Cited by 250Substance Abuse Treatment and OutcomesEmergency and Acute Care StudiesAlcohol Consumption and Health Effects

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Systematic review and meta-analyses of strategies targeting alcohol problems in emergency departments: interventions reduce alcohol-related injuries.

Havard, Alys, Shakeshaft, Anthony, Sanson‐Fisher, Rob·2008·Addiction

DOI 10.1111/j.1360-0443.2007.02072.x

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Abstract

Aims To critique the methodological adequacy of evaluations of emergency department (ED)-based interventions for alcohol problems and to conduct a meta-analysis to examine the extent to which interventions in this setting are effective in reducing alcohol consumption and related harm. Methods An electronic search of 11 databases and a manual search of reference lists were conducted to identify studies published in peer-review journals between January 1996 and July 2007 (inclusive). Studies evaluating the outcome of an intervention designed to reduce alcohol problems in patients presenting to the ED were eligible for inclusion. Methodological data were extracted using review criteria adapted from the both the Center for Disease Control (CDC) Guide to Community Preventive Services Data Collection Instrument and the Cochrane Effective Practice and Organization of Care Review Group Data Collection Checklist. Continuous outcomes were pooled using a fixed effect inverse variance approach while binary outcomes were pooled in a generic inverse variance meta-analysis. Results Thirteen studies were identified for inclusion in the review. Methodological quality was found to be reasonable, with the exception of poor reporting of effect-size information and inconsistent selection of outcome measures. Meta-analyses revealed that interventions did not significantly reduce subsequent alcohol consumption, but were associated with approximately half the odds of experiencing an alcohol-related…

