ArticleJournal of studies on alcohol and drugs2010
Cost-effectiveness of a motivational intervention for alcohol-involved youth in a hospital emergency department.
Article in Journal of studies on alcohol and drugs, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 6 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
36 citing papers in PubMed, 6 syntheses or guidelines pooled it, 75 citations in OpenAlex.
- 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 · 2023Pooled it
- Effects of brief substance use interventions delivered in general medical settings: a systematic review and meta-analysis.Addiction (Abingdon, England) · 2022Pooled it
- Economic evaluations of alcohol prevention interventions: Is the evidence sufficient? A review of methodological challenges.Health policy (Amsterdam, Netherlands) · 2017Pooled it
- A meta-analysis of brief alcohol interventions for adolescents and young adults: variability in effects across alcohol measures.The American journal of drug and alcohol abuse · 2016Pooled it
- Can brief alcohol interventions for youth also address concurrent illicit drug use? results from a meta-analysis.Journal of youth and adolescence · 2015Pooled it
- Brief alcohol interventions for adolescents and young adults: a systematic review and meta-analysis.Journal of substance abuse treatment · 2015Pooled it
- Feasibility and Acceptability of the Social Media-Brief Alcohol Screening and Intervention for College Students Intervention.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Trial
- Brief motivational intervention to reduce alcohol and HIV/sexual risk behavior in emergency department patients: A randomized controlled trial.Journal of consulting and clinical psychology · 2016Trial
- Cost-effectiveness of motivational intervention with significant others for patients with alcohol misuse.Addiction (Abingdon, England) · 2016Trial
- Parental involvement in brief interventions for adolescent marijuana use.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2015Trial
- Computer-enhanced interventions for drug use and HIV risk in the emergency room: preliminary results on psychological precursors of behavior change.Journal of substance abuse treatment · 2014Trial
- Motivational counseling reduces future police charges in court referred youth.Accident; analysis and prevention · 2013Trial
- Cost-effectiveness analysis of motivational interviewing with feedback to reduce drinking among a sample of college students.Journal of studies on alcohol and drugs · 2012Trial
- Moderators and mediators of two brief interventions for alcohol in the emergency department.Addiction (Abingdon, England) · 2010Trial
- The feasibility and acceptability of Live Free From E-Cigarettes (LIFFE): A web-based vaping intervention and smoking prevention program for young adults.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026Article
- A Preamble to Prevention of Adolescent Substance Use: Pediatric Resident Screening for Caregiver Substance Use.Substance use & addiction journal · 2025Article
- Co-Designing a Digital Brief Intervention to Reduce the Risk of Prescription Opioid-Related Harm Among People With Chronic Noncancer Pain: Qualitative Analysis of Patient Lived Experiences.JMIR formative research · 2025Article
- Emergency Department Screening and Interventions for Adolescents With Substance Use: A Narrative Review.The Journal of emergency medicine · 2024Review
- Review
- Facilitating Behavior Change in Plastic Surgery Patients Who Inject Drugs Through Motivational Interviewing.Plastic surgery (Oakville, Ont.) · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveBrief interventions in the emergency department targeting risk-taking youth show promise to reduce alcohol-related injury. This study models the cost-effectiveness of a motivational interviewing-based intervention relative to brief advice to stop alcohol-related risk behaviors (standard care). Average cost-effectiveness ratios were compared between conditions. In addition, a cost-utility analysis examined the incremental cost of motivational interviewing per quality-adjusted life year gained.
methodMicrocosting methods were used to estimate marginal costs of motivational interviewing and standard care as well as two methods of patient screening: standard emergency-department staff questioning and proactive outreach by counseling staff. Average cost-effectiveness ratios were computed for drinking and driving, injuries, vehicular citations, and negative social consequences. Using estimates of the marginal effect of motivational interviewing in reducing drinking and driving, estimates of traffic fatality risk from drinking-and-driving youth, and national life tables, the societal costs per quality-adjusted life year saved by motivational interviewing relative to standard care were also estimated. Alcohol-attributable traffic fatality risks were estimated using national databases.
resultsIntervention costs per participant were $81 for standard care, $170 for motivational interviewing with standard screening, and $173 for motivational interviewing with proactive screening. The cost-effectiveness ratios for motivational interviewing were more favorable than standard care across all study outcomes and better for men than women. The societal cost per quality-adjusted life year of motivational interviewing was $8,795. Sensitivity analyses indicated that results were robust in terms of variability in parameter estimates.
conclusionsThis brief intervention represents a good societal investment compared with other commonly adopted medical interventions.
Indexed as
Identifiers
What OpenQuestion holds
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.