STUDY OBJECTIVE: This study compares the effect of a brief motivational intervention for alcohol plus a booster given to emergency department (ED) patients with subcritical injuries from a motor vehicle crash with the effect of briefmotivational intervention for alcohol plus a booster in patients treated for non-motor vehicle crash-related injuries. METHODS: A randomized controlled trial (n=539) was conducted at an urban Level I trauma center of brief intervention (1 ED session of brief intervention), brief motivational intervention for alcohol plus a booster (1 ED session plus booster session), or standard care for injured ED patients with an alcohol use problem who were being discharged home. At 12 months, alcohol-related negative consequences and injuries were measured. We performed a secondary analysis comparing motor vehicle crash-injured patients and non-motor vehicle crash-injured patients in the study sample. RESULTS:Subcritically injured ED patients with harmful or hazardous alcohol use who receivedbrief motivational intervention for alcohol plus a booster had fewer alcohol-related negative consequences and alcohol-related injuries than those receiving brief intervention or standard care at 12-month follow-up (previously reported). A secondary analysis of this result showed that motor vehicle crash patients (n=133) given brief motivational intervention for alcohol plus a booster (n=34) had fewer alcohol-related injuries than those receiving standard care (n=46; P =.001). Moreover, there were no significant differences in alcohol-related injuries among the non-motor vehicle crash-injured patients who received brief intervention or standard care. CONCLUSION:Brief motivational intervention for alcohol plus a booster is a useful intervention for subcritically injured ED patients with harmful or hazardous alcohol use. Its effects may be moderated by the cause of injury.
RCT Entities:
STUDY OBJECTIVE: This study compares the effect of a brief motivational intervention for alcohol plus a booster given to emergency department (ED) patients with subcritical injuries from a motor vehicle crash with the effect of brief motivational intervention for alcohol plus a booster in patients treated for non-motor vehicle crash-related injuries. METHODS: A randomized controlled trial (n=539) was conducted at an urban Level I trauma center of brief intervention (1 ED session of brief intervention), brief motivational intervention for alcohol plus a booster (1 ED session plus booster session), or standard care for injured ED patients with an alcohol use problem who were being discharged home. At 12 months, alcohol-related negative consequences and injuries were measured. We performed a secondary analysis comparing motor vehicle crash-injured patients and non-motor vehicle crash-injured patients in the study sample. RESULTS: Subcritically injured ED patients with harmful or hazardous alcohol use who received brief motivational intervention for alcohol plus a booster had fewer alcohol-related negative consequences and alcohol-related injuries than those receiving brief intervention or standard care at 12-month follow-up (previously reported). A secondary analysis of this result showed that motor vehicle crash patients (n=133) given brief motivational intervention for alcohol plus a booster (n=34) had fewer alcohol-related injuries than those receiving standard care (n=46; P =.001). Moreover, there were no significant differences in alcohol-related injuries among the non-motor vehicle crash-injured patients who received brief intervention or standard care. CONCLUSION: Brief motivational intervention for alcohol plus a booster is a useful intervention for subcritically injured ED patients with harmful or hazardous alcohol use. Its effects may be moderated by the cause of injury.
Authors: Frederic C Blow; Maureen A Walton; Kristen L Barry; Regan L Murray; Rebecca M Cunningham; Lynn S Massey; Stephen T Chermack; Brenda M Booth Journal: Addict Behav Date: 2010-12-29 Impact factor: 3.913
Authors: Marian E Betz; Steven L Bernstein; Deborah C Gutman; Carrie D Tibbles; Nina R Joyce; Robert I Lipton; Lisa M Schweigler; Jonathan Fisher Journal: Am J Prev Med Date: 2011-10 Impact factor: 5.043
Authors: Brendan J Clark; Alexandra Smart; Robert House; Ivor Douglas; Ellen L Burnham; Marc Moss Journal: Alcohol Clin Exp Res Date: 2011-09-26 Impact factor: 3.455
Authors: Edward Bernstein; Judith Bernstein; James Feldman; William Fernandez; Melissa Hagan; Patricia Mitchell; Clara Safi; Robert Woolard; Mike Mello; Janette Baird; Christina Lee; Shahrzad Bazargan-Hejazi; Kerry Broderick; Kathryn A Laperrier; Arthur Kellermann; Marlena M Wald; Robert E Taylor; Kim Walton; Michelle Grant-Ervin; Denise Rollinson; David Edwards; Theodore Chan; Dan Davis; Jean Buchanan Marshall; Robert Aseltine; Amy James; Elizabeth Schilling; Khamis Abu-Hasaballah; Brigitte M Baumann; Edwin D Boudreaux; Ronald F Maio; Rebecca M Cunningham; Teresa Murrell; David Doezema; Deirdre Anglin; Adriana Eliassen; Marcus Martin; Jesse Pines; Leslie Buchanan; James Turner; Gail D'Onofrio; Linda C Degutis; Patricia Owens Journal: Subst Abus Date: 2007 Impact factor: 3.716
Authors: Yu-Feng Yvonne Chan; Lynne D Richardson; Roxanne Nagurka; Ke Hao; Sergey B Zaets; Michael B Brimacombe; Susanne Bentley; Steven R Levine Journal: Health Promot Perspect Date: 2015-03-29
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: Wendy L Macias Konstantopoulos; Jessica A Dreifuss; Katherine A McDermott; Blair Alden Parry; Melissa L Howell; Raul N Mandler; Garrett M Fitzmaurice; Michael P Bogenschutz; Roger D Weiss Journal: Ann Emerg Med Date: 2014-07-03 Impact factor: 5.721