU - Yersin,Bertrand, AU - Calmes,Jean-Marie, AU - Givel,Jean-Claude, AU - Gmel,Gerhard, Y1 - 2007/06/12/ PY - 2007/6/15/pubmed PY - 2007/12/12/medline PY - 2007/6/15/entrez SP - 1224 EP - 33 JF - Addiction (Abingdon, England) JO - Addiction VL - 102 IS - 8 N2 - AIMS: To evaluate the effectiveness of brief alcohol intervention (BAI) in reducing alcohol use among hazardous drinkers treated in the emergency department (ED) after an injury; in addition it tests whether assessment of alcohol use without BAI is sufficient to reduce hazardous drinking. DESIGN: Randomized controlled clinical trial with 12-month follow-up conducted between January 2003 and June 2005. SETTING: Urban academic emergency department (ED) of the Lausanne University Hospital, Lausanne, Switzerland. PARTICIPANTS: A total of 5136 consecutive patients attending ED after an injury completed a seven-item general and a three-item alcohol screen and 1472 (28.7%) were positive for hazardous drinking according to the National Institute on Alcohol Abuse and Addiction definition; of these 987 (67.1%) were randomized into a BAI group (n = 310) or a control group with screening and assessment (n = 342) or a control group with screening only (n = 335) and then a total of 770 patients (78.0%) completed the 12-month follow-up procedures. INTERVENTION: A single 10-15-minute session of standardized BAI conducted by a trained research assistant. MEASUREMENTS: Percentage of participants who have changed to low-risk drinking at follow-up. FINDINGS: Data obtained at 12 months indicated that similar proportions were low-risk drinkers in BAI versus control groups with and without assessment (35.6%, 34.0%, 37.0%, respectively, P = 0.71). Data also indicated similar reductions in drinking frequency, quantity, binge drinking frequency and Alcohol Use Disorders Identification Test (AUDIT) scores across groups. All groups reported similar numbers of days hospitalized and numbers of medical consults in the last 12 months. A model including age groups, gender, AUDIT and injury severity scores indicated that BAI had no influence on the main alcohol use outcome. CONCLUSIONS: This study provides the evidence that a 10-15-minute BAI does not decrease alcohol use and health resource utilization in hazardous drinkers treated in the ED, and demonstrates that commonly found decreases in hazardous alcohol use in control groups cannot be attributed to the baseline alcohol assessment. SN - 0965-2140 UR - https://www.unboundmedicine.com/medline/citation/17565563/Brief_alcohol_intervention_and_alcohol_assessment_do_not_influence_alcohol_use_in_injured_patients_treated_in_the_emergency_department:_a_randomized_controlled_clinical_trial_ L2 - https://doi.org/10.1111/j.1360-0443.2007.01869.x DB - PRIME DP - Unbound Medicine ER -