Brief Intervention in Alcohol-Positive Traffic Casualties: Is It Worth the Effort?

Dauer, Alicia Rodríguez-Martos; Rubio, Elena Santamariña; Coris, Mercè Escayola; Valls, Josep Martí

doi:10.1093/alcalc/agh241

Cited by 47 publications

(37 citation statements)

References 37 publications

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“…13,18 McKay et al reported that telephone-based counseling produced significantly higher rates of abstinence compared with standardized face-to-face care for patients with heavy alcohol dependence who had previously completed an intense outpatient treatment regimen. 12 Brown et al demonstrated that a six-session telephone and mail intervention was more effective than a pamphlet alone in reducing drinking at 3 months in men who abuse and are dependent upon alcohol.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of the telephone-based Brief Motivational Intervention for alcohol problems in Brazil

Signor

Pierozan

Ferigolo

et al. 2013

Rev. Bras. Psiquiatr.

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Background: The Brief Motivational Intervention (BMI) is an effective treatment for alcohol misuse but has not been adequately tested for use in helplines for alcoholics. The main objective of this study was to evaluate the efficacy of a telephone-based BMI for Brazilians seeking help with alcohol use cessation. Methods: A randomized, controlled trial was performed with Brazilian subjects. Participants were randomly assigned to either the minimal intervention group (i.e., given reference materials) or the BMI group. Alcohol abstinence was evaluated in a 6-month follow-up telephone counseling session. The analysis was based on the intention to treat (ITT). Results: Of the 5,896 drug users who called the helpline, 700 (12%) used alcohol, 637 of whom enrolled in this study. At 6-month follow-up, 70% of the BMI group had stopped consuming alcohol compared to 41% in the control group (odds ratio = 1.5; 95% confidence interval = 1.2-1.9; p = 0.001). Conclusions: A helpline-based BMI helps alcohol users achieve abstinence.

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Section: Discussionmentioning

confidence: 99%

Efficacy of the telephone-based Brief Motivational Intervention for alcohol problems in Brazil

Signor

Pierozan

Ferigolo

et al. 2013

Rev. Bras. Psiquiatr.

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“…34 Despite the enthusiasm around SBIRT, evidence regarding the efficacy of BIs in the ED has been mixed. [35][36][37][38][39][40][41][42] Several studies demonstrated a beneficial effect on negative consequences. 35,38,42,43 While the Academic SBIRT trial, using a quasi-experimental methodology, found reduced consumption at 3 months, 12 effects on decreasing alcohol consumption have not been consistent in other studies.…”

Section: Alcoholmentioning

confidence: 99%

Alcohol, Tobacco, and Other Drugs: Future Directions for Screening and Intervention in the Emergency Department

Cunningham

Bernstein

Walton

et al. 2009

Academic Emergency Medicine

101

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This article is a product of a breakout session on injury prevention from the 2009 Academic Emergency Medicine consensus conference on ''Public Health in the ED: Screening, Surveillance, and Intervention.'' The emergency department (ED) is an important entry portal into the medical care system. Given the epidemiology of substance use among ED patients, the delivery of effective brief interventions (BIs) for alcohol, drug, and tobacco use in the ED has the potential to have a large public health impact. To date, the results of randomized controlled trials of interventional studies in the ED setting for substance use have been mixed in regard to alcohol and understudied in the area of tobacco and other drugs. As a result, there are more questions remaining than answered. The work group developed the following research recommendations that are essential for the field of screening and BI for alcohol, tobacco, and other drugs in the ED. 1) Screening-develop and validate brief and practical screening instruments for ED patients and determine the optimal method for the administration of screening instruments. 2) Key components and delivery methods for intervention-conduct research on the effectiveness of screening, brief intervention, and referral to treatment (SBIRT) in the ED on outcomes (e.g., consumption, associated risk behaviors, and medical psychosocial consequences) including minimum dose needed, key components, optimal delivery method, interventions focused on multiple risk behaviors and tailored based on assessment, and strategies for addressing polysubstance use. 3) Effectiveness among patient subgroups-conduct research to determine which patients are most likely to benefit from a BI for substance use, including research on moderators and mediators of intervention effectiveness, and examine special populations using culturally and developmentally appropriate interventions. 4) Referral strategiesa) promote prospective effectiveness trials to test best strategies to facilitate referrals and access from the ED to preventive services, community resources, and substance abuse and mental health treatment; b) examine impact of available community services; c) examine the role of stigma of referral and followup; and d) examine alternatives to specialized treatment referral. 5) Translation-conduct translational and cost-effectiveness research of proven efficacious interventions, with attention to fidelity, to move ED SBIRT from research to practice.

