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Brief interventions to prevent excessive alcohol use in adolescents at low-risk presenting to Emergency Departments: Three-arm, randomised trial of effectiveness and cost-effectiveness
- Source :
- The International Journal on Drug Policy
- Publication Year :
- 2021
- Publisher :
- pubmed.gov, 2021.
-
Abstract
- Background Alcohol consumption and related harm increase rapidly from the age of 12 years. We evaluated whether alcohol screening and brief intervention is effective and cost-effective in delaying hazardous or harmful drinking amongst low-risk or abstaining adolescents attending Emergency Departments (EDs). Methods This ten -centre, three-arm, parallel-group, single-blind, pragmatic, individually randomised trial screened ED attenders aged between 14 and 17 years for alcohol consumption. We sampled at random one third of those scoring at most 2 on AUDIT-C who had access to the internet and, if aged under 16, were Gillick competent or had informed consent from parent or guardian. We randomised them between: screening only (control intervention); one session of face-to-face Personalised Feedback and Brief Advice (PFBA); and PFBA plus an electronic brief intervention (eBI) on smartphone or web. We conducted follow-up after six and 12 months. The principal outcomes were alcohol consumed over the 3 months before 12-month follow up, measured by AUDIT-C; and quality-adjusted life-years. Findings Between October 2014 and May 2015, we approached 5,016 eligible patients of whom 3,326 consented to be screened and participate in the trial; 2,571 of these were low-risk drinkers or abstainers, consuming an average 0.14 units per week. We randomised: 304 to screening only; 285 to PFBA; and 294 to PFBA and eBI. We found no significant difference between groups, notably in weekly alcohol consumption: those receiving screening only drank 0.10 units (95% confidence interval 0.05 to 0.18); PFBA 0.12 (0.06 to 0.21); PFBA and eBI 0.10 (0.05 to 0.19). Interpretation While drinking levels remained low in this population, this trial found no evidence that PFBA with or without eBI was more effective than screening alone in reducing or delaying alcohol consumption.
- Subjects :
- medicine.medical_specialty
Electronic brief intervention
Alcohol Drinking
Adolescent
Cost effectiveness
Cost-Benefit Analysis
Population
Psychological intervention
030508 substance abuse
Medicine (miscellaneous)
Poison control
Effectiveness
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
Informed consent
law
medicine
Humans
Single-Blind Method
030212 general & internal medicine
education
Randomised controlled trial
education.field_of_study
Low risk
business.industry
Emergency department
Health Policy
Alcohol screening
