Brief motivational interview and educational brochure in emergency room settings for adolescents and young adults with alcohol related problems: a randomized single blind clinical trial
Open Access
- 11 March 2011
- journal article
- research article
- Published by EDITORA SCIENTIFIC in Revista Brasileira de Psiquiatria
- Vol. 33 (3), 225-233
- https://doi.org/10.1590/s1516-44462011000300004
Abstract
OBJECTIVE: To evaluate the effectiveness of brief motivational interviewing and an educational brochure when delivered in emergency room to reduce alcohol abuse and related problems among adolescents and young adults. METHOD: a randomized single blind clinical trial with a 3 month follow-up was carried out at three emergency rooms from October 2004 to November 2005; subjects assessed were 16-25 years old treated for alcohol related events up to 6 hours after consumption. Socio-demographic data, quantity, frequency and negative consequences of alcohol consumption, motivation to change habits and future risk preception were evaluated. Statistical analysis was performed on subjects who completed follow up (completers). ANCOVA model was used to analyze the difference between the intervention groups with statistical significance level α = 5% and Confidence Interval (CI) 95%. RESULTS: 186 subjects formed the initial sample, being n = 175 included and randomized to educational brochure group (n = 88) or motivational interviewing group (n = 87). Follow-up assessment was performed in 85.2% sample. No significant difference between groups was observed. However, significant reductions (p < 0.01) in related problems and alcohol abuse were found in both groups. CONCLUSION: In this sample a reduction of alcohol use and related problems was observed. Preliminary data indicates that controlled clinical trials with motivational interviewing, educational brochure and nonintervention should be of future interest among Brazilian adolescent population.Keywords
This publication has 29 references indexed in Scilit:
- Drug use and problem drinking associated with primary care and emergency room utilization in the US general population: Data from the 2005 national alcohol surveyDrug and Alcohol Dependence, 2008
- A systematic review of emergency care brief alcohol interventions for injury patientsJournal of Substance Abuse Treatment, 2008
- Systematic review and meta‐analyses of strategies targeting alcohol problems in emergency departments: interventions reduce alcohol‐related injuriesAddiction, 2008
- Motivational interviewing versus feedback only in emergency care for young adult problem drinkingAddiction, 2007
- Alcohol and injuries: a review of international emergency room studies since 1995Drug and Alcohol Review, 2007
- Motivational interviewing with adolescents and young adults for drug-related problemsInternational Journal of Adolescent Medicine and Health, 2006
- BRIEF INTERVENTION IN ALCOHOL-POSITIVE TRAFFIC CASUALTIES: IS IT WORTH THE EFFORT?Alcohol and Alcoholism, 2005
- Adolescent Substance UsePediatric Emergency Care, 2005
- A randomized clinical trial of a brief motivational intervention for alcohol-positive adolescents treated in an emergency departmentThe Journal of Pediatrics, 2004
- Preventive Care in the Emergency Department: Screening and Brief Intervention for Alcohol Problems in the Emergency Department: A Systematic ReviewAcademic Emergency Medicine, 2002