Evidence map›Paper›PMID 24829617›Full record

ArticleThe western journal of emergency medicine2014

Readiness to change and reasons for intended reduction of alcohol consumption in emergency department versus trauma population.

Craig Harrison, Wirachin Hoonpongsimanont, Craig L Anderson, Samer Roumani, Jie Weiss, Bharath Chakravarthy, Shahram Lotfipour

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Article in The western journal of emergency medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

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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.

Craig HarrisonCenter for Trauma and Injury Prevention Research, Department of Emergency Medicine, School of Medicine, University of California Irvine, Irvine, California.
Wirachin HoonpongsimanontCenter for Trauma and Injury Prevention Research, Department of Emergency Medicine, School of Medicine, University of California Irvine, Irvine, California.
Craig L AndersonCenter for Trauma and Injury Prevention Research, Department of Emergency Medicine, School of Medicine, University of California Irvine, Irvine, California.
Samer RoumaniCenter for Trauma and Injury Prevention Research, Department of Emergency Medicine, School of Medicine, University of California Irvine, Irvine, California.
Jie WeissDepartment of Health Science, California State University Fullerton, Fullerton, California.
Bharath ChakravarthyCenter for Trauma and Injury Prevention Research, Department of Emergency Medicine, School of Medicine, University of California Irvine, Irvine, California.
Shahram LotfipourCenter for Trauma and Injury Prevention Research, Department of Emergency Medicine, School of Medicine, University of California Irvine, Irvine, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe primary objective was to identify the most common reasons for intending to cut back on alcohol use, in emergency department (ED) and trauma patient populations. The secondary objective was to determine the association between reason to cut back on alcohol and education level.

methodsWe conducted the study at a level one trauma center in California between 2008 and 2012. This was a retrospective analysis of data collected from computerized alcohol screening and intervention (CASI). We excluded patients who drank too little, and those whose scores were consistent with dependency (Alcohol Use Disorders Identification Test [AUDIT]>19). The CASI database includes the patient's age, gender, language, education level, an AUDIT score (1-40 scale), a readiness to change score (1-10), and the option to choose any of 10 "reasons to cut back" on their alcohol consumption.

resultsFrom 10,537 patients, 1,202 met criteria for the study (848 ED, 354 trauma). Overall, the most common reasons cited for cutting back on alcohol were "To avoid health problems" (68.5%), "To avoid getting a DUI" (43.6%), "It could save me money" (42.0%), and "To avoid situations where I could get hurt" (41.0%). Trauma patients cited the following reasons significantly more than ED patients: "To avoid situations where I could get hurt" (46.3% versus 38.8%, respectively), "So I can be in control of my behavior" (40.7% versus 32.2%), and "My partner or spouse wants me to stop" (20.1% versus 15.0%). Additionally, those patients who cited "To avoid health problems" reported 1.2 points higher than average (p<0.001) on the 10-point readiness to change scale. Those who have completed some college or an associate degree cited "To avoid health problems" less often than high school graduates (odds ratio [OR] 0.45), while they cited "To avoid situations where I could get hurt" (OR 2.5) and "To avoid being in a car crash caused by alcohol use" (OR 3.8) more often than high school graduates.

conclusionHealth, injury, finances, and legal issues remain top concerns for patients, while trauma patients specifically had proportionately more concerns with situations where they could get hurt.

Indexed as

IntentionAdultAlcohol DrinkingAlcohol-Related DisordersCaliforniaEducational StatusEmergency Service, HospitalFemaleHumansMaleMass ScreeningMiddle AgedPatient Acceptance of Health CareRetrospective StudiesTherapy, Computer-AssistedWounds and Injuries

Identifiers

PMID24829617
PMCPMC4018185

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.