Evidence map›Paper›PMID 20402989›Full record

Trial reportAddiction (Abingdon, England)2010

Moderators and mediators of two brief interventions for alcohol in the emergency department.

Nancy P Barnett, Timothy R Apodaca, Molly Magill, Suzanne M Colby, Chad Gwaltney, Damaris J Rohsenow, Peter M Monti

Open access · greenAbstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Addiction (Abingdon, England), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 8% 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

53 citing papers in PubMed, 3 syntheses or guidelines pooled it, 103 citations in OpenAlex.

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  7. Mechanisms of behavior change in a brief dual-target motivational intervention: Reduction in alcohol use mediates intervention effects on risky sex.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2019
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  20. Incident-specific and individual-level moderators of brief intervention effects with mandated college students.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2011
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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 3 institutions in 1 country.

Nancy P BarnettCenter for Alcohol and Addiction Studies, Brown University, Providence, RI, USA.
Timothy R Apodaca
Molly Magill
Suzanne M Colby
Chad Gwaltney
Damaris J Rohsenow
Peter M Monti
Brown University · USProvidence VA Medical Center · USUniversity of Missouri–Kansas City · US

Funding

MOTIVATIONAL INTERVIEWING FOR ETOH+ TEENS IN THE ERR01AA009892 · NIAAA · BROWN UNIVERSITY · PI MONTI, PETER M. · 1994 to 2014
$8.3M
Advancing a Bio-Psycho-Social Alcohol Treatment Research and Mentoring ProgramK05AA019681 · NIAAA · BROWN UNIVERSITY · PI MONTI, PETER M. · 2010 to 2014
$1.2M
NIAAA NIH HHS AA09892NIAAA NIH HHS K05 AA019681NIAAA NIH HHS R01 AA009892
6 · The paper itself

Abstract

objectiveTo evaluate moderators and mediators of brief alcohol interventions conducted in the emergency department.

methodsPatients (18-24 years; n = 172) in an emergency department received a motivational interview with personalized feedback (MI) or feedback only (FO), with 1- and 3-month booster sessions and 6- and 12-month follow-ups. Gender, alcohol status/severity group [ALC+ only, Alcohol Use Disorders Identification Test (AUDIT+) only, ALC+/AUDIT+], attribution of alcohol in the medical event, aversiveness of the event, perceived seriousness of the event and baseline readiness to change alcohol use were evaluated as moderators of intervention efficacy. Readiness to change also was evaluated as a mediator of intervention efficacy, as were perceived risks/benefits of alcohol use, self-efficacy and alcohol treatment seeking.

resultsAlcohol status, attribution and readiness moderated intervention effects such that patients who had not been drinking prior to their medical event, those who had low or medium attribution for alcohol in the event and those who had low or medium readiness to change showed lower alcohol use 12 months after receiving MI compared to FO. In the AUDIT+ only group those who received MI showed lower rates of alcohol-related injury at follow-up than those who received FO. Patients who had been drinking prior to their precipitating event did not show different outcomes in the two interventions, regardless of AUDIT status. Gender did not moderate intervention efficacy and no significant mediation was found.

conclusionsFindings may help practitioners target patients for whom brief interventions will be most effective. More research is needed to understand how brief interventions transmit their effects.

Indexed as

CounselingMotivationPsychotherapy, BriefAdolescentAlcohol DrinkingAlcoholic IntoxicationAttitude to HealthEmergency Service, HospitalFemaleHumansMalePatient Education as TopicRhode IslandSelf EfficacyTreatment OutcomeYoung AdultAlcoholBrief InterventionEmergency Room

Identifiers

PMID20402989
PMCPMC2858352
OpenAlexW1984629552

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.