Author(s): Hungerford DW, Williams JM, Furbee PM, Manley WG, Helmkamp JC, et al.
This study evaluates the feasibility of screening and brief intervention (SBI) for alcohol problems among young adults (18-39 years) in a rural, university ED. Research staff screened a convenience sample of patients waiting for medical treatment with the Alcohol Use Disorders Identification Test (AUDIT), used motivational interviewing techniques to counsel screen-positive patients (AUDIT >/= 6) during the ED visit, and referred patients to off-site alcohol treatment as appropriate. Patients were interviewed again at 3 months. Eighty-seven percent of age-eligible drinkers (2,067 of 2,371) consented to participate. Forty-three percent (894 of 2,067) screened positive, of which 94% were counseled. Forty percent of those counseled set a goal to decrease or stop drinking and 4% were referred for further treatment. Median times for obtaining consent, screening, and intervention were 4, 4, and 14 minutes, respectively. Project staff reported that 3% of patients screened or counseled were uncooperative. Seventy percent of 519 patients who participated in follow-up interviews agreed the ED is a good place to help patients with alcohol problems. High rates of informed consent and acceptance of counseling confirmed this protocol's acceptability to patients and indicated patients were comfortable divulging alcohol-related risk behavior. The modest times required for the process enhanced acceptability to patients as well as ED staff. The high prevalence of alcohol problems and the broad acceptance of SBI in this sample provide evidence of the ED's promise as a venue for this clinical preventive service.
Referred From: https://www.ncbi.nlm.nih.gov/pubmed/12563573
Author(s): Brubacher JR, Mabie A, Ngo M, Abu-Laban RB, Buchanan J, et al.
Author(s): Barros RE, Tung TC, Mari JJ
Author(s): Del-Ben CM, Tung TC
Author(s): Foli-Andersen NJ
Author(s): Kohler S, Hofmann A
Author(s): McCullumsmith C, Clark B, Blair C, Cropsey K, Shelton R
Author(s): Hungerford DW, Pollock DA, Todd KH
Author(s): Helmkamp JC, Hungerford DW, Williams JM, Manley WG, Furbee PM, et al.
Author(s): Cherpitel CJ, Ye Y
Author(s): Allen JP, Litten RZ, Fertig JB, Babor T
Author(s): Brown JM, Miller WR
Author(s): Booth RH, Corsi KF, Mikulich-Giberson SK
Author(s): Heffner JL, Tran GQ, Johnson CS, Barrett SW, Blom TJ, et al.
Author(s): Longabaugh R, Woolard RF, Nirenberg TD, Minugh AP, Becker B, et al.
Author(s): Chafetz ME, Blane HT, Abrams HS, Golner JH, Lacy E, et al.
Author(s): McCambridge J, Cunningham JA
Author(s): D’Onofrio G, Degutis LC
Author(s): Stange K, Flocke S, Goodwin M
Author(s): Wallace P
Author(s): Nordqvist C, Johansson K, Bendtsen P
Author(s): Segatto ML, Pinsky I, Laranjeira R, Rezende FF, Vilela TR
Author(s): Jayaram G, Triplett P
Author(s): Havard A, Shakeshaft A, Sanson-Fischer R
Author(s): Carr CJA, Xu J, Redko C, Lane DT, Rapp RC, et al.
Author(s): Xu J, Rapp RC, Carr CA, Lane DT, Wang J, et al.
Author(s): Allen K
Author(s): Allen K
Author(s): Rapp RC, Xu J, Carr CA, Lane DT, Wang J, et al.
Author(s): Breton AR, Taira DA, Burns E, O´Leary J, Chung RS
Author(s): Aseltine RH
Author(s): Babor TF, Higgins-Biddle, JC
Author(s): Brown RL, Saunders LA, Bobula JA, Mundt MP, Koch PE
Author(s): Daeppen JB, Gaume J, Bady P, Yersin B, Calmes JM, et al.
Author(s): Leontieva L, Kimberly HE, Helmkamp J, Furbee M, Jarrett T, et al.
Author(s): Wright S, Moran L, Meyrick M, O’Connor R, Touquet R
Author(s): Rockett IRH, Putnam SL, Jia H, Smith GS
Author(s): Curran GM, Sullivan G, Williams K, Han X, Allee E, et al.
Author(s): Pal HR, Yadav D, Mehta AS, Mohan I
Author(s): Blow FC, Walton MA, Murray R, Cunningham RM, Chermack ST, et al.
Author(s): Barros A, Hirakata V
Author(s): Stokes ME, Davis CS, Koch GG