TY - JOUR
T1 - The Impact of Screening, Brief Intervention, and Referral for Treatment on Emergency Department Patients' Alcohol Use
AU - Bernstein, Edward
AU - Bernstein, Judith
AU - Feldman, James
AU - Fernandez, William
AU - Hagan, Melissa
AU - Mitchell, Patricia
AU - Safi, Clara
AU - Woolard, Robert
AU - Mello, Mike
AU - Baird, Janette
AU - Lee, Cristina
AU - Bazargan-Hejazi, Shahrzad
AU - Durham, Brittan A.
AU - Broderick, Kerry
AU - LaPerrier, Kathryn A.
AU - Kellermann, Arthur
AU - Wald, Marlena M.
AU - Taylor, Robert E.
AU - Walton, Kim
AU - Grant-Ervin, Michelle
AU - Rollinson, Denise
AU - Edwards, David
AU - Chan, Theodore
AU - Davis, Dan
AU - Marshall, Jean Buchanan
AU - Aseltine, Robert H.
AU - James, Amy
AU - Schilling, Elizabeth
AU - Abu-Hasaballah, Khamis
AU - Harel, Ofer
AU - Baumann, Brigitte M.
AU - Boudreaux, Edwin D.
AU - Maio, Ronald
AU - Cunningham, Rebecca
AU - Murrell, Teresa
AU - Doezema, David
AU - Bauer, Michael
AU - Anglin, Deirdre
AU - Eliassen, Adriana
AU - Martin, Marcus
AU - Pines, Jesse
AU - Buchanan, Leslie
AU - Turner, James
AU - Degutis, Linda C.
AU - Owens, Patricia
AU - D'Onofrio, Gail
PY - 2007/12
Y1 - 2007/12
N2 - Study objective: We determine the impact of a screening, brief intervention, and referral for treatment (SBIRT) program in reducing alcohol consumption among emergency department (ED) patients. Methods: Patients drinking above National Institute of Alcohol Abuse and Alcoholism low-risk guidelines were recruited from 14 sites nationwide from April to August 2004. A quasiexperimental comparison group design was used in which control and intervention patients were recruited sequentially at each site. Control patients received a written handout. The intervention group received the handout and a brief intervention, the Brief Negotiated Interview, to reduce unhealthy alcohol use. Follow-up surveys were conducted at 3 months by telephone using an interactive voice response system. Results: Of 7,751 patients screened, 2,051 (26%) exceeded the low-risk limits set by National Institute of Alcohol Abuse and Alcoholism; 1,132 (55%) of eligible patients consented and were enrolled (581 control, 551 intervention). Six hundred ninety-nine (62%) completed a 3-month follow-up survey, using the interactive voice response system. At follow-up, patients receiving a Brief Negotiated Interview reported consuming 3.25 fewer drinks per week than controls (coefficient [B] -3.25; 95% confidence interval [CI] -5.76 to -0.75), and the maximum number of drinks per occasion among those receiving Brief Negotiated Interview was almost three quarters of a drink less than controls (B -0.72; 95% CI -1.42 to -0.02). At-risk drinkers (CAGE <2) appeared to benefit more from a Brief Negotiated Interview than dependent drinkers (CAGE >2). At 3-month follow-up, 37.2% of patients with CAGE less than 2 in the intervention group no longer exceeded National Institute of Alcohol Abuse and Alcoholism low-risk limits compared with 18.6% in the control group (Δ 18.6%; 95% CI 11.5% to 25.6%). Conclusion: SBIRT appears effective in the ED setting for reducing unhealthy drinking at 3 months.
AB - Study objective: We determine the impact of a screening, brief intervention, and referral for treatment (SBIRT) program in reducing alcohol consumption among emergency department (ED) patients. Methods: Patients drinking above National Institute of Alcohol Abuse and Alcoholism low-risk guidelines were recruited from 14 sites nationwide from April to August 2004. A quasiexperimental comparison group design was used in which control and intervention patients were recruited sequentially at each site. Control patients received a written handout. The intervention group received the handout and a brief intervention, the Brief Negotiated Interview, to reduce unhealthy alcohol use. Follow-up surveys were conducted at 3 months by telephone using an interactive voice response system. Results: Of 7,751 patients screened, 2,051 (26%) exceeded the low-risk limits set by National Institute of Alcohol Abuse and Alcoholism; 1,132 (55%) of eligible patients consented and were enrolled (581 control, 551 intervention). Six hundred ninety-nine (62%) completed a 3-month follow-up survey, using the interactive voice response system. At follow-up, patients receiving a Brief Negotiated Interview reported consuming 3.25 fewer drinks per week than controls (coefficient [B] -3.25; 95% confidence interval [CI] -5.76 to -0.75), and the maximum number of drinks per occasion among those receiving Brief Negotiated Interview was almost three quarters of a drink less than controls (B -0.72; 95% CI -1.42 to -0.02). At-risk drinkers (CAGE <2) appeared to benefit more from a Brief Negotiated Interview than dependent drinkers (CAGE >2). At 3-month follow-up, 37.2% of patients with CAGE less than 2 in the intervention group no longer exceeded National Institute of Alcohol Abuse and Alcoholism low-risk limits compared with 18.6% in the control group (Δ 18.6%; 95% CI 11.5% to 25.6%). Conclusion: SBIRT appears effective in the ED setting for reducing unhealthy drinking at 3 months.
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U2 - 10.1016/j.annemergmed.2007.06.486
DO - 10.1016/j.annemergmed.2007.06.486
M3 - Article
C2 - 17870206
AN - SCOPUS:36048933417
SN - 0196-0644
VL - 50
SP - 699-710.e6
JO - Annals of Emergency Medicine
JF - Annals of Emergency Medicine
IS - 6
ER -
