{"id":419,"date":"2011-11-01T10:08:00","date_gmt":"2011-11-01T14:08:00","guid":{"rendered":"http:\/\/jaydub.cms-devl.bu.edu\/aodhealth\/2011\/01\/01\/does-mailed-feedback-decrease-risky-drinking-after-an-emergency-department-visit\/"},"modified":"2017-01-31T11:45:42","modified_gmt":"2017-01-31T16:45:42","slug":"does-mailed-feedback-decrease-risky-drinking-after-an-emergency-department-visit","status":"publish","type":"post","link":"https:\/\/www.bu.edu\/aodhealth\/2011\/11\/01\/does-mailed-feedback-decrease-risky-drinking-after-an-emergency-department-visit\/","title":{"rendered":"Does Mailed Feedback Decrease Risky Drinking After an Emergency Department Visit?"},"content":{"rendered":"<div class=\"research-summary-body\">\n                    <!-- InstanceBeginEditable name=\"contents\" --><\/p>\n<p>Intervention  in the emergency department (ED) for patients with risky alcohol use can be  difficult due to time constraints and other barriers. To test a more viable  intervention option, researchers identified 304 risky drinkers* aged \u226514 years  in the ED and randomized them to either mailed personalized feedback 7 days  after ED discharge or to usual care (no contact after discharge). Participants  were young (mean age, 29 years), 74% male, and reported a median of 16 drinks  per week and 4 heavy drinking days** per month at baseline. Alcohol use was  assessed 6 weeks after ED discharge, and cost-effectiveness of the intervention  was calculated. Eighty percent of participants completed follow-up.<\/p>\n<ul>\n<li>Seventy-one  percent of the intervention group recalled receiving the mailed feedback.                    <\/li>\n<\/ul>\n<ul>\n<li>Among  participants with alcohol-related ED presentations (23% of the total sample),  the intervention group had significantly lower alcohol use at 6 weeks than the  usual care group (12 drinks per week versus 24 drinks per week, respectively).                    <\/li>\n<\/ul>\n<ul>\n<li>Among  women, the intervention group had significantly fewer heavy drinking days per  month than the usual care group (1.6 days versus 4.5 days, respectively).                    <\/li>\n<\/ul>\n<ul>\n<li>The  adjusted cost of the intervention was $0.48 AUD (US  equivalent, $0.49) per 1 standard drink\u2020 per week reduction among participants  with an alcohol-related ED presentation. Cost-effectiveness for the entire  sample was not calculated.<\/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>*Score of \u22658  on the Alcohol Use Disorders Identification Test.<br \/>\n\t\t\t\t\t\t  **Defined as  \u22655 drinks per day for women and \u22657 drinks per day for men.<br \/>\n\u2020In  Australia, 1  standard drink=10 g alcohol.<!-- InstanceEndEditable -->\n\t\t\t\t\t<\/p>\n<\/div>\n<h2 class=\"research-summary-comments\">Comments:<\/h2>\n<p>\t\t\t\t\t<!-- InstanceBeginEditable name=\"comments\" -->These findings suggest mailed personalized  feedback can produce short-term reductions in risky drinking after an ED visit.  However, this effect was seen in only a minority of the sample, and the longer  term outcomes are unknown. Further research is needed to measure long-term  outcomes and to assess how mailed feedback can be integrated with direct  intervention in the ED and with primary-care follow-up.<!-- InstanceEndEditable --><br \/>\n                    <cite><br \/>\n\t\t\t\t\t\t<!-- InstanceBeginEditable name=\"name\" -->Kevin L. Kraemer, MD, MSc<!-- 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\" --><!-- InstanceEndEditable -->\n\t\t\t\t\t<\/div>\n<h2>Reference:<\/h2>\n<p>\t\t\t\t\t<!-- InstanceBeginEditable name=\"reference\" -->Havard A, Shakeshaft AP, Conigrave KM, et al.  <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22014309\">Randomized controlled trial of mailed personalized feedback for problem  drinkers in the emergency department: the short-term impact.<\/a> <em>Alcohol Clin Exp Res. <\/em>October 20, 2011  [E-pub ahead of print]. doi: 0.1111\/j.1530-0277.2011.01632.x.<!-- InstanceEndEditable -->\n\t\t\t\t<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Intervention in the emergency department (ED) for patients with risky alcohol use can be difficult due to time constraints and other barriers. To test a more viable intervention option, researchers identified 304 risky drinkers* aged \u226514 years in the ED and randomized them to either mailed personalized feedback 7 days after ED discharge or to [&hellip;]<\/p>\n","protected":false},"author":11272,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[55],"tags":[76],"_links":{"self":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/419"}],"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=419"}],"version-history":[{"count":1,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/419\/revisions"}],"predecessor-version":[{"id":2586,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/419\/revisions\/2586"}],"wp:attachment":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/media?parent=419"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/categories?post=419"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/tags?post=419"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}