Alcohol Interventions Among Underage Drinkers in the ED: A Randomized Controlled Trial

Pediatrics
Rebecca M CunninghamMaureen A Walton

Abstract

This study examined the efficacy of emergency department (ED)-based brief interventions (BIs), delivered by a computer or therapist, with and without a post-ED session, on alcohol consumption and consequences over 12 months. Patients (ages 14-20 years) screening positive for risky drinking were randomized to: BI (n = 277), therapist BI (n = 278), or control (n = 281). After the 3-month follow-up, participants were randomized to receive a post-ED BI session or control. Incorporating motivational interviewing, the BIs addressed alcohol consumption and consequences, including driving under the influence (DUI), and alcohol-related injury, as well as other concomitant drug use. The computer BI was an offline, Facebook-styled program. Among 4389 patients screened, 1054 patients reported risky drinking and 836 were enrolled in the randomized controlled trial. Regression models examined the main effects of the intervention conditions (versus control) and the interaction effects (ED condition × post-ED condition) on primary outcomes. The therapist and computer BIs significantly reduced consumption at 3 months, consequences at 3 and 12 months, and prescription drug use at 12 months; the computer BI reduced the frequency of DUI at 12 mont...Continue Reading

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Citations

Apr 28, 2016·The Journal of Trauma and Acute Care Surgery·Peter F EhrlichMaureen A Walton
Sep 7, 2016·Addictive Behaviors·Rena M SteigerJennifer Pierce
Jun 7, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Patrick M CarterRebecca M Cunningham
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Dec 9, 2020·Pediatrics·Douglas R RoehlerAlana M Vivolo-Kantor

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