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- Title
Severity of Baseline Alcohol Use as a Moderator of Brief Interventions in the Emergency Department.
- Authors
Blow, Frederic C.; Ilgen, Mark A.; Walton, Maureen A.; Czyz, Ewa K.; McCammon, Ryan; Chermack, Stephen T.; Cunningham, Rebecca M.; Barry, Kristen L.
- Abstract
Aims: This study examines whether the severity of baseline alcohol consumption/consequences moderates the effect of an alcohol brief intervention (BI) in the emergency department (ED). Methods: Injured patients (N = 494) were recruited from an ED, randomly assigned to receive brief advice or not and completed a 12-month follow-up interview. Results: A significant interaction was found between severity of baseline alcohol consumption (i.e. average weekly, binge drinking) and receipt of a BI on alcohol consumption at 12 months. The form of this interaction indicates that the BI group tended to report lower alcohol consumption at follow-up than the untreated group especially in those who had reported high baseline consumption. Severity of alcohol consequences at baseline did not significantly impact the effect of the BI on 12-month outcomes. Conclusion: ED patients with higher alcohol consumption benefit from BI. In some cases, the BI's effects may be enhanced for patients who are heavier drinkers, perhaps due to a greater opportunity to develop a discrepancy between current behavior and future goals.
- Subjects
ALCOHOL drinking; REHABILITATION of people with alcoholism; DRINKING behavior; BINGE drinking; INTERVENTION (Social services)
- Publication
Alcohol & Alcoholism, 2009, Vol 44, Issue 5, p486
- ISSN
0735-0414
- Publication type
Article
- DOI
10.1093/alcalc/agp031