THE MIXED EVIDENCE FOR BRIEF INTERVENTION IN EMERGENCY DEPARTMENTS, TRAUMA CARE CENTERS AND INPATIENT HOSPITAL SETTINGS: WHAT SHOULD WE DO?
Open accessAbstract
Background: This qualitative review is based on a symposia presented at the 2009 annual conference of the Research Society on Alcoholism (Baird et al., 2009; Field et al., 2009; Monti et al., 2009; Saitz et al., 2009a). The purpose is to describe the mixed evidence supporting brief interventions in the emergency department, trauma care, and in‐patient medical care settings; examine potential moderators of treatment outcome in light of the mixed evidence; and identify methods to move the research and practice of brief interventions beyond their current state. Methods: By drawing upon existing reviews and selected individual studies, we provide examples that reflect the current complexity of research in this area and propose steps for advancing the field. Results: Emergency departments, inpatient hospital settings, and trauma care settings represent three unique contexts within which brief interventions have been tested. While the general efficacy of brief alcohol interventions in these settings has been recognized, the evidence is increasingly mixed. Recent studies investigating potential moderators of treatment outcomes suggest that a more sophisticated approach to evaluating the effectiveness of brief interventions across varying patient populations is needed to further understand its effectiveness. Conclusions: Current dissemination efforts represent a significant advance in broadening the base of treatment for alcohol problems by providing an evidence‐based intervention in health care settings and should not be curtailed. However, additional research is required to enhance treatment outcomes, refine current practice guidelines, and continue to bridge the gap between science and practice. Given the current state of research, a multisetting clinical trial is recommended to account for potential contextual differences while controlling for study design.
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Variation in methods across studies prevents firm conclusions about brief intervention efficacy in emergency department patients.
“Methodological heterogeneity across studies makes it difficult to draw conclusions concerning the efficacy of BI in ED patients.26”
From A Brief Intervention Reduces Hazardous and Harmful Drinking in Emergency Department Patients (2012) · cites this paper as [26]
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- Authors
- Field, C. A., Baird, J., Saitz, R., Caetano, R., & Monti, P. M.
- Affiliations
- Boston University (US)
- Corresponding author
- Field, Craig A.
- Venue
- Alcoholism: Clinical and Experimental Research
- Publisher
- Wiley
- Published
- 2010-09-22
- Volume
- 34
- Issue
- 12
- Pages
- 2004-2010
- ISSN
- 0145-6008 (ISSN-L)
- 1530-0277
- PMC
- PMC2988943
- OpenAlex
- W1518659053
- Cited by
- 80
- References
- 33
- Citations by year
- 2025: 1 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 5 · 2019: 2 · 2018: 3 · 2017: 6 · 2016: 7 · 2015: 12 · 2014: 8 · 2013: 13 · 2012: 10
- FWCI
- 1.08
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Alcoholism Clinical and Experimental Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- U.S. Public Health Service (R01013824)
- National Institute on Alcohol Abuse and Alcoholism (R01AA017895, R01AA013824, R01AA009835, R01AA013709)
- 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
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- brief alcohol intervention, emergency department, moderators of treatment outcome, dissemination of evidence-based interventions, alcohol problems, clinical guidelines
- MeSH terms
- Alcoholism, Emergency Service, Hospital, Hospitals, Humans, Psychotherapy, Brief, Trauma Centers, Treatment Outcome
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