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Krupski, A., Sears, J. M., Joesch, J. M., Estee, S., He, L., Dunn, C. W., Huber, A., Roy‐Byrne, P., & Ries, R. K. (2010) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2010.02.018 · Cited by 48
Screening, brief intervention, and referral to treatment (SBIRT): 12-month outcomes of a randomized controlled clinical trial in a Polish emergency department
Cherpitel, C. J., Korcha, R. A., Moskalewicz, J., Swiatkiewicz, G., Ye, Y., & Bond, J. (2010) · Alcoholism: Clinical and Experimental Research · doi:10.1111/j.1530-0277.2010.01281.x · Cited by 45
Closing the Gap in a Generation: Health Equity Through Action on the Social Determinants of Health
Nikora, R. D., & Mcfarlane, D. R. (2010) · Journal of Health Politics Policy and Law · doi:10.1215/03616878-2010-010 · Cited by 45
Severity of Baseline Alcohol Use as a Moderator of Brief Interventions in the Emergency Department
Blow, F. C., Ilgen, M. A., Walton, M. A., Czyz, E. K., McCammon, R., Chermack, S. T., Cunningham, R. M., & Barry, K. L. (2009) · Alcohol and Alcoholism · doi:10.1093/alcalc/agp031 · Cited by 43
Feasibility and Acceptability of Screening and Brief Interventions to Address Alcohol and Other Drug Use among Patients Presenting for Emergency Services in Cape Town, South Africa
Myers, B., Stein, D. J., Mtukushe, B., & Sorsdahl, K. (2012) · Advances in Preventive Medicine · doi:10.1155/2012/569153 · Cited by 43
“In addition, a meta-analysis of 13 studies found that BIs conducted among patients attending emergency care did not result in significant reductions in alcohol intake but did result in diminished odds of alcohol-related injuries [27].”
Background
Correlates of Intimate Partner Violence Among Men and Women in an Inner City Emergency Department
Walton, M. A., Murray, R. M., Cunningham, R. M., Chermack, S. T., Barry, K. L., Booth, B. M., Ilgen, M. A., Wojnar, M., & Blow, F. C. (2009) · Journal of Addictive Diseases · doi:10.1080/10550880903183018 · Cited by 40
“87 Alternatively, motivational enhancement approaches 88 , 89 could be used to increase referral compliance because data shows that such approaches increase engagement and retention in substance use treatment.”
Background
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
Segatto, M. L., Andreoni, S., Souza e Silva, R. D., Diehl, A., & Pinsky, I. (2011) · Revista Brasileira de Psiquiatria · doi:10.1590/s1516-44462011000300004 · Cited by 48
The effects of daily supplementation of Dendrobium huoshanense polysaccharide on ethanol-induced subacute liver injury in mice by proteomic analysis
Wang, X., Luo, J., Chen, R., Zha, X., & Wang, H. (2014) · Food & Function · doi:10.1039/c3fo60629e · Cited by 46
Evaluation of California's Alcohol and Drug Screening and Brief Intervention Project for Emergency Department Patients
Woodruff, S. I., Eisenberg, K., McCabe, C. T., Clapp, J. D., & Hohman, M. M. (2013) · Western Journal of Emergency Medicine · doi:10.5811/westjem.2012.9.11551 · Cited by 32
Use of AUDIT-C as a tool to identify hazardous alcohol consumption in admitted trauma patients
Vitesnikova, J., Dinh, M. M. Q., Leonard, E., Boufous, S., & Conigrave, K. M. (2014) · Injury · doi:10.1016/j.injury.2014.01.004 · Cited by 40
“These brief intervention strategies have been shown to be effective in the primary care setting [5] although the evidence in the emergency department context is conflicting [6].”
Background
Prevalence of Past Year Assault Among Inner-City Emergency Department Patients
Cunningham, R. M., Murray, R. M., Walton, M. A., Chermack, S. T., Wojnar, M., Woźniak, P., Booth, B. M., & Blow, F. C. (2009) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2009.01.016 · Cited by 41
Pharmacists' knowledge, attitudes and beliefs regarding screening and brief intervention for prescription opioid abuse: a survey of Utah and Texas pharmacists
Cochran, G., Field, C. A., Lawson, K. A., & Erickson, C. K. (2013) · Journal of Pharmaceutical Health Services Research · doi:10.1111/jphs.12013 · Cited by 45
Pharmacists Who Screen and Discuss Opioid Misuse With Patients: Future Directions for Research and Practice
Cochran, G., Field, C., & Lawson, K. (2015) · Journal of Pharmacy Practice · doi:10.1177/0897190014522064 · Cited by 38
A systematic and methodological review of interventions for young people experiencing alcohol‐related harm
Calabria, B., Shakeshaft, A. P., & Havard, A. (2011) · Addiction · doi:10.1111/j.1360-0443.2011.03418.x · Cited by 35
Self-citation
Mobile phone text message intervention to reduce binge drinking among young adults: study protocol for a randomized controlled trial
Suffoletto, B. P., Callaway, C. W., Kristan, J., Monti, P. M., & Clark, D. B. (2013) · Trials · doi:10.1186/1745-6215-14-93 · Cited by 29
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Cordovilla‐Guardia, S., Fernández‐Mondejar, E., Vilar‐López, R., Navas, J. F., Portillo‐Santamaría, M., Rico‐Martín, S., & Lardelli‐Claret, P. (2017) · PLoS ONE · doi:10.1371/journal.pone.0182441 · Cited by 38