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“…1,2 Adolescents with alcohol related incidents and a positive history of problematic drinking represent a high-risk subgroup which deserves attention.…”

Section: Introductionmentioning

confidence: 99%

“…10 Other authors have also shown the effectiveness of the motivational intervention applied to youngsters and teenagers brought to ERs, as it reduces harm and alcohol consumption, 7,9,11 effect size may decrease as length of follow-up increases. 2,9 Behavior-oriented treatments have shown promising long-term effects. 10 There are few studies evaluating interventions in ER clinical settings to reduce adolescent alcohol abuse 7,8,11 despite evidence of considerable prevalence (12% to 50%) of alcohol related problems in the adolescent population admitted.…”

Section: Introductionmentioning

confidence: 99%

“…3 A positive relation after the ER intervention visit and reduction of alcohol consumption seems to exist, 12,13 however, ER visits by themselves may be stressful enough as to reduce alcohol abuse pattern and hazardous behavior in the short-term. 2 Studies indicate that brief MI may be effective among harmful drinking adolescents and young adults in the reduction of alcohol consumption and negative consequences. 14,15 Components common to successful brief MI include oneon-one sessions and feedback on substance abuse.…”

Section: Introductionmentioning

confidence: 99%

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Brief motivational interview and educational brochure in emergency room settings for adolescents and young adults with alcohol related problems: a randomized single blind clinical trial

Segatto¹,

Andreoni²,

Silva³

et al. 2011

Rev. Bras. Psiquiatr.

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Objective: To evaluate the effectiveness of brief motivational interviewing and an educational brochure when delivered in emergency room to reduce alcohol abuse and related problems among adolescents and young adults. Method: A randomized single-blind clinical trial with a three-month follow-up was carried out at three emergency rooms from October 2004 to November 2005; subjects assessed were 16-25 years old treated for alcohol related events up to 6 hours after consumption. Socio-demographic data, quantity, frequency and negative consequences of alcohol consumption, motivation to change habits and future risk perception were evaluated. Statistical analysis was performed on subjects who completed follow-up (completers). ANCOVA model was used to analyze the difference between the intervention groups with statistical significance level α = 5% and confidence interval (CI) of 95%. Results: 186 subjects formed the initial sample, being 175 included and randomized to the educational brochure group (n = 88) or motivational interviewing group (n = 87). Follow-up assessment was performed in 85.2% of the sample. No significant difference between groups was observed. However, significant reductions (p < 0.01) in related problems and alcohol abuse were found in both groups. Conclusion: In this sample a reduction of alcohol use and related problems was observed. Preliminary data indicate that controlled clinical trials with motivational interviewing, educational brochure and nonintervention should be of future interest among Brazilian adolescent populations. Descriptors

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Brief Intervention in Alcohol-Positive Traffic Casualties: Is It Worth the Effort?

Cited by 47 publications

References 37 publications

Efficacy of the telephone-based Brief Motivational Intervention for alcohol problems in Brazil

Efficacy of the telephone-based Brief Motivational Intervention for alcohol problems in Brazil

Alcohol, Tobacco, and Other Drugs: Future Directions for Screening and Intervention in the Emergency Department

Brief motivational interview and educational brochure in emergency room settings for adolescents and young adults with alcohol related problems: a randomized single blind clinical trial

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