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STUDY 2010 HTM file
What process research tells us about brief intervention efficacy
The disappointing finding of no impact in a Swiss study of a brief alcohol intervention with risky drinking A&E patients prompted painstaking analyses of why some patients did respond, and why some counsellors had far better results than others.
At a US emergency department, a brief conversation about the pros and cons of their risky drinking and offers of support for any efforts to reduce harm curbed drinking among alcohol-dependent patients; non-dependent patients tended to do better with assessment and usual care only.
At a US emergency department, a brief conversation about the pros and cons of their drinking and offers of support for any efforts to reduce harm led (compared to assessment and usual care) to extra reductions in the drinking of injured Hispanic patients but not white or black patients.
At a US emergency department, a brief conversation about the pros and cons of their risky drinking and offers of support for any efforts to reduce harm led to extra reductions in the drinking of Hispanic patients which were greatest when they were matched to a Hispanic and Spanish-speaking counsellor.
STUDY 2006 PDF file 198Kb
Drink-driving cut by 30-minute talk with hospital patients
Patients admitted to a US hospital following a traffic accident had fewer arrests for drink-driving after a short talk with hospital staff about their drinking, the first such finding and one which reinforced the case for hospital-based brief interventions.
STUDY 2006 PDF file 199Kb
A&E units save health service resources by addressing drinking
This US study estimated that each $ spent screening for and offering advice to heavy drinking emergency patients would save nearly $4 in health care costs due to reduced hospital re-attendance. A British trial suggests similar savings might be found in the UK.
STUDY 2005 PDF file 153Kb
Communities can reduce drink-driving deaths
A multi-million dollar attempt to equip US communities to tackle substance misuse only succeeded in reducing alcohol-related traffic deaths when treatment initiatives were supplemented by measures to limit the availability of alcohol.
STUDY 2009 HTM file
Counselor skill influences outcomes of brief motivational interventions
Few studies can manage the painstaking analyses needed to identify what makes for successful counselling. This Swiss study broke new ground in dissecting why some brief interventionists had far better results than others with risky drinking A&E patients.
Confirmation that brief advice to risky drinkers identified in accident and emergency departments can cut drinking and reduce the chance of further injuries and readmissions; the issue now is why this happens sometimes but not always.
STUDY 2005 PDF file 146Kb
Heavily drinking emergency patients cut down after referral for counselling
Latest in a series of studies at a London emergency unit found drinking reductions and reduced re-attendance after referring heavy drinkers for brief counselling. Screening and referral were routine at the unit, suggesting the model could be widely implemented.
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