Review article: Effectiveness of ultra-brief interventions in the emergency department to reduce alcohol consumption: A systematic review

To assess the effectiveness of ultra-brief interventions (ultra-BI) or technology-involved preventive measures in the ED to reduce alcohol harm and risky drinking. Medline, Embase, PsycINFO, CINAHL and EBM reviews were searched for articles published between 1996 and 2015. Randomised controlled tria...

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Main Authors: McGinnes, R., Hutton, J., Weiland, T., Fatovich, D., Egerton-Warburton, Diana
Format: Journal Article
Published: 2016
Online Access:http://hdl.handle.net/20.500.11937/15130
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author McGinnes, R.
Hutton, J.
Weiland, T.
Fatovich, D.
Egerton-Warburton, Diana
author_facet McGinnes, R.
Hutton, J.
Weiland, T.
Fatovich, D.
Egerton-Warburton, Diana
author_sort McGinnes, R.
building Curtin Institutional Repository
collection Online Access
description To assess the effectiveness of ultra-brief interventions (ultra-BI) or technology-involved preventive measures in the ED to reduce alcohol harm and risky drinking. Medline, Embase, PsycINFO, CINAHL and EBM reviews were searched for articles published between 1996 and 2015. Randomised controlled trials and quasi-randomised trials, which compared an ultra-BI with screening, standard care or minimal intervention for adults and adolescents at risk for alcohol-related harm presenting to an ED, were included. Outcomes of interest were frequency of alcohol consumption, quantity of alcohol consumed, binge drinking and ED representation. Thirteen studies (nine single centre and four multicentre) were included. Six studies showed a significant reduction in the quantity consumed with intermediate effect size at 3 months (d = −0.40) and small effect size at 12 months (d = −0.15). Two studies showed a significant reduction in binge drinking with small effect size at 3 months (d = −0.12) and 12 months (d = −0.09). No studies showed an effect on frequency of alcohol consumption or ED representation. Heterogeneity in study design, definition of risky, harmful or hazardous alcohol use, intervention types, outcomes, outcome timeframes and outcome measures prevented the performance of quantitative meta-analysis. Despite its limited effectiveness in reducing alcohol use in the short-term, with the large number of people attending EDs with risky drinking, the use of an effective ultra-BI would have the potential to have a measurable population effect.
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spelling curtin-20.500.11937-151302017-09-13T15:34:02Z Review article: Effectiveness of ultra-brief interventions in the emergency department to reduce alcohol consumption: A systematic review McGinnes, R. Hutton, J. Weiland, T. Fatovich, D. Egerton-Warburton, Diana To assess the effectiveness of ultra-brief interventions (ultra-BI) or technology-involved preventive measures in the ED to reduce alcohol harm and risky drinking. Medline, Embase, PsycINFO, CINAHL and EBM reviews were searched for articles published between 1996 and 2015. Randomised controlled trials and quasi-randomised trials, which compared an ultra-BI with screening, standard care or minimal intervention for adults and adolescents at risk for alcohol-related harm presenting to an ED, were included. Outcomes of interest were frequency of alcohol consumption, quantity of alcohol consumed, binge drinking and ED representation. Thirteen studies (nine single centre and four multicentre) were included. Six studies showed a significant reduction in the quantity consumed with intermediate effect size at 3 months (d = −0.40) and small effect size at 12 months (d = −0.15). Two studies showed a significant reduction in binge drinking with small effect size at 3 months (d = −0.12) and 12 months (d = −0.09). No studies showed an effect on frequency of alcohol consumption or ED representation. Heterogeneity in study design, definition of risky, harmful or hazardous alcohol use, intervention types, outcomes, outcome timeframes and outcome measures prevented the performance of quantitative meta-analysis. Despite its limited effectiveness in reducing alcohol use in the short-term, with the large number of people attending EDs with risky drinking, the use of an effective ultra-BI would have the potential to have a measurable population effect. 2016 Journal Article http://hdl.handle.net/20.500.11937/15130 10.1111/1742-6723.12624 restricted
spellingShingle McGinnes, R.
Hutton, J.
Weiland, T.
Fatovich, D.
Egerton-Warburton, Diana
Review article: Effectiveness of ultra-brief interventions in the emergency department to reduce alcohol consumption: A systematic review
title Review article: Effectiveness of ultra-brief interventions in the emergency department to reduce alcohol consumption: A systematic review
title_full Review article: Effectiveness of ultra-brief interventions in the emergency department to reduce alcohol consumption: A systematic review
title_fullStr Review article: Effectiveness of ultra-brief interventions in the emergency department to reduce alcohol consumption: A systematic review
title_full_unstemmed Review article: Effectiveness of ultra-brief interventions in the emergency department to reduce alcohol consumption: A systematic review
title_short Review article: Effectiveness of ultra-brief interventions in the emergency department to reduce alcohol consumption: A systematic review
title_sort review article: effectiveness of ultra-brief interventions in the emergency department to reduce alcohol consumption: a systematic review
url http://hdl.handle.net/20.500.11937/15130