Author(s): Havard A, Shakeshaft A, Sanson-Fischer R
Aims: To critique the methodological adequacy of evaluations of emergency department (ED)-based interventions for alcohol problems and to conduct a meta-analysis to examine the extent to which interventions in this setting are effective in reducing alcohol consumption and related harm.
Methods: An electronic search of 11 databases and a manual search of reference lists were conducted to identify studies published in peer-review journals between January 1996 and July 2007 (inclusive). Studies evaluating the outcome of an intervention designed to reduce alcohol problems in patients presenting to the ED were eligible for inclusion. Methodological data were extracted using review criteria adapted from the both the Center for Disease Control (CDC) Guide to Community Preventive Services Data Collection Instrument and the Cochrane Effective Practice and Organization of Care Review Group Data Collection Checklist. Continuous outcomes were pooled using a fixed effect inverse variance approach while binary outcomes were pooled in a generic inverse variance meta-analysis.
Results: Thirteen studies were identified for inclusion in the review. Methodological quality was found to be reasonable, with the exception of poor reporting of effect-size information and inconsistent selection of outcome measures. Meta-analyses revealed that interventions did not significantly reduce subsequent alcohol consumption, but were associated with approximately half the odds of experiencing an alcohol-related injury (odds ratio = 0.59, 95% confidence interval 0.42-0.84).
Conclusions: There are few evaluations of emergency department-based interventions for alcohol problems. Future evaluations should use consistent outcome measures and report effect sizes. The existing evidence suggests that interventions are effective in reducing subsequent alcohol-related injuries.
Referred From: https://www.ncbi.nlm.nih.gov/pubmed/18190671
Author(s): Brubacher JR, Mabie A, Ngo M, Abu-Laban RB, Buchanan J, et al.
Author(s): Hungerford DW, Williams JM, Furbee PM, Manley WG, Helmkamp JC, 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): 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