Brief alcohol intervention and alcohol assessment do not influence alcohol use in injured patients treated in the emergency department: a randomized controlled clinical trial.
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 frequenc…
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The evidence base for using brief interventions with emergency department patients is not strong.
“The data in ED settings are less clear.”
From A Brief Intervention Reduces Hazardous and Harmful Drinking in Emergency Department Patients (2012) · cites this paper as [20]
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- Authors
- Daeppen, J., Gaume, J., Bady, P., Yersin, B., Calmes, J., Givel, J., & Gmel, G.
- Affiliations
- Centre Hospitalier Universitaire Vaudois (CH)
- Corresponding author
- Daeppen, Jean‐Bernard
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2007-07-06
- Volume
- 102
- Issue
- 8
- Pages
- 1224-1233
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W1970760397
- Cited by
- 144
- References
- 5
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 1 · 2022: 1 · 2021: 7 · 2020: 7 · 2019: 3 · 2018: 2 · 2017: 7 · 2016: 5 · 2015: 12 · 2014: 15 · 2013: 10 · 2012: 13
- FWCI
- 9.17
- Type
- journal article
- Language
- en
- Update notices
- erratum (2007-11-19)
- Open access
- closed
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- IRIS (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Funders
- Centre Hospitalier Universitaire Vaudois
- 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 alcohol intervention, hazardous drinking, alcohol screening, emergency department, trauma patients, alcoholism, binge drinking, low-risk drinking, health resource utilization, injury severity
- MeSH terms
- Adolescent, Adult, Age Factors, Aged, Alcohol Drinking, Emergency Service, Hospital, Female, Follow-Up Studies, Humans, Interviews as Topic, Male, Middle Aged, Switzerland, Wounds and Injuries
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