Evidence map›Paper›PMID 28801399›Full record

Trial reportBMJ open2017

A randomised controlled pilot trial evaluating feasibility and acceptability of a computer-based tool to identify and reduce harmful and hazardous drinking among adolescents with alcohol-related presentations in Canadian pediatric emergency departments.

Amanda S Newton, Nadia Dow, Kathryn Dong, Eleanor Fitzpatrick, T Cameron Wild, David W Johnson, Samina Ali, Ian Colman, Rhonda J Rosychuk, Pediatric Emergency Research Canada

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01146665 (Pilot Study of a Computer-Based Intervention for Alcohol Misuse in the Emergency Department), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 13% 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.

NCT01146665 nacompletednot on this map

Pilot Study of a Computer-Based Intervention for Alcohol Misuse in the Emergency Department

TypeinterventionalSponsorUniversity of AlbertaRan2010 to 2013Enrolled44ConditionsAlcohol ConsumptionArmsComputer-based PAF, Computer-based Sham
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
  4. Review
  5. Article
  6. Review
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

10 authors at 5 institutions in 1 country.

Amanda S NewtonDepartment of Pediatrics, University of Alberta, Edmonton, Canada.
Nadia DowDepartment of Pediatrics, University of Alberta, Edmonton, Canada.
Kathryn DongDepartment of Emergency Medicine, University of Alberta, Edmonton, Canada.
Eleanor FitzpatrickDepartment of Emergency Medicine, Dalhousie University, Halifax, Canada.
T Cameron WildSchool of Public Health, University of Alberta, Edmonton, Canada.
David W JohnsonDepartments of Pediatrics and Physiology and Pharmacology, Cummings School of Medicine, University of Calgary, Calgary, Canada.
Samina AliDepartment of Pediatrics, University of Alberta, Edmonton, Canada.
Ian ColmanSchool of Epidemiology, Public Health & Preventive Medicine, University of Ottawa, Ottawa, Canada.
Rhonda J RosychukDepartment of Pediatrics, University of Alberta, Edmonton, Canada.
Pediatric Emergency Research Canada
University of Alberta · CAWomen and Children’s Health Research Institute · CADalhousie University · CAUniversity of Calgary · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study piloted procedures and obtained data on intervention acceptability to determine the feasibility of a definitive randomised controlled trial (RCT) of the effectiveness of a computer-based brief intervention in the emergency department (ED).

designTwo-arm, multi-site, pilot RCT. SETTING AND

participantsAdolescents aged 12-17 years presenting to three Canadian pediatric EDs from July 2010 to January 2013 for an alcohol-related complaint.

interventionsStandard medical care plus computer-based screening and personalised assessment feedback (experimental group) or standard care plus computer-based sham (control group). ED and research staff, and adolescents were blinded to allocation. OUTCOMES: Main: change in alcohol consumption from baseline to 1- and 3 months post-intervention. Secondary: recruitment and retention rates, intervention acceptability and feasibility, perception of group allocation among ED and research staff, and change in health and social services utilisation.

resultsOf the 340 adolescents screened, 117 adolescents were eligible and 44 participated in the study (37.6% recruitment rate). Adolescents allocated to the intervention found it easy, quick and informative, but were divided on the credibility of the feedback provided (agreed it was credible: 44.4%, disagreed: 16.7%, unsure: 16.7%, no response: 22.2%). We found no evidence of a statistically significant relationship between which interventions adolescents were allocated to and which interventions staff thought they received. Alcohol consumption, and health and social services data were largely incomplete due to modest study retention rates of 47.7% and 40.9% at 1- and 3 months post-intervention, respectively.

conclusionsA computer-based intervention was acceptable to adolescents and delivery was feasible in the ED in terms of time to use and ease of use. However, adjustments are needed to the intervention to improve its credibility. A definitive RCT will be feasible if protocol adjustments are made to improve recruitment and retention rates; and increase the number of study sites and research staff.

trial registrationclinicaltrials.gov NCT01146665.

Indexed as

Harm ReductionAdolescentAlcoholic IntoxicationAlcohol-Related DisordersCanadaChildComputersConsumer Health InformationEmergency Service, HospitalFemaleHealth EducationHumansMaleOutcome Assessment, Health CarePilot ProjectsUnderage DrinkingPaediatric A&E and ambulatory caresubstance misuse

Identifiers

PMID28801399
PMCPMC5724197
OpenAlexW2743230217

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.