Trial reportDrug and alcohol dependence2019
Alcohol use severity and age moderate the effects of brief interventions in an emergency department randomized controlled trial.
Trial report in Drug and alcohol dependence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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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
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Health-promotion interventions targeting multiple behaviors: A meta-analytic review of general and behavior-specific processes of change.Psychological bulletin · 2024Pooled it
- Pooled it
- Brief, cognitive-behavioral intervention to promote treatment seeking in adults with severe alcohol use disorder: A randomized controlled trial.Addiction (Abingdon, England) · 2023Trial
- Preoperative alcohol interventions for elective surgical patients: Results from a randomized pilot trial.Surgery · 2022Trial
- The Moderating Effect of Educational Background on the Efficacy of a Computer-Based Brief Intervention Addressing the Full Spectrum of Alcohol Use: Randomized Controlled Trial.JMIR public health and surveillance · 2022Trial
- Addressing Alcohol Use Disorder in Alcohol-Associated Liver Disease.Clinical and translational gastroenterology · 2026Review
- Grouping motivational interviewing for alcohol craving in individuals with alcohol use disorder: the influence of drinking history on its efficacy.European archives of psychiatry and clinical neuroscience · 2025Article
- Telehealth engagement and treatment strategies for adults living with alcohol use disorder: A sequential multiple assignment randomized trial protocol.Contemporary clinical trials · 2025Article
- Grouping motivational interviewing is only effective for younger patients with alcohol dependence in the rehabilitation stage.European archives of psychiatry and clinical neuroscience · 2025Article
- Application of Causal Forest Model to Examine Treatment Effect Heterogeneity in Substance Use Disorder Psychosocial Treatments.International journal of methods in psychiatric research · 2025Article
- Changes in alcohol consumption among Belgian adults participating in the internet-based one-month-abstinence campaign 'Tournée Minérale'.Archives of public health = Archives belges de sante publique · 2025Article
- Testing a new model of telehealth-delivered treatment for primary care patients with alcohol use disorder: A randomized controlled trial protocol.Contemporary clinical trials · 2024Article
- Seeking care where they can: A systematic review of global trends in online alcohol treatment utilization among non-veteran and veteran women.Drug and alcohol dependence reports · 2022Review
- High-intensity drinking among adolescent and emerging adult risky drinkers.Substance abuse · 2022Article
- Predictors of Booster Engagement Following a Web-Based Brief Intervention for Alcohol Misuse Among National Guard Members: Secondary Analysis of a Randomized Controlled Trial.JMIR mental health · 2021Article
- Preliminary study of alcohol problem severity and response to brief intervention.Addiction science & clinical practice · 2021Article
- Effects of screening and brief intervention on alcohol consumption in an emergency department.Clinical and experimental emergency medicine · 2020Article
- The prevalence and correlates of eating disorders in adult emergency department patients.The International journal of eating disorders · 2019Article
- Predictors of empirically derived substance use patterns among sexual minority groups presenting at an emergency department.Addictive behaviors · 2019Article
- Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundThe primary aim of this study was to examine the efficacy of two motivational interviewing-based alcohol brief interventions (BIs) among adults presenting to an emergency department (ED). The secondary aim was to evaluate moderators of intervention effects.
methodsParticipants were 750 ED patients reporting recent alcohol misuse. Participants were randomly assigned to: 1) computer-delivered BI (Computer BI), 2) therapist-delivered BI with computer guidance (Therapist BI-CG), or 3) control. The BIs focused on reduction of alcohol use and risk behaviors. The outcome measure was trajectories of alcohol consumption (measured by the AUDIT-C) across baseline, 3-, 6- and 12-month follow-up assessments, analyzed using latent growth curve modeling. Moderation of intervention effect by gender, age, and baseline alcohol use disorder severity was examined.
resultsAcross the full sample (40% males, mean age = 35.8, SD = 12.3), there was an overall reduction in alcohol consumption across 12 months. The main effects of the Therapist and Computer BI were not significant relative to control. Moderation analysis revealed that the impact of Therapist BI-CG, relative to control, was greater on reductions in alcohol consumption in participants with moderate to severe symptoms of alcohol use disorder compared to those with mild symptoms. The effect of the Computer BI on alcohol use, relative to control, was greater among younger participants compared to older participants.
conclusionsWhile no overall effect was shown, ED-based Therapist BI-CG with computer guidance may be effective among patients with moderate-severe drinking patterns, whereas Computer BIs may be more effective for younger participants.
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