A Randomized Controlled Trial of a Telephone Intervention for Alcohol Misuse With Injured Emergency Department Patients - 14/12/17
, Janette Baird, PhD a, b, Christina Lee, PhD d, Valerie Strezsak, MS b, e, Michael T. French, PhD f, Richard Longabaugh, EdD gAbstract |
Study objective |
We conduct a randomized controlled trial to test efficacy of a telephone intervention for injured emergency department (ED) patients with alcohol misuse to decrease alcohol use, impaired driving, alcohol-related injuries, and alcohol-related negative consequences.
Methods |
ED patients screening positive for alcohol misuse were randomized to a 3-session telephone brief motivational intervention on alcohol, delivered by a counselor trained in motivational interviewing during 6 weeks, or a control intervention of a scripted home fire and burn safety education delivered in 3 calls. Patients were followed for 12 months and assessed for changes in alcohol use, impaired driving, alcohol-related injuries, and alcohol-related negative consequences.
Results |
Seven hundred thirty ED patients were randomized; 78% received their assigned intervention by telephone, and of those, 72% completed 12-month assessments. There were no differential benefits of telephone brief motivational intervention versus assessment and a control intervention in all 3 variables of alcohol use (frequency of binge alcohol use during the previous 30 days, maximum number of drinks at one time in the past 30 days, and typical alcohol use in the past 30 days), alcohol-impaired driving, alcohol-related injuries, and alcohol-related negative consequences.
Conclusion |
Despite the potential advantage of delivering a telephone brief motivational intervention in not disrupting ED clinical care, our study found no efficacy for it over an assessment and control intervention. Potential causes for our finding include that injury itself, alcohol assessments, or the control intervention had active ingredients for alcohol change.
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| Please see page 264 for the Editor’s Capsule Summary of this article. |
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| Supervising editor: Debra E. Houry, MD, MPH |
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| Author contributions: MJM, JB, and RL were responsible for study design. All authors contributed to the conduct of the study. JB provided statistical guidance and analysis of data. MJM draft the article, and all authors contributed substantially to its revision and approved the final version. MJM takes responsibility for the paper as a whole. |
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| Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org/). The authors have stated that no such relationships exist and provided the following details: The study was supported by award R01AA017895 (Dr. Mello) from the National Institute on Alcohol Abuse and Alcoholism. |
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| Clinical trial registration number: NCT01326169 |
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| The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute on Alcohol Abuse and Alcoholism or the National Institutes of Health. |
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Vol 67 - N° 2
P. 263-275 - février 2016 Retour au numéro
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