Brief intervention for hazardous and harmful drinkers in the emergency department

D'Onofrio, Gail; Pantalon, Michael V.; Degutis, Linda C.; Fiellin, David A.; Busch, Susan H.; Chawarski, Marek C.; Owens, Patricia H.; O'Connor, Patrick G.

doi:10.1016/j.annemergmed.2007.11.028

Cited by 129Substance Abuse Treatment and OutcomesAlcohol Consumption and Health EffectsEmergency and Acute Care Studies

Brief intervention for hazardous and harmful drinkers in the emergency department

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D'Onofrio, Gail, Pantalon, Michael V., Degutis, Linda C., Fiellin, David A., Busch, Susan H., Chawarski, Marek C., Owens, Patricia H., O'Connor, Patrick G.·2008·Annals of Emergency Medicine

DOI 10.1016/j.annemergmed.2007.11.028PMC PMC2819119

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Abstract

Study objective To determine the efficacy of emergency practitioner-performed brief intervention for hazardous/harmful drinkers in reducing alcohol consumption and negative consequences in an emergency department (ED) setting.Methods A randomized clinical trial (Project ED Health) was conducted in an urban ED from May 2002 to November 2003 for hazardous/harmful drinkers. Patients 18 years or older who screened above National Institute for Alcohol Abuse and Alcoholism guidelines for "low-risk" drinking or presented with an injury in the setting of alcohol ingestion were eligible. The mean number of drinks per week and binge-drinking episodes during the past 30 days were collected at 6 and 12 months; negative consequences and use of treatment services, at 12 months. A Brief Negotiation Interview performed by emergency practitioners was compared to scripted Discharge Instructions.Results A total of 494 hazardous/harmful drinkers were studied. The 2 groups were similar with respect to baseline characteristics. In the Brief Negotiation Interview group, the mean number of drinks per week at 12 months was 3.8 less than the 13.6 reported at baseline. The Discharge Instructions group decreased 2.6 from 12.4 at baseline. Likewise, binge-drinking episodes per month decreased by 2.0 from a baseline of 6.0 in the Brief Negotiation Interview group and 1.5 from 5.4 in the Discharge Instructions group. For each outcome, the time effect was significant and the treatment effect was not.Conclusion Among ED patients with hazardous/harmful drinking, we did not detect a difference in efficacy between emergency practitioner-performed Brief Negotiation Interview and Discharge Instructions. Further studies to test the efficacy of brief intervention in the ED are needed.

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15 trials compared brief intervention to no or minimal intervention and reported frequency of drinking in terms of number of binge drinking occasions each week or each month at six or 12 months.
“We included 15 trials that compared brief intervention to no or minimal intervention and reported frequency of drinking in terms of number of binge drinking occasions each week or each month at six or 12 months (Blow 2006;Daeppen 2007;D'Onofrio 2008;D'Onofrio 2012;Fleming 1997;Fleming 1999;Fleming 2004;Fleming 2010;Helstrom 2014;Longabaugh 2001;Ockene 1999;Rubio 2010;Spirito 2004;Soderstrom 2007;”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as D'Onofrio 2008
In D'Onofrio 2008, blinding of outcome assessment was judged to be at low risk of detection bias for all outcomes.
“Blinding of outcome assessment (detection bias) All outcomes Low risk”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as D'Onofrio 2008
In D'Onofrio 2008, random sequence generation was judged to be at unclear risk of selection bias.
“Random sequence generation (selection bias) Unclear risk”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as D'Onofrio 2008
In D'Onofrio 2008, blinding of treatment providers was judged to be at unclear risk of bias.
“Blinding of treatment providers Unclear risk”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as D'Onofrio 2008
In D'Onofrio 2008, allocation concealment was judged to be at low risk of selection bias.
“Allocation concealment (selection bias) Low risk”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as D'Onofrio 2008

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A Brief Intervention Reduces Hazardous and Harmful Drinking in Emergency Department Patients
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Evaluation of a brief intervention in an inner-city emergency department
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Self-citation

Authors: D'Onofrio, G., Pantalon, M. V., Degutis, L. C., Fiellin, D. A., Busch, S. H., Chawarski, M. C., Owens, P. H., & O'Connor, P. G.
Affiliations: Yale University (US)
ORCID: Degutis, Linda C.
Fiellin, David A.
Busch, Susan H.
Chawarski, Marek C.
Venue: Annals of Emergency Medicine
Publisher: Elsevier BV
Published: 2008-06
Volume: 51
Issue: 6
Pages: 742-750.e2
ISSN: 0196-0644 (ISSN-L)
DOI: 10.1016/j.annemergmed.2007.11.028
PMC: PMC2819119
OpenAlex: W2026525089
Cited by: 129
References: 34
Citations by year: 2026: 1 · 2025: 1 · 2023: 5 · 2022: 2 · 2021: 3 · 2020: 9 · 2019: 3 · 2018: 6 · 2017: 11 · 2016: 4 · 2015: 15 · 2014: 14 · 2013: 7 · 2012: 13
FWCI: 8.66
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Annals of Emergency Medicine (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism (R01 AA 12417-01A1, R01AA012417)
National Institute on Drug Abuse (K23 DA15144, K23DA015144)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
Keywords: brief intervention, hazardous drinking, emergency department, alcohol consumption, binge drinking, discharge instructions, alcohol-related injuries
MeSH terms: Adult, Alcohol Drinking, Emergency Service, Hospital, Female, Humans, Male, Mass Screening, Motivation, Outcome and Process Assessment, Health Care, Referral and Consultation, Logistic Models, Treatment Outcome

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Brief intervention for hazardous and harmful drinkers in the emergency department

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