{"id":269,"date":"2013-11-01T10:10:00","date_gmt":"2013-11-01T14:10:00","guid":{"rendered":"http:\/\/jaydub.cms-devl.bu.edu\/aodhealth\/2013\/01\/01\/emergency-department-brief-intervention-may-decrease-some-risky-driving-and-drinking-behaviors-in-young-adults\/"},"modified":"2017-01-31T11:45:15","modified_gmt":"2017-01-31T16:45:15","slug":"emergency-department-brief-intervention-may-decrease-some-risky-driving-and-drinking-behaviors-in-young-adults","status":"publish","type":"post","link":"https:\/\/www.bu.edu\/aodhealth\/2013\/11\/01\/emergency-department-brief-intervention-may-decrease-some-risky-driving-and-drinking-behaviors-in-young-adults\/","title":{"rendered":"Emergency Department  Brief Intervention May Decrease Some Risky Driving and Drinking Behaviors in  Young Adults"},"content":{"rendered":"<div class=\"research-summary-body\">\n                    <!-- InstanceBeginEditable name=\"contents\" --><\/p>\n<p>The  results of alcohol brief intervention trials in emergency departments (EDs)  have been mixed and in trauma centers largely disappointing (i.e., no effect of  intervention). In this study, researchers targeted a subpopulation with two  risks, randomizing 476 ED patients with risky driving and drinking,* aged 18 to  44 years, to: 1) an assessment followed by two brief interventions addressing  both issues; 2) an assessment-only control; or 3) a no-contact control (no  assessment, no intervention).<\/p>\n<ul>\n<li>31%  of participants were lost to follow-up, more in the brief intervention group  than in the other groups<\/li>\n<li>At  3, 6, and 9 months, participants in the brief intervention group were less  likely than those in the assessment-only group to report \u201cnot always wearing a  seat belt\u201d (39\u201345% versus 50\u201355%), but no less likely to report exceeding the  speed limit by 20 mph.<\/li>\n<li>At  3 and 6 months, participants in the brief intervention group reported fewer  maximum drinks per occasion (median 6 versus 8) and reports of \u22655 drinks in a  day (27\u201330% versus 40\u201343%) than did the assessment-only group.<\/li>\n<li>Intervention  had no effect on 4 secondary drinking outcomes or 6 measures of traffic  offenses and crashes, although it was associated with fewer reports of 4 other  risky driving behaviors (e.g., fewer times driving through yellow light as it  turns to red).<\/li>\n<li>The  brief intervention group did not differ with either control group on any risky  driving and drinking outcomes at 12 months.<\/li>\n<li>Outcomes  for the assessment-only group were not substantially different from the  no-contact control group.<\/li>\n<\/ul>\n<p><!-- InstanceEndEditable --><\/p>\n<div class=\"research-summary-footnotes-1\">\n\t\t\t\t\t\t<!-- InstanceBeginEditable name=\"footnotes-1\" --><\/p>\n<p>*Defined  by the authors as: within the past month, \u22652 risky driving behaviors (partial  or non-use of a seatbelt; \u22652 occasions of driving 20 mph over the speed limit;  \u22652 occasions of driving through a yellow light as it turns to red), AND \u22652  risky drinking behaviors (\u226511 standard drinks in a week for women and \u226514 for  men; \u22654 drinks on a typical drinking day; \u22655 drinks on one occasion for women  and \u22656 for men). <\/p>\n<p>\t\t\t\t\t<!-- InstanceEndEditable -->\n\t\t\t\t\t<\/div>\n<h2 class=\"research-summary-comments\">Comments:<\/h2>\n<p>\t\t\t\t\t<!-- InstanceBeginEditable name=\"comments\" -->The mixed findings on self-report outcomes and  differential loss to follow-up raise concerns about the validity of the  findings, particularly in the context of prior studies. Interestingly,  assessments\u2014often thought to explain the many negative studies of brief  intervention\u2014had no effects on outcomes. Nonetheless, this study suggests that 2  brief counseling sessions for a select group of ED patients with two risky  behaviors (risky driving and drinking) may modestly reduce some aspects of both  in the short term. But it also suggests that better interventions are needed  for more robust and longer-term success (e.g., booster interventions using  electronic methods and\/or in primary care settings).<!-- InstanceEndEditable --><br \/>\n                    <cite><br \/>\n\t\t\t\t\t\t<!-- InstanceBeginEditable name=\"name\" -->Kevin L. Kraemer, MD, MSc and Richard Saitz, MD, MPH <!-- InstanceEndEditable --><br \/>\n\t\t\t\t\t<\/cite><\/p>\n<div class=\"research-summary-footnotes\">\n\t\t\t\t\t<!-- InstanceBeginEditable name=\"footnotes\" --><\/p>\n<p>\u00a0<\/p>\n<p>\t\t\t\t\t<!-- InstanceEndEditable -->\n\t\t\t\t\t<\/div>\n<h2>Reference:<\/h2>\n<p>\t\t\t\t\t<!-- InstanceBeginEditable name=\"reference\" -->Sommers MS, Lyons MS, Fargo JD, et al. <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23802878\">Emergency  department-based brief intervention to reduce risky drinking and  hazardous\/harmful drinking in young adults: a randomized controlled trial<\/a>. <em>Alcohol Clin Exp Res. <\/em>2013;37(10):1753\u20131762.<!-- InstanceEndEditable -->\n\t\t\t\t<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The results of alcohol brief intervention trials in emergency departments (EDs) have been mixed and in trauma centers largely disappointing (i.e., no effect of intervention). In this study, researchers targeted a subpopulation with two risks, randomizing 476 ED patients with risky driving and drinking,* aged 18 to 44 years, to: 1) an assessment followed by [&hellip;]<\/p>\n","protected":false},"author":11272,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[57],"tags":[76],"_links":{"self":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/269"}],"collection":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/users\/11272"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/comments?post=269"}],"version-history":[{"count":1,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/269\/revisions"}],"predecessor-version":[{"id":2190,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/269\/revisions\/2190"}],"wp:attachment":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/media?parent=269"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/categories?post=269"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/tags?post=269"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}