Brief intervention for hazardous and harmful drinkers in the emergency department
Brief intervention for hazardous and harmful drinkers in the emergency department
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DOI：
10.1016/j.annemergmed.2007.11.028
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发表时间：
2008-06-01
影响因子：
6.2
通讯作者：
O'Connor, Patrick G.
中科院分区：
文献类型：
--
作者：
D'Onofrio, Gail;Pantalon, Michael V.;O'Connor, Patrick G.
研究目的：要确定的有效性，在减少酒精消费和负面后果的急诊科（艾德）setting.Methods：一个随机临床试验（项目艾德健康）进行了短暂的干预危险/有害饮酒者在城市艾德从2002年5月至2003年11月。18岁或以上的患者筛选以上的国家酒精滥用和酒精中毒研究所指南的“低风险”饮酒或提出了在酒精摄入的设置受伤是合格的。在6个月和12个月时收集了过去30天内每周饮酒的平均次数和酗酒事件;在12个月时收集了不良后果和治疗服务的使用情况。一个简短的谈判面试进行了比较，由急诊医生脚本出院instructions.Results：共494危险/有害饮酒者进行了研究。两组的基线特征相似。在简短谈判访谈组中，12个月时每周平均饮酒次数比基线时的13.6少3.8。出院指导组从基线时的12.4下降了2.6。同样，在简短谈判访谈组中，每月酗酒事件从基线6.0减少了2.0，在出院指示组中从5.4减少了1.5。对于每一个结果，时间效应是显着的，治疗效果是没有。结论：在艾德患者与危险/有害饮酒，我们没有检测到的疗效之间的差异，急诊医师进行简短的谈判面试和出院指示。需要进一步的研究来测试在艾德中短暂干预的有效性。
Study objective: To determine the efficacy of emergency practitioner-performed brief intervention for hazardous/harmful drinkers in reducing alcohol consumption and negative consequences in an emergency department (ED) setting.Methods: A randomized clinical trial (Project ED Health) was conducted in an urban ED from May 2002 to November 2003 for hazardous/harmful drinkers. Patients 18 years or older who screened above National Institute for Alcohol Abuse and Alcoholism guidelines for "low-risk" drinking or presented with an injury in the setting of alcohol ingestion were eligible. The mean number of drinks per week and binge-drinking episodes during the past 30 days were collected at 6 and 12 months; negative consequences and use of treatment services, at 12 months. A Brief Negotiation Interview performed by emergency practitioners was compared to scripted Discharge Instructions.Results: A total of 494 hazardous/harmful drinkers were studied. The 2 groups were similar with respect to baseline characteristics. In the Brief Negotiation Interview group, the mean number of drinks per week at 12 months was 3.8 less than the 13.6 reported at baseline. The Discharge Instructions group decreased 2.6 from 12.4 at baseline. Likewise, binge-drinking episodes per month decreased by 2.0 from a baseline of 6.0 in the Brief Negotiation Interview group and 1.5 from 5.4 in the Discharge Instructions group. For each outcome, the time effect was significant and the treatment effect was not.Conclusion: Among ED patients with hazardous/harmful drinking, we did not detect a difference in efficacy between emergency practitioner-performed Brief Negotiation Interview and Discharge Instructions. Further studies to test the efficacy of brief intervention in the ED are needed.