Early identification and brief intervention in alcohol-related
DOI:
https://doi.org/10.20882/adicciones.427Keywords:
casualties, traffic crashes, alcohol, screening, brief interventionAbstract
Objective: to test the effectiveness of a brief intervention in reducing alcohol consumption in traffic casualties with positive blood alcohol concentration, and without alcohol dependency. Methods: screening traffic casualties attending an emergency/trauma department, using an alcohol-saliva test, with intervention for positive patients. After assessment, patients are randomly allocated into either a brief or minimal intervention group. Phone follow-up takes place at month 3, 6,and 12. Results: 709 traffic casualties had been included in the study by the end of October 2002. 696 patients had the alcohol test, which was positive in 93 cases (13.4%). Intervention was possible with 66. Half of them had a positive AUDIT, with a mean score of 7.6. Patients were randomly allocated to brief intervention (30) and minimal intervention (36) groups. Followup has been made on 77%. 79.4% of patients who received an intervention had reduced alcohol consumption at month 3, and 66.7% still had a reduced consumption at month 12. Among consumption measures, binge drinking – the most dangerous for drivingshows the most important drop. At month 3, the percentage of patients who had reduced their intake was higher (at the limit of statistical significance) in the Brief Intervention group. At month 12, there are no apparent differences between the two intervention groups. The reduction in consumption is significantly greater among those who scored positive in the AUDIT at baseline. Conclusion: Although the samples are homogeneous, it’s too early to give effectiveness results, both because of the still small number of patients, and because we are still recruiting them and following-up those already enrolled.References
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