Evidence map›Paper›PMID 33556153›Full record

ArticlePloS one2021

Developing a brief motivational intervention for young adults admitted with alcohol intoxication in the emergency department - Results from an iterative qualitative design.

Jacques Gaume, Véronique S Grazioli, Sophie Paroz, Cristiana Fortini, Nicolas Bertholet, Jean-Bernard Daeppen

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06446349 (Impact of Identification and Brief Motivational Intervention in Dispensing Pharmacies), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.1field-weighted citation impact, top 6% 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.

NCT06446349 narecruitingnot on this mapstarted 2024, after this paper: background citation

Impact of Identification and Brief Motivational Intervention in Dispensing Pharmacies (BMI) on the Deprescription of Benzodiazepines and Related Substances in Adult Chronic Drug Users

TypeinterventionalSponsorUniversity Hospital, GrenobleRan2024 to 2026Enrolled300ConditionsBenzodiazepine WithdrawalArmsBrief motivational intervention
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 16 citations in OpenAlex.

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  9. Assessment of substance use among injured persons seeking emergency care in Nairobi, Kenya.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022
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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

6 authors.

Jacques GaumeDepartment of Psychiatry, Addiction Medicine, Lausanne University Hospital, Lausanne, Switzerland.ORCID 0000-0002-9149-0994
Véronique S GrazioliDepartment of Psychiatry, Addiction Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Sophie ParozDepartment of Psychiatry, Addiction Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Cristiana FortiniDepartment of Psychiatry, Addiction Medicine, Lausanne University Hospital, Lausanne, Switzerland.ORCID 0000-0001-6090-3584
Nicolas BertholetDepartment of Psychiatry, Addiction Medicine, Lausanne University Hospital, Lausanne, Switzerland.ORCID 0000-0001-5064-6377
Jean-Bernard DaeppenDepartment of Psychiatry, Addiction Medicine, Lausanne University Hospital, Lausanne, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnhealthy alcohol use among young adults is a major public health concern. Brief motivational interventions for young adults in the Emergency Department (ED) have shown promising but inconsistent results.

methodsBased on the literature on brief intervention and motivational interviewing efficacy and active ingredients, we developed a new motivational intervention model for young adults admitted in the ED with alcohol intoxication. Using an iterative qualitative design, we first pre-tested this model by conducting 4 experimental sessions and 8 related semi-structured interviews to evaluate clinicians' and patients' perceptions of the intervention's acceptability and feasibility. We then conducted a consultation meeting with 9 international experts using a nominal group technique. The intervention model was adjusted and finally re-tested by conducting 6 new experimental sessions and 12 related semi-structured interviews. At each round, data collected were analyzed and discussed, and the intervention model updated accordingly.

resultsBased on the literature, we found 6 axes for developing a new model: High level of relational factors (e.g. empathy, alliance, avoidance of confrontation); Personalized feedback; Enhance discrepancy; Evoke change talk while softening sustain talk, strengthen ability and commitment to change; Completion of a change plan; Devote more time: longer sessions and follow-up options (face-to-face, telephone, or electronic boosters; referral to treatment). A qualitative analysis of the semi-structured interviews gave important insights regarding acceptability and feasibility of the model. Adjustments were made around which information to provide and how, as well as on how to deepen discussion about change with patients having low levels of self-exploration. The experts' consultation addressed numerous points, such as information and advice giving, and booster interventions. DISCUSSION: This iterative, multi-component design resulted in the development of an intervention model embedded in recent research findings and theory advances, as well as feasible in a complex environment. The next step is a randomized controlled trial testing the efficacy of this model.

Indexed as

AdolescentAlcohol DrinkingAlcoholic IntoxicationCrisis InterventionEmergency Service, HospitalEvaluation Studies as TopicFemaleHospitalizationHumansMaleMotivationMotivational InterviewingPsychosocial InterventionStakeholder ParticipationSwitzerlandYoung Adult

Identifiers

PMID33556153
PMCPMC7869998
OpenAlexW3129048676

What OpenQuestion holds

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LicenceCC BY
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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.