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
Open accessAbstract
OBJECTIVE: To evaluate the effectiveness of brief motivational interviewing and an educational brochure when delivered in emergency room to reduce alcohol abuse and related problems among adolescents and young adults. METHOD: a randomized single blind clinical trial with a 3 month follow-up was carried out at three emergency rooms from October 2004 to November 2005; subjects assessed were 16-25 years old treated for alcohol related events up to 6 hours after consumption. Socio-demographic data, quantity, frequency and negative consequences of alcohol consumption, motivation to change habits and future risk preception were evaluated. Statistical analysis was performed on subjects who completed follow up (completers). ANCOVA model was used to analyze the difference between the intervention groups with statistical significance level α = 5% and Confidence Interval (CI) 95%. RESULTS: 186 subjects formed the initial sample, being n = 175 included and randomized to educational brochure group (n = 88) or motivational interviewing group (n = 87). Follow-up assessment was performed in 85.2% sample. No significant difference between groups was observed. However, significant reductions (p < 0.01) in related problems and alcohol abuse were found in both groups. CONCLUSION: In this sample a reduction of alcohol use and related problems was observed. Preliminary data indicates that controlled clinical trials with motivational interviewing, educational brochure and nonintervention should be of future interest among Brazilian adolescent population.
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Three trials (4%) were at high risk of detection bias because the outcome assessor was not blinded.
“We assessed three trials (4%) to be at high risk of detection bias because they stated that the outcome assessor was not blinded (Beich 2007;Dent 2008;Segatto 2011).”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Segatto 2011
Some studies found a similar reduction in alcohol-related outcomes between both intervention and control groups (null effect).
“However, there were some studies that found a similar reduction in alcohol-related outcomes between both the intervention and control groups, thus a null effect [22,28,30,79,80,82,88].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [88]
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- Authors
- Segatto, M. L., Andreoni, S., Souza e Silva, R. D., Diehl, A., & Pinsky, I.
- Affiliations
- Universidade Federal de Uberlândia (BR)
- Universidade Federal de São Paulo (BR)
- Universidade Federal de São Paulo, Brazil
- Venue
- Revista Brasileira de Psiquiatria
- Publisher
- EDITORA SCIENTIFIC
- Published
- 2011-03-11
- Volume
- 33
- Issue
- 3
- Pages
- 225-233
- ISSN
- 1516-4446 (ISSN-L)
- 1809-452X
- OpenAlex
- W2126442765
- Cited by
- 48
- References
- 38
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 10 · 2022: 1 · 2021: 3 · 2020: 4 · 2018: 2 · 2017: 7 · 2016: 4 · 2015: 6 · 2014: 2 · 2013: 6 · 2012: 1
- FWCI
- 2.16
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Brazilian Journal of Psychiatry (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, cc-by-nc)
- Americanae (AECID Library) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- Funders
- Universidade de São Paulo
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Keywords
- motivational interviewing, educational booklet, alcoholism, adolescents, young adults, emergency department, brief intervention, alcohol-related problems, alcoholism prevention, risk perception, motivation for change
- MeSH terms
- Adolescent, Adult, Alcohol Drinking, Alcoholism, Brazil, Emergency Service, Hospital, Female, Follow-Up Studies, Humans, Interview, Psychological, Male, Motivation, Pamphlets, Patient Education as Topic, Surveys and Questionnaires, Socioeconomic Factors, Single-Blind Method, Alcohol-Related Disorders, Young Adult
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