“Our results are similar to those obtained in previous studies [27,28]; nevertheless, to our knowledge ours is the first long-term follow-up study (almost 5 years in some cases) of a patient cohort designed to measure the impact of BI on trauma recidivism.”
Result
A bibliometric review of drug and alcohol research focused on Indigenous peoples of Australia, New Zealand, Canada and the United States
Clifford, A., & Shakeshaft, A. P. (2017) · Drug and Alcohol Review · doi:10.1111/dar.12510 · Cited by 40
Self-citation
Motivational Interviewing for Substance Use: Mapping Out the Next Generation of Research
Madson, M. B., Schumacher, J. A., Baer, J. S., & Martino, S. (2016) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2016.02.003 · Cited by 31
Motivational interviewing with significant other participation: Assessing therapeutic alliance and patient satisfaction and engagement
Magill, M., Mastroleo, N. R., Apodaca, T. R., Barnett, N. P., Colby, S. M., & Monti, P. M. (2010) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2010.07.006 · Cited by 45
A Systematic Review of Family-Based Interventions Targeting Alcohol Misuse and Their Potential to Reduce Alcohol-Related Harm in Indigenous Communities
Calabria, B., Clifford, A., Shakeshaft, A. P., & Doran, C. M. (2012) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2012.73.477 · Cited by 32
“Consistent with methods detailed in the Cochrane Collaboration’s Handbook: Systematic Reviews of Health Promotion and Public Health Interventions (Jackson, 2007) and with previous reviews (Calabria et al., 2011; Havard et al., 2008; Shakeshaft et al., 1997; Webb et al., 2009; Wood et al., 2006), the search strategy co…”
MethodInfluentialSelf-citation
Brief Intervention for Emergency Department Patients with Alcohol Misuse: Implications for Current Practice
Woolard, R. H., CHERPITEL, C. J. S., & Thompson, K. (2011) · Alcoholism Treatment Quarterly · doi:10.1080/07347324.2011.557978 · Cited by 33
“Studies reporting outcomes of BI among ED patients are still relatively small in number compared to those reporting findings from primary care settings ( Antti-Poika, Karaharju, Roine, & Salaspuro, 1988 ; Dinh-Zaar, Diguiseppi, Heitman, & Roberts, 1999 ; D'Onofrio et al, 2002; Gentilello et al, 1999 ; Havard, Shakesha…”
BackgroundResult
The ‘Outcome Reporting in Brief Intervention Trials: Alcohol’ (ORBITAL) framework: protocol to determine a core outcome set for efficacy and effectiveness trials of alcohol screening and brief intervention
Shorter, G. W., Heather, N., Bray, J. W., Giles, E. L., Holloway, A. S., Barbosa, C., Berman, A. H., O'Donnell, A. J., Clarke, M. J., Stockdale, K. J., et al. (2017) · Trials · doi:10.1186/s13063-017-2335-3 · Cited by 32
“The same is true for reviews of ABI delivered in a variety of settings (20, 37-42).”
Background
Review article: Effectiveness of ultra‐brief interventions in the emergency department to reduce alcohol consumption: A systematic review
McGinnes, R., Hutton, J., Weiland, T. J., Fatovich, D. M., & Egerton‐Warburton, D. (2016) · Emergency Medicine Australasia · doi:10.1111/1742-6723.12624 · Cited by 43
The burden of alcohol
Mann, C. (2015) · Emergency Medicine Journal · doi:10.1136/emermed-2015-205295 · Cited by 33
Are nurse‐conducted brief interventions ( NCBI s) efficacious for hazardous or harmful alcohol use? A systematic review
Joseph, J., Basu, D., Dandapani, M., & Krishnan, N. (2014) · International Nursing Review · doi:10.1111/inr.12096 · Cited by 36
Developing a framework of care for opioid medication misuse in community pharmacy
Cochran, G., Gordon, A. J., Field, C. A., Bacci, J. L., Dhital, R., Ylioja, T. E., Stitzer, M. L., Kelly, T. M., & Tarter, R. E. (2015) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2015.05.001 · Cited by 35
Screening and brief interventions for substance use in emergency departments in the Western Cape province of South Africa: views of health care professionals
Sorsdahl, K., Myers, B., Ward, C., Matzopoulos, R., Mtukushe, B., Nicol, A., & Stein, D. J. (2014) · International Journal of Injury Control and Safety Promotion · doi:10.1080/17457300.2013.811267 · Cited by 31
Trauma in adults experiencing homelessness
Miller, J., O’Reilly, G. M., Mackelprang, J. L., & Mitra, B. (2020) · Injury · doi:10.1016/j.injury.2020.02.086 · Cited by 32
A Randomized Evaluation of Motivational Interviewing Training for Mandated Implementation of Alcohol Screening and Brief Intervention in Trauma Centers
Darnell, D. A., Dunn, C. W., Atkins, D. C., Ingraham, L. M., & Zatzick, D. (2015) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2015.05.010 · Cited by 28
A realist evaluation of an antenatal programme to change drinking behaviour of pregnant women
Doi, L., Jepson, R. G., & Cheyne, H. (2015) · Midwifery · doi:10.1016/j.midw.2015.06.007 · Cited by 33
“However, evidence of their effectiveness in other settings for example, emergency departments and antenatal care seems inconclusive (Havard et al., 2008; Gilinsky et al., 2011).”
Background
