Evidence map›Paper›PMID 23261491›Full record

Trial reportAddictive behaviors2013

Project reduce: reducing alcohol and marijuana misuse: effects of a brief intervention in the emergency department.

Robert Woolard, Janette Baird, Richard Longabaugh, Ted Nirenberg, Christina S Lee, Michael J Mello, Bruce Becker

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Addictive behaviors, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 9 pooled it
–field-weighted citation impact
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

42 citing papers in PubMed, 9 syntheses or guidelines pooled it.

  1. Brief Drug Interventions Delivered in General Medical Settings: a Systematic Review and Meta-analysis of Cannabis Use Outcomes.Prevention science : the official journal of the Society for Prevention Research · 2025
    Pooled it
  2. Motivational interviewing for substance use reduction.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Pooled it
  4. Pooled it
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  6. Effectiveness of brief alcohol interventions in primary care populations.The Cochrane database of systematic reviews · 2018
    Pooled it
  7. Pooled it
  8. Psychosocial interventions for cannabis use disorder.The Cochrane database of systematic reviews · 2016
    Pooled it
  9. Pooled it
  10. A pilot trial of a brief intervention for cannabis use supplemented with a substance-free activity session or relaxation training.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2024
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  18. Short-term Efficacy of a Brief Intervention to Reduce Drug Misuse and Increase Drug Treatment Utilization Among Adult Emergency Department Patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2015
    Trial
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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.

Robert WoolardDepartment of Emergency Medicine, Paul Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX, United States. robert.woolard@ttuhsc.edu
Janette Baird
Richard Longabaugh
Ted Nirenberg
Christina S Lee
Michael J Mello
Bruce Becker

Funding

Reducing Injury, ETOH &THC Use among ED PatientsR01AA013709 · NIAAA · RHODE ISLAND HOSPITAL (PROVIDENCE, RI) · PI WOOLARD, ROBERT H · 2003 to 2006
$2.1M
NIAAA NIH HHS 1R01AA13709-01A1NIAAA NIH HHS R01 AA013709
6 · The paper itself

Abstract

STUDY

objectiveBrief interventions (BI) for alcohol misuse and recently for marijuana use for emergency department patients have demonstrated effectiveness. We report a 12-month outcome data of a randomized controlled trial of emergency department (ED) patients using a novel model of BI that addresses both alcohol and marijuana use.

methodsED research assistants recruited adult patients who admitted alcohol use in the last month, and marijuana use in the last year. In the ED, patients received an assessment of alcohol and marijuana use and were randomized to treatment (n=249) or standard care (n=266). Treatment consisted of two sessions of BI. At 3 and 12months, both groups had an assessment of alcohol and marijuana use and negative consequences of use.

results515 patients were randomized. We completed a 12-month follow-up assessments on 83% of those randomized. Measures of binge drinking and conjoint marijuana and alcohol use significantly decreased for the treatment group compared to the standard care group. At 12-month binge alcohol use days per month in the treatment group were (M=0.72:95% CI=0.36-1.12) compared to standard care group (M=1.77:95% CI=1.19-1.57) Conjoint use days in the treatment group (M=1.25.1:95% CI=0.81-1.54) compared to standard care group (M=2.16:95% CI=1.56-2.86). No differences in negative consequences or injuries were seen between the treatment and standard care groups.

conclusionsBI for alcohol and marijuana decreased binge drinking and conjoint use in our treatment group. BI appears to offer a mechanism to reduce risky alcohol and marijuana use among ED patients but expected reductions in consequences of use such as injury were not found 12months after the ED visit.

Indexed as

Emergency Service, HospitalAdultAlcohol-Related DisordersBinge DrinkingFemaleHumansMaleMarijuana AbusePsychotherapy, BriefTreatment Outcome

Identifiers

PMID23261491
PMCPMC3558591

What OpenQuestion holds

Textmetadata
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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.