A randomized controlled trial of a brief intervention after alcohol‐related facial injury

Abstract

A proportion of young men change their alcohol consumption following alcohol-related injury. A nurse-led psychological intervention adds significantly to the proportion and magnitude of response.

The half-life of the ‘teachable moment’ for alcohol misusing patients in the emergency department

“…We suggest there are numerous points of contact with hospital services, in addition to the ED, that afford 'teachable moments' for alcohol misusing patients such as maxillo-facial units (Smith et al, 2003), sexually transmitted disease clinics and fracture clinics. All of these now warrant further study in different health care systems.…”

An inspiring specialty

“…2,3 It also became clear from our trials of motivational interviewing that brief advice about alcohol was effective when given to patients having sutures removed in maxillofacial clinics and in other settings. 4 These and other discoveries were the basis for advocacy for prevention. In the mid-1990s, our Face of Wales campaign resulted in a switch initially to toughened and then polycarbonate glasses in pubs.…”

The clinical effectiveness and cost-effectiveness of brief intervention for excessive alcohol consumption among people attending sexual health clinics: a randomised controlled trial (SHEAR)

“…In specialist settings, such as maxillofacial clinics, a patient may have a clear sense of a causal link between excessive alcohol consumption and physical trauma. 13 There is some evidence that people using sexual health clinics, while acknowledging a link between alcohol use and sexual behaviour, do not view this as one in which alcohol use leads to STIs or other negative health consequences. In semistructured interviews with 100 women attending sexual health and family planning clinics, Taylor and colleagues reported that participants rarely believed that alcohol consumption had led them to engage in sexual behaviour which they would not have engaged in had they not been drinking.…”

“…Research conducted in other contexts has demonstrated the value of brief interventions for excessive drinking. 12,13 Systematic reviews of brief interventions for excessive alcohol use have shown that interventions delivered in one session appear to be as effective as more lengthy ones. 14,15 More recently, 'stepped interventions,' in which people receive interventions of greater intensity depending on the extent of their needs, have also demonstrated positive effects.…”