Evidence map›Paper›PMID 18612571›Full record

Trial reportJournal of studies on alcohol and drugs2008

Brief alcohol intervention in the emergency department: moderators of effectiveness.

Maureen A Walton, Abby L Goldstein, Stephen T Chermack, Ryan J McCammon, Rebecca M Cunningham, Kristen L Barry, Frederic C Blow

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of studies on alcohol and drugs, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 5 pooled it
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 5 syntheses or guidelines pooled it, 98 citations in OpenAlex.

  1. Investigating for Whom Brief Substance Use Interventions Are Most Effective: An Individual Participant Data Meta-analysis.Prevention science : the official journal of the Society for Prevention Research · 2023
    Pooled it
  2. Effectiveness of brief alcohol interventions in primary care populations.The Cochrane database of systematic reviews · 2018
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  20. Dating violence: outcomes following a brief motivational interviewing intervention among at-risk adolescents in an urban emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2013
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 2 countries.

Maureen A WaltonDepartment of Psychiatry, Rachel Upjohn Building, University of Michigan, 4250 Plymouth Road, Ann Arbor, Michigan 48109, USA. waltonma@umich.edu
Abby L Goldstein
Stephen T Chermack
Ryan J McCammon
Rebecca M Cunningham
Kristen L Barry
Frederic C Blow
University of Michigan–Ann Arbor · US

Funding

TAILORED ALCOHOL MESSAGES IN THE EMERGENCY DEPARTMENTR01AA011629 · NIAAA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BLOW, FREDERIC C · 1998 to 2002
$1.2M
NIAAA NIH HHS AA11629NIAAA NIH HHS R01 AA011629
6 · The paper itself

Abstract

objectivePrior research supports the effectiveness of brief interventions for reducing alcohol misuse among patients in the emergency department (ED). However, limited information is available regarding the mechanisms of change, which could assist clinicians in streamlining or amplifying these interventions. This article examines moderators of outcomes among ED patients, ages 19 and older, who participated in a randomized controlled trial of a brief intervention for alcohol misuse.

methodInjured patients (N= 4,476) completed a computerized survey; 575 at-risk drinkers were randomly assigned to one of four brief intervention conditions, and 85% were interviewed again at 3-month and 12-month follow-ups.

resultsRegression models using the generalized estimating equations approach examined interaction effects between intervention condition (advice/no advice) and hypothesized moderator variables (stage of change, self-efficacy, acute alcohol use, attribution of injury to alcohol) on alcohol outcomes over time. Overall, participants who reported higher levels of self-efficacy had lower weekly consumption and consequences, whereas those with higher readiness to change had greater weekly consumption and consequences. Furthermore, individuals who attributed their injury to alcohol and received advice had significantly lower levels of average weekly alcohol consumption and less frequent heavy drinking from baseline to 12-month follow-up compared with those who attributed their injury to alcohol but did not receive advice.

conclusionsThis study provides novel data regarding attribution for alcohol-related injury as an important moderator of change and suggests that highlighting the alcohol/injury connection in brief, ED-based alcohol interventions can augment their effectiveness.

Indexed as

CounselingEmergency Service, HospitalPamphletsAdultAgedAlcoholic IntoxicationAlcoholismCombined Modality TherapyFemaleHumansInternal-External ControlMaleMass ScreeningMichiganMiddle AgedMotivation

Identifiers

PMID18612571
PMCPMC3646582
OpenAlexW2103378506

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.