Quyen M Ngo1,2,3, Andria B Eisman2,4, Maureen A Walton2,5, Yasamin Kusunoki6,7, Stephen T Chermack5,8, Vijay Singh9,2,10, Rebecca Cunningham9,2,4,11. 1. Department of Emergency Medicine, qen@umich.edu. 2. Injury Prevention Center, University of Michigan Medical School, Ann Arbor, Michigan. 3. Institute for Research on Women and Gender, University of Michigan, Ann Arbor, Michigan. 4. Department of Health Behavior & Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan. 5. Department of Psychiatry, Addiction Research Center. 6. Department of Systems, Populations and Leadership, University of Michigan School of Nursing, Ann Arbor, Michigan. 7. Institute for Social Research, University of Michigan, Ann Arbor, Michigan. 8. Department of Veterans Affairs, Veterans Affairs Healthcare System, Ann Arbor, Michigan; and. 9. Department of Emergency Medicine. 10. Departments of Family Medicine and Internal Medicine, Division of Hospital Medicine. 11. Hurley Medical Center, Flint, Michigan.
Abstract
OBJECTIVES: With this study, we examined secondary outcomes of an emergency department (ED)-based brief intervention (BI) on dating violence perpetration and victimization and depression symptoms over 3, 6, and 12 months. METHODS:ED patients (14-20 years) were screened for risk drinking. Patients who received positive screen results were randomly assigned to a computer BI (n = 277), therapist BI (n = 278), or control condition (n = 281). After the 3-month assessment, participants were randomly assigned to receive the post-ED BI or control condition. BIs were used to address alcohol consumption and consequences (eg, dating violence and depression symptoms) by using motivational interviewing. RESULTS: A total of 836 patients were enrolled in the randomized controlled trial of 4389 patients screened and 1054 who reported risky drinking. Regression models were used to examine longitudinal effects of the alcohol BI on dating violence perpetration, dating violence victimization, and depression symptoms. The therapist BI resulted in a significant reduction of dating violence perpetration up to 12 months (incidence rate ratio [IRR] = 0.53; 95% confidence interval [CI]: 0.37-0.77) and depression symptoms up to 3 months (IRR = 0.85; 95% CI: 0.72-1.00) after the intervention. Computer BI resulted in a reduction of dating violence perpetration (IRR = 0.52; 95% CI: 0.35-0.76) and depression symptoms (IRR = 0.78; 95% CI: 0.66-0.94) 6 months postintervention. Post-ED BIs were associated with lower perpetration at 12 months and lower victimization at 6 and 12 months, irrespective of BI intervention randomization at baseline; however, they did not affect depression symptoms. CONCLUSIONS: A single-session ED BI revealed previously to show promise in reducing underage drinking also demonstrates promise in preventing dating violence perpetration and depression symptoms. These technology-enhanced BIs could be particularly helpful given the potential for more efficient resource usage and ease of future implementation.
RCT Entities:
OBJECTIVES: With this study, we examined secondary outcomes of an emergency department (ED)-based brief intervention (BI) on dating violence perpetration and victimization and depression symptoms over 3, 6, and 12 months. METHODS: ED patients (14-20 years) were screened for risk drinking. Patients who received positive screen results were randomly assigned to a computer BI (n = 277), therapist BI (n = 278), or control condition (n = 281). After the 3-month assessment, participants were randomly assigned to receive the post-ED BI or control condition. BIs were used to address alcohol consumption and consequences (eg, dating violence and depression symptoms) by using motivational interviewing. RESULTS: A total of 836 patients were enrolled in the randomized controlled trial of 4389 patients screened and 1054 who reported risky drinking. Regression models were used to examine longitudinal effects of the alcohol BI on dating violence perpetration, dating violence victimization, and depression symptoms. The therapist BI resulted in a significant reduction of dating violence perpetration up to 12 months (incidence rate ratio [IRR] = 0.53; 95% confidence interval [CI]: 0.37-0.77) and depression symptoms up to 3 months (IRR = 0.85; 95% CI: 0.72-1.00) after the intervention. Computer BI resulted in a reduction of dating violence perpetration (IRR = 0.52; 95% CI: 0.35-0.76) and depression symptoms (IRR = 0.78; 95% CI: 0.66-0.94) 6 months postintervention. Post-ED BIs were associated with lower perpetration at 12 months and lower victimization at 6 and 12 months, irrespective of BI intervention randomization at baseline; however, they did not affect depression symptoms. CONCLUSIONS: A single-session ED BI revealed previously to show promise in reducing underage drinking also demonstrates promise in preventing dating violence perpetration and depression symptoms. These technology-enhanced BIs could be particularly helpful given the potential for more efficient resource usage and ease of future implementation.
Authors: Emily F Rothman; Gregory L Stuart; Michael Winter; Na Wang; Deborah J Bowen; Judith Bernstein; Robert Vinci Journal: J Interpers Violence Date: 2012-04-30
Authors: Megan L Ranney; Joshua R Freeman; Gerianne Connell; Anthony Spirito; Edward Boyer; Maureen Walton; Kate Morrow Guthrie; Rebecca M Cunningham Journal: J Adolesc Health Date: 2016-06-04 Impact factor: 5.012
Authors: Kim Fredman Stein; Jennifer L Allen; Ross Robinson; Cassandra Smith; Katherine Sawyer; Gemma Taylor Journal: BMC Psychiatry Date: 2022-06-21 Impact factor: 4.144
Authors: Ruhee Shah; Alessandra Della Porta; Sherman Leung; Margaret Samuels-Kalow; Elizabeth M Schoenfeld; Lynne D Richardson; Michelle P Lin Journal: West J Emerg Med Date: 2021-10-27