Implementation of a computerized alcohol advice concept in routine emergency care

Nilsen, Per; Festin, Karin; Guldbrandsson, Karin; Carlfjord, Siw; Holmqvist, Marika; Bendtsen, Preben

doi:10.1016/j.ienj.2008.11.006

Cited by 13 publications

(11 citation statements)

References 64 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A loss of a high proportion of patients for these reasons, however, is common to other evaluations of ED-based alcohol interventions (Daeppen et al, 2007;Helmkamp et al, 2003;Neumann et al, 2006) and reflects the reach of ED-based interventions when delivered in practice (Karlsson et al, 2005;Nilsen et al, 2009;Peters et al, 1998;Trinks et al, 2010). Although the nonconsent rate of 27% poses a similar threat, it is also directly comparable with published evaluations of ED-based alcohol interventions, which have a mean nonconsent rate of 26% (Havard et al, 2008).…”

Section: Discussionmentioning

confidence: 54%

Randomized Controlled Trial of Mailed Personalized Feedback for Problem Drinkers in the Emergency Department: The Short‐Term Impact

Havard

Shakeshaft

Conigrave

et al. 2011

Alcoholism Clin & Exp Res

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 54%

Randomized Controlled Trial of Mailed Personalized Feedback for Problem Drinkers in the Emergency Department: The Short‐Term Impact

Havard

Shakeshaft

Conigrave

et al. 2011

Alcoholism Clin & Exp Res

View full text Add to dashboard Cite

show abstract

“…The amount of time the researchers devoted to maintaining the intervention did not exceed 2 h/week over the 1-year study period. The implementation of the concept is described in detail in a previous study (Nilsen et al, 2009). …”

Section: Study Design Setting and Populationmentioning

confidence: 99%

Reach and effectiveness of a computer-based alcohol intervention in a Swedish emergency room

Trinks

Festin

Bendtsen

et al. 2010

International Emergency Nursing

Self Cite

View full text Add to dashboard Cite

“…Systematic reviews and meta-analyses of computer-delivered interventions have generally been positive [9-13], but most randomized controlled trials have studied computer literate young people with high rates of binge drinking [14], and most reviews have concluded there is a need for further research to establish the efficacy of e-SBI in other populations and settings [9,11,13,14]. Although there is solid evidence for the acceptability of e-SBI in primary health care [15] and the emergency department [16-18], and some evidence for efficacy in these settings [19-21], there appear to be no trials testing the acceptability, feasibility, or efficacy of e-SBI in the hospital outpatient setting aside from one trial of a brief computer-delivered intervention for alcohol use limited to pregnant women attending a hospital prenatal clinic [22]. Indeed, a recent systematic review of the effectiveness of drug and alcohol interventions offered opportunistically to patients aged 16 and older (excluding pregnant women) presenting to an acute hospital outpatient setting for any reason other than specifically for alcohol or illicit drug misuse treatment did not identify any trials testing the efficacy of e-SBI [23].…”

Section: Introductionmentioning

confidence: 99%

Development of an Electronic Alcohol Screening and Brief Intervention Program for Hospital Outpatients With Unhealthy Alcohol Use

Johnson¹,

Kypri²,

Attia³

2013

JMIR Res Protoc

View full text Add to dashboard Cite

BackgroundAlcohol screening and brief intervention is recommended for widespread implementation in health care systems, but it is not used routinely in most countries for a variety of reasons. Electronic screening and brief intervention (e-SBI), in which patients complete a Web-based questionnaire and are provided with personalized feedback on their drinking, is a promising alternative to practitioner delivered intervention, but its efficacy in the hospital outpatient setting has not been established.ObjectiveThe objective of our study was to establish the feasibility of conducting a full-scale randomized controlled trial to determine whether e-SBI reduces alcohol consumption in hospital outpatients with hazardous or harmful drinking.MethodsThe study was conducted in the outpatient department of a large public hospital in Newcastle (population 540,000), Australia. Adults with appointments at a broad range of medical and surgical outpatient clinics were invited to complete an e-SBI program on a laptop, and to report their impressions via a short questionnaire. Follow-up assessments were conducted 2-8 weeks later by email and post.ResultsWe approached 172 outpatients and 108/172 (62.8%) agreed to participate. Of the 106 patients capable of self-administering the e-SBI, 7/106 (6.6%) did not complete it (3 due to technical problems and 4 because they were called for their appointment), 15/106 (14.2%) indicated that they had not consumed any alcohol in the past 12 months, 43/106 (40.6%) screened negative for unhealthy alcohol use (scored less than 5 on the Alcohol Use Disorders Identification Test Consumption [AUDIT-C] questions), 33/106 (31.1%) screened positive for hazardous or harmful drinking (AUDIT-C score 5-9), and 8/106 (7.5%) screened positive for possible alcohol dependence (AUDIT-C score 10-12). Among the subgroup with hazardous or harmful drinking, 27/33 (82%) found the feedback on their drinking very, quite, or somewhat useful, 33/33 (100%) thought the intervention would appeal to most or some of the people who attend the service, and 22/30 (73%) completed the follow-up. We also found that some well established procedures used in trials of e-SBI in the primary care setting did not translate to the hospital outpatient setting (1) we experienced delays because the e-SBI program had to be developed and maintained by the health service’s information technology staff for security reasons, (2) recruiting patients as they left the reception desk was impractical because patients tended to arrive at the beginning of the clinics with few arrivals thereafter, and (3) use of a laptop in a fixed location resulted in some patients rushing through the e-SBI so they could return to their seat in the area they had been advised to wait in.Conclusionse-SBI is acceptable to outpatients and with some adaptation to organizational and physical conditions, it is feasible to recruit and screen patients and to deliver the intervention without disrupting normal service provision. This suggests that e-SBI could be provided routinely ...

show abstract

Implementation of a computerized alcohol advice concept in routine emergency care

Cited by 13 publications

References 64 publications

Randomized Controlled Trial of Mailed Personalized Feedback for Problem Drinkers in the Emergency Department: The Short‐Term Impact

Randomized Controlled Trial of Mailed Personalized Feedback for Problem Drinkers in the Emergency Department: The Short‐Term Impact

Reach and effectiveness of a computer-based alcohol intervention in a Swedish emergency room

Development of an Electronic Alcohol Screening and Brief Intervention Program for Hospital Outpatients With Unhealthy Alcohol Use

Contact Info

Product

Resources

About