Review article: Effectiveness of ultra‐brief interventions in the emergency department to reduce alcohol consumption: A systematic review
- 26 July 2016
- journal article
- review article
- Published by Wiley in Emergency Medicine Australasia
- Vol. 28 (6), 629-640
- https://doi.org/10.1111/1742-6723.12624
Abstract
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.Keywords
Funding Information
- Australasian College for Emergency Medicine
This publication has 33 references indexed in Scilit:
- Public health in Australasian emergency departments: Attitudes, barriers and current practicesEmergency Medicine Australasia, 2015
- What makes emergency department patients reduce their alcohol consumption? – A computer-based intervention study in SwedenInternational Emergency Nursing, 2013
- Strategies for improving patient safety culture in hospitals: a systematic reviewBMJ Quality & Safety, 2012
- Multicenter Study of Preferences for Health Education in the Emergency Department PopulationAcademic Emergency Medicine, 2010
- The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaborationJournal of Clinical Epidemiology, 2009
- Opportunistic screening and clinician‐delivered brief intervention for high‐risk alcohol use among emergency department attendees: A randomized controlled trialEmergency Medicine Australasia, 2008
- Systematic review and meta‐analyses of strategies targeting alcohol problems in emergency departments: interventions reduce alcohol‐related injuriesAddiction, 2008
- Alcohol and Injury: American College of Surgeons Committee on Trauma Requirements for Trauma Center InterventionThe Journal of Trauma and Acute Care Surgery, 2007
- The Effect of Computerized Tailored Brief Advice on At-risk Drinking in Subcritically Injured Trauma PatientsThe Journal of Trauma and Acute Care Surgery, 2006
- Evaluating the public health impact of health promotion interventions: the RE-AIM framework.American Journal of Public Health, 1999