Review article: Emergency department data sharing to reduce alcohol‐related violence: A systematic review of the feasibility and effectiveness of community‐level interventions
Droste, N., Miller, P. G., & Baker, T. R. (2014) · Emergency Medicine Australasia · doi:10.1111/1742-6723.12247 · Cited by 32
“Reviews of patienttargeted intervention outcomes have provided mixed support for hospital EDs as an effective public health platform from which to launch such individual-level patient screening and interventions to reduce alcohol-related injuries.(9,10) Individual-level programmes fail to address sources and hotspots…”
Background
Brief in person interventions for adolescents and young adults following alcohol-related events in emergency care: a systematic review and European evidence synthesis
Diestelkamp, S., Drechsel, M., Baldus, C., Wartberg, L., Arnaud, N., & Thomasius, R. (2016) · European Addiction Research · doi:10.1159/000435877 · Cited by 32
Development of a Scale to Measure Practitioner Adherence to a Brief Intervention in the Emergency Department
Pantalon, M. V., Martino, S., Dziura, J., Li, F.-Y., Owens, P. H., Fiellin, D. A., O'Connor, P. G., & D'Onofrio, G. (2012) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2012.08.011 · Cited by 30
The evidence for implementing alcohol screening and intervention in the emergency department – Time to act
Forsythe, M., & Lee, G. (2011) · International Emergency Nursing · doi:10.1016/j.ienj.2011.09.006 · Cited by 29
Alcohol use severity and age moderate the effects of brief interventions in an emergency department randomized controlled trial
Fernandez, A. C., Waller, R. E., Walton, M. A., Bonar, E. E., Ignacio, R. V., Chermack, S. T., Cunningham, R. M., Booth, B. M., Ilgen, M. A., Barry, K. L., et al. (2018) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2018.10.021 · Cited by 35
“A sizable body of literature has accumulated evaluating the efficacy and effectiveness of alcohol BIs in EDs (Havard et al., 2008; Kohler and Hofmann, 2015; Landy et al., 2016; Platt et al., 2016; Schmidt et al., 2016; Woolard et al., 2011).”
Background
Large-scale implementation of alcohol brief interventions in new settings in Scotland: a qualitative interview study of a national programme
Fitzgerald, N., Platt, L., Heywood, S., & McCambridge, J. (2015) · BMC Public Health · doi:10.1186/s12889-015-1527-6 · Cited by 33
“Evidence for efficacy in Accident and Emergency (A&E) [9,10], general hospital [11], antenatal [12,13] and other settings including education, pharmacy and criminal justice [14-16] is less convincing.”
Randomized Controlled Trial of Mailed Personalized Feedback for Problem Drinkers in the Emergency Department: The Short‐Term Impact
Havard, A., Shakeshaft, A. P., Conigrave, K. M., & Doran, C. M. (2011) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.2011.01632.x · Cited by 24
“Meta-analyses of outcomes of ED-based alcohol interventions showed good evidence for the efficacy of brief alcohol interventions (BAIs) in reducing alcoholrelated injuries (Havard et al., 2008), and there is some evidence for their cost-effectiveness (Kunz et al.”
BackgroundResultSelf-citation
Associations between heavy episodic drinking and alcohol related injuries: a case control study
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Do Minority or White Patients Respond to Brief Alcohol Intervention in Trauma Centers? A Randomized Trial
Roudsari, B. S., Caetano, R., Frankowski, R. F., & Field, C. A. (2009) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2009.01.033 · Cited by 23
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Authors: Havard, A., Shakeshaft, A., & Sanson‐Fisher, R.
Affiliations: UNSW Sydney (AU)
University of Newcastle Australia (AU)
Corresponding author: Havard, Alys
ORCID: Havard, Alys
Shakeshaft, Anthony
Sanson‐Fisher, Rob
Venue: Addiction
Publisher: Wiley
Published: 2008-01-09
Volume: 103
Issue: 3
Pages: 368-376
ISSN: 0965-2140 (ISSN-L)
1360-0443
DOI: 10.1111/j.1360-0443.2007.02072.x
OpenAlex: W2136540139
Cited by: 250
References: 49
Citations by year: 2026: 1 · 2025: 4 · 2024: 7 · 2023: 5 · 2022: 3 · 2021: 9 · 2020: 8 · 2019: 5 · 2018: 10 · 2017: 20 · 2016: 13 · 2015: 31 · 2014: 27 · 2013: 21 · 2012: 27
FWCI: 1.97
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Addiction (publishedVersion)
PubMed (publishedVersion)
NOVA (University of Newcastle Australia) (submittedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Keywords: alcohol problems, emergency department interventions, alcohol-related injuries, alcohol consumption, harm reduction, intervention effectiveness, methodological quality, outcome measures, effect size reporting
MeSH terms: Alcohol Drinking, Emergency Service, Hospital, Humans, Research Design, Wounds and Injuries, Alcohol-Related Disorders

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Systematic review and meta-analyses of strategies targeting alcohol problems in emergency departments: interventions reduce alcohol-related injuries.

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