CHAPTER 63 SOCIAL INTERVENTIONS FOR ALCOHOL ABUSE

A Brief Intervention Reduces Hazardous and Harmful Drinking in Emergency Department Patients

D’Onofrio G, Fiellin DA, Pantalon MV, et al. Ann Emerg Med. 2012;60(2):181–192

BACKGROUND

Brief interventions (BI) are a strategy using existing staff to leverage the authority of medical care providers in helping to change harmful behaviors. One population for whom this shows promise are hazardous and harmful drinkers (HH), an important population to target given that 11,000 (one-third) of the road fatalities in the US are tied to alcohol-impaired driving. The American College of Surgeons requires BIs for all injured patients in level 1 trauma centers. While these strategies have been shown to have efficacy in primary care and trauma inpatient settings, at the time of this study, there had only been small studies with varying methodologies assessing these interventions in the ED. This made them difficult to apply and of uncertain value in a busy ED setting.

OBJECTIVES

To determine the impact of a particular type of BI, the brief negotiation interview (BNI) and a BNI with 1-month follow-up (BNI with booster) on 7-day alcohol consumption and binge-drinking episodes within 28 days.

METHODS

Randomized clinical trial in a US urban teaching hospital.

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