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Cited by 63Substance Abuse Treatment and OutcomesAlcohol Consumption and Health EffectsTraffic and Road Safety

Ethnic differences in drinking outcomes following a brief alcohol intervention in the trauma care setting

Open access
Field, Craig A., Caetano, Raul, Harris, T. R., Frankowski, Ralph, Roudsari, Bahman·2010·Addiction
DOI 10.1111/j.1360-0443.2009.02737.xPMC PMC2807904
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Abstract

Background Evidence suggests that brief interventions in the trauma care setting reduce drinking, subsequent injury and driving under the influence (DUI) arrest. However, evidence on the effectiveness of these interventions in ethnic minority groups is lacking. The current study evaluates the efficacy of brief intervention among whites, blacks and Hispanics in the United States. Methods We conducted a two‐group parallel randomized trial comparing brief motivational intervention (BMI) and treatment as usual with assessment (TAU+) to evaluate treatment differences in drinking patterns by ethnicity. Patients were recruited from a level 1 urban trauma center over a 2‐year period. The study included 1493 trauma patients, including 668 whites, 288 blacks and 537 Hispanics. Hierarchical linear modeling was used to evaluate ethnic differences in drinking outcomes including volume per week, maximum amount consumed in 1 day, percentage days abstinent and percentage days heavy drinking at 6‐ and 12‐month follow‐up. Analyses controlled for age, gender, employment status, marital status, prior alcohol treatment, type of injury and injury severity. Special emphasis was given to potential ethnic differences by testing the interaction between ethnicity and BMI. Results At 6‐ and 12‐month follow‐up, BMI significantly reduced maximum amount consumed in 1 day (P < 0.001; P < 0.001, respectively) and percentage days heavy drinking (P < 0.05; P < 0.05, respectively) among Hispanics. Hispanics in the BMI group also reduced average volume per week at 12‐month follow‐up (χ 2 = 6.8, df = 1, P < 0.01). In addition, Hispanics in TAU+ reduced maximum amount consumed at 6‐ and 12‐month follow‐up (P < 0.001; P < 0.001) and volume per week at 12‐month follow‐up (P < 0.001). Whites and blacks in both BMI and TAU+ reduced volume per week and percentage days heavy drinking at 12‐month follow‐up (P < 0.001; P < 0.01, respectively) and decreased maximum amount at 6‐ (P < 0.001) and 12‐month follow‐up (P < 0.001). All three ethnic groups In both BMI and TAU+ reduced volume per week at 6‐month follow‐up (P < 0.001) and percentage days abstinent at 6‐ (P < 0.001) and 12‐month follow‐up (P < 0.001). Conclusions All three ethnic groups evidenced reductions in drinking at 6‐ and 12‐month follow‐up independent of treatment assignment. Among Hispanics, BMI reduced alcohol intake significantly as measured by average volume per week, percentage days heavy drinking and maximum amount consumed in 1 day.

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Crossref · 10.1111/j.1360-0443.2009.02737.x

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  • A further six studies reported the change between baseline and the end of follow-up in the quantity of alcohol consumed in a specified time period and the corresponding standard deviation.

    “A further six studies reported the change between baseline and the end of follow-up (change score) in the quantity of alcohol consumed in a specified time period and the corresponding standard deviation (Bischof 2008;Fernández 1997;Field 2010;Huas 2002;Ockene 1999;Romelsjö 1989).”

    From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Field 2010

  • Four trials (6%) were at high risk of reporting bias because some aspect of reporting changed between protocol or methods section and reporting of results.

    “We assessed four trials (6%) at high risk of reporting bias because some aspect of reporting changed between protocol or methods section and reporting of results (Babor 2006;Bernstein 2010;Field 2010;Moore 2011).”

    From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Field 2010

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Research works printed but not linked: 6

  1. [11]Institute of Medicine Broadening the Base of Treatment for Alcohol Problems: Report of a Study by a Committee of the Institute of Medicine, Division of Mental Health and Behavioral Medicine Washington, DC National Academy Press 1990
  2. [29]Gentilello LM Rivara FP Donovan DM Jurkovich GJ Daranciang E Dunn CW Alcohol interventions in a trauma center as a means of reducing the risk of injury recurrence Ann Surg 1999 230 1 11 10522717 PMC1420896
  3. [36]Caetano R Kaskutas LA Changes in drinking patterns among whites, blacks and Hispanics: 1984–1992 Journal of Studies on Alcohol 1995 56 558 65 7475037
  4. [39]Miller WR Rollnick S Motivational Interviewing: Preparing People to Change NY Guilford Press 2002
  5. [56]Soderstrom CA DiClemente CC Dischinger PC Hebel JR McDuff DR Auman KM A controlled trial of brief intervention versus brief advice for at-risk drinking trauma center patients J Trauma 2007 62 5 1102 11 discussion 1111–2 17495708
  6. [62]Burke BL Arkowitz H Dunn CW Miller WR Rollnick S The efficacy of motivational interviewing and its adaptations: What we know so far Motivational interviewing: Preparing people for change 2 New York Guilford Press 2002

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Authors
Field, C. A., Caetano, R., Harris, T. R., Frankowski, R., & Roudsari, B.
Affiliations
  • University Medical Center Brackenridge (US)
  • University of Texas Health Science Center at Dallas (US)
Corresponding author
Field, Craig A.
ORCID
Field, Craig A.
Venue
Addiction
Publisher
Wiley
Published
2009-12-14
Volume
105
Issue
1
Pages
62-73
ISSN
  • 0965-2140 (ISSN-L)
  • 1360-0443
DOI
10.1111/j.1360-0443.2009.02737.x
PMC
PMC2807904
OpenAlex
W2166479500
Semantic Scholar
ddb64f8f9d68cabe745bb0a21ce2ae12b0c8f0d3
Cited by
63
References
63
Citations by year
2024: 1 · 2023: 4 · 2022: 2 · 2021: 3 · 2020: 5 · 2019: 6 · 2018: 4 · 2017: 4 · 2016: 3 · 2015: 9 · 2014: 4 · 2013: 7 · 2012: 7
FWCI
2.47
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Addiction (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • U.S. Public Health Service (R01013824)
  • National Institute on Alcohol Abuse and Alcoholism (R01AA013824)
  • National Center on Minority Health and Health Disparities
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
  • Physical Sciences › Engineering › Safety, Risk, Reliability and Quality › Traffic and Road Safety
Keywords
brief motivational intervention, alcohol consumption, trauma patients, ethnic differences, Hispanic patients, Black patients, Caucasian patients, heavy drinking, alcohol abstinence, trauma care, injury prevention, driving under the influence, usual care, injury severity, alcohol-related hospitalizations, alcohol-related mortality, alcohol-related disability
MeSH terms
Adolescent, Adult, Alcohol Drinking, Attitude to Health, Automobile Driving, Black or African American, Cultural Characteristics, Female, Hispanic or Latino, Humans, Male, Middle Aged, Psychotherapy, Brief, Trauma Centers, United States, Wounds and Injuries, Treatment Outcome, Patient Selection, Black People, White People, Young Adult

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