Trial reportPediatrics2015
Alcohol Interventions Among Underage Drinkers in the ED: A Randomized Controlled Trial.
Trial report in Pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 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
60 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- A sex- and gender-based analysis of alcohol treatment intervention research involving youth: A methodological systematic review.PLoS medicine · 2024Pooled it
- Individual-, family-, and school-level interventions targeting multiple risk behaviours in young people.The Cochrane database of systematic reviews · 2018Pooled it
- Effectiveness of SBIRT for Alcohol Use Disorders in the Emergency Department: A Systematic Review.The western journal of emergency medicine · 2017Pooled it
- Motivational interviewing for the prevention of alcohol misuse in young adults.The Cochrane database of systematic reviews · 2016Pooled it
- Understanding risk and protective factors associated with opioid misuse among at-risk adolescents and young adults in the emergency department.Drug and alcohol dependence · 2025Trial
- Understanding Which Teenagers Benefit Most From a Brief Primary Care Substance Use Intervention.Pediatrics · 2019Trial
- Individual and Social Factors Related to Trajectories of Blackouts among Underage Drinkers in the Emergency Department.Alcohol and alcoholism (Oxford, Oxfordshire) · 2019Trial
- Alcohol use severity and age moderate the effects of brief interventions in an emergency department randomized controlled trial.Drug and alcohol dependence · 2019Trial
- Trial
- Predictors of positive drinking outcomes among youth receiving an alcohol brief intervention in the emergency department.Drug and alcohol dependence · 2018Trial
- Emergency Department Alcohol Intervention: Effects on Dating Violence and Depression.Pediatrics · 2018Trial
- Understanding Mechanisms of Change for Brief Alcohol Interventions Among Youth: Examination of Within-Session Interactions.Journal of studies on alcohol and drugs · 2017Trial
- Trial
- Moderators of Brief Motivation-Enhancing Treatments for Alcohol-Positive Adolescents Presenting to the Emergency Department.Journal of substance abuse treatment · 2016Trial
- Underage drinking, brief interventions, and trauma patients: Are they really special?The journal of trauma and acute care surgery · 2016Trial
- Digital Interventions to Facilitate Screening, Brief Interventions, and Referral to Treatment for Substance Use Among Adolescents.Child and adolescent psychiatric clinics of North America · 2026Review
- Telehealth engagement and treatment strategies for adults living with alcohol use disorder: A sequential multiple assignment randomized trial protocol.Contemporary clinical trials · 2025Article
- Trends in substance use-related emergency department visits by youth, 2018-2023.The American journal of emergency medicine · 2025Article
- Firearm possession among emergency department youth and young adults: A latent class analysis.Preventive medicine · 2025Article
- Substance Use among Youth Presenting to the Pediatric Emergency Department.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
objectivesThis study examined the efficacy of emergency department (ED)-based brief interventions (BIs), delivered by a computer or therapist, with and without a post-ED session, on alcohol consumption and consequences over 12 months.
methodsPatients (ages 14-20 years) screening positive for risky drinking were randomized to: BI (n = 277), therapist BI (n = 278), or control (n = 281). After the 3-month follow-up, participants were randomized to receive a post-ED BI session or control. Incorporating motivational interviewing, the BIs addressed alcohol consumption and consequences, including driving under the influence (DUI), and alcohol-related injury, as well as other concomitant drug use. The computer BI was an offline, Facebook-styled program.
resultsAmong 4389 patients screened, 1054 patients reported risky drinking and 836 were enrolled in the randomized controlled trial. Regression models examined the main effects of the intervention conditions (versus control) and the interaction effects (ED condition × post-ED condition) on primary outcomes. The therapist and computer BIs significantly reduced consumption at 3 months, consequences at 3 and 12 months, and prescription drug use at 12 months; the computer BI reduced the frequency of DUI at 12 months; and the therapist BI reduced the frequency of alcohol-related injury at 12 months. The post-ED session reduced alcohol consequences at 6 months, benefiting those who had not received a BI in the ED.
conclusionsA single-session BI, delivered by a computer or therapist in the ED, shows promise for underage drinkers. Findings for the fully automated stand-alone computer BI are particularly appealing given the ease of future implementation.
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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.