Trial reportJournal of studies on alcohol and drugs2009
Some medical inpatients with unhealthy alcohol use may benefit from brief intervention.
Trial report in Journal of studies on alcohol and drugs, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Specialty substance use disorder services following brief alcohol intervention: a meta-analysis of randomized controlled trials.Addiction (Abingdon, England) · 2015Pooled it
- Brief intervention and decrease of alcohol consumption among women: a systematic review.Substance abuse treatment, prevention, and policy · 2013Pooled it
- Brief interventions for heavy alcohol users admitted to general hospital wards.The Cochrane database of systematic reviews · 2011Pooled it
- Alcohol screening and brief intervention in primary care: Absence of evidence for efficacy in people with dependence or very heavy drinking.Drug and alcohol review · 2010Pooled it
- Abstinence outcomes among women in reproductive health centers administered clinician or electronic brief interventions.Journal of substance abuse treatment · 2020Trial
- A randomized controlled trial of screening and brief interventions for substance misuse in reproductive health.American journal of obstetrics and gynecology · 2018Trial
- Readiness to change and therapy outcomes of an innovative psychotherapy program for surgical patients: results from a randomized controlled trial.BMC psychiatry · 2017Trial
- See One, Do One, Order One: a study protocol for cluster randomized controlled trial testing three strategies for implementing motivational interviewing on medical inpatient units.Implementation science : IS · 2015Trial
- Alcohol brief intervention for hospitalized veterans with hazardous drinking: protocol for a 3-arm randomized controlled efficacy trial.Addiction science & clinical practice · 2015Trial
- Individual versus significant-other-enhanced brief motivational intervention for alcohol in emergency care.Journal of consulting and clinical psychology · 2014Trial
- Physical health and drinking among medical inpatients with unhealthy alcohol use: a prospective study.Alcoholism, clinical and experimental research · 2010Trial
- Implementation of a Hospital-Based Screening and Treatment Program for Unhealthy Alcohol Use.Journal of general internal medicine · 2026Article
- Clinical Recognition of Substance Use Disorders in Medicaid Primary Care Associated With Universal Screening, Brief Intervention and Referral to Treatment (SBIRT).Journal of studies on alcohol and drugs · 2021Article
- Factor, Concurrent and Predictive Validity of the Readiness to Change Questionnaire [Treatment Version] Among Non-Treatment-Seeking Individuals.Alcohol and alcoholism (Oxford, Oxfordshire) · 2020Article
- The prevalence and impact of elevated anxiety sensitivity among hazardous drinking college students.Drug and alcohol dependence · 2020Article
- Assessing alcohol dependence in hospitalized patients.International journal of environmental research and public health · 2014Article
- Do brief alcohol motivational interventions work like we think they do?Alcoholism, clinical and experimental research · 2014Article
- 2013 Update in addiction medicine for the generalist.Addiction science & clinical practice · 2013Review
- Care for hospitalized patients with unhealthy alcohol use: a narrative review.Addiction science & clinical practice · 2013Review
- Early data from Project Engage: a program to identify and transition medically hospitalized patients into addictions treatment.Addiction science & clinical practice · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveStudies of alcohol brief intervention for medical inpatients have mixed results. We explored potential moderators of the effectiveness of brief intervention for unhealthy alcohol use among medical inpatients.
methodThis is a secondary analysis of a randomized controlled trial of brief motivational counseling among 341 urban-hospital medical inpatients (99 women) with unhealthy alcohol use. Self-reported main outcomes were receipt of alcohol treatment by 3 months in subjects with dependence and change in the mean number of drinks per day 3 and 12 months after enrollment in all subjects.
resultsAmong subjects with dependence, the effect of brief intervention on receipt of alcohol treatment differed significantly by gender and age (p = .02 for each interaction). In stratified analyses, brief intervention was associated with receipt of alcohol treatment in women (adjusted odds ratio [AOR] = 3.9, 95% confidence interval [CI]: 1.2-12.7), and younger (<44 years) subjects (AOR = 3.6, 95% CI: 1.3-10.1). Among subjects with nondependent, unhealthy alcohol use, brief intervention was significantly associated with fewer drinks per day and better physical health-related quality of life at 3 months. However, among those with dependence, intervention was associated with worse physical health-related quality of life and more hospital use, and no changes in drinking. In adjusted analyses among those with and without dependence, brief intervention was not associated with mental health-related quality of life, alcohol problems, or readiness to change. Effects of brief intervention on consumption outcomes were not consistently moderated by demographic characteristics, comorbidity/health, or readiness to change.
conclusionsSome medical inpatients with unhealthy alcohol use, particularly women, younger adults, and patients without dependence may benefit from brief intervention. Few factors that were expected to moderate brief intervention effects did so. Additional research should assess which medical inpatients, if any, can benefit from brief intervention.
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Registered trials
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.