A J Smith1, R J Hodgson, K Bridgeman, J P Shepherd. 1. Violence Research Group, Department of Oral and Maxillofacial Surgery, Dental School, University of Wales College of Medicine, Cardiff, UK.
Abstract
AIM: To evaluate the effectiveness of a brief motivational intervention on alcohol consumption and misuse in young males with alcohol-related face injury. DESIGN: Randomized controlled trial. SETTING:Oral and maxillofacial surgeryout-patient clinic in an urban teaching hospital. PARTICIPANTS: One hundred and fifty-one participants were randomized to motivational intervention and control conditions. INTERVENTIONS: Control was treatment as usual. The intervention was treatment as usual plus a one-session brief motivational intervention administered by a nurse. MEASUREMENTS: Three sets of measurements were taken at baseline, 3-month and 1-year follow-up. Collateral measurements were also taken at 1-year follow-up. Primary outcome measures were total alcohol consumption, typical weeks consumption and days abstinent in preceding 3 months. Other outcome measures included the Alcohol Use Disorders Identification Test, a short form of the Alcohol Problems Questionnaire, and a measure of satisfaction with social relationships. RESULTS: There was a significant decrease in 84-day total alcohol consumption across the year (P < 0.006) and further, a significant effect for the motivational intervention was demonstrated (P < 0.029). This pattern was repeated for days abstinent and alcohol consumption in a typical week as well as alcohol-related problems. There was a significantly greater reduction in the percentage of hazardous drinkers in the motivational intervention group (from 60% to 27%, P < 0.009) compared to the control group (from 54% to 51%, NS). CONCLUSION: A proportion of young men change their alcohol consumption following alcohol-related injury. A nurse-led psychological intervention adds significantly to the proportion and magnitude of response.
RCT Entities:
AIM: To evaluate the effectiveness of a brief motivational intervention on alcohol consumption and misuse in young males with alcohol-related face injury. DESIGN: Randomized controlled trial. SETTING: Oral and maxillofacial surgery out-patient clinic in an urban teaching hospital. PARTICIPANTS: One hundred and fifty-one participants were randomized to motivational intervention and control conditions. INTERVENTIONS: Control was treatment as usual. The intervention was treatment as usual plus a one-session brief motivational intervention administered by a nurse. MEASUREMENTS: Three sets of measurements were taken at baseline, 3-month and 1-year follow-up. Collateral measurements were also taken at 1-year follow-up. Primary outcome measures were total alcohol consumption, typical weeks consumption and days abstinent in preceding 3 months. Other outcome measures included the Alcohol Use Disorders Identification Test, a short form of the Alcohol Problems Questionnaire, and a measure of satisfaction with social relationships. RESULTS: There was a significant decrease in 84-day total alcohol consumption across the year (P < 0.006) and further, a significant effect for the motivational intervention was demonstrated (P < 0.029). This pattern was repeated for days abstinent and alcohol consumption in a typical week as well as alcohol-related problems. There was a significantly greater reduction in the percentage of hazardous drinkers in the motivational intervention group (from 60% to 27%, P < 0.009) compared to the control group (from 54% to 51%, NS). CONCLUSION: A proportion of young men change their alcohol consumption following alcohol-related injury. A nurse-led psychological intervention adds significantly to the proportion and magnitude of response.
Authors: Francine Terrell; Douglas F Zatzick; Gregory J Jurkovich; Frederick P Rivara; Dennis M Donovan; Christopher W Dunn; Carol Schermer; Jay Wayne Meredith; Larry M Gentilello Journal: J Am Coll Surg Date: 2008-07-14 Impact factor: 6.113
Authors: Adeline Nyamathi; Steven Shoptaw; Allan Cohen; Barbara Greengold; Kamala Nyamathi; Mary Marfisee; Viviane de Castro; Farinaz Khalilifard; Daniel George; Barbara Leake Journal: Drug Alcohol Depend Date: 2010-02-01 Impact factor: 4.492
Authors: R Touquet; E Csipke; P Holloway; A Brown; T Patel; A J Seddon; P Gulati; H Moore; N Batrick; M J Crawford Journal: Emerg Med J Date: 2008-11 Impact factor: 2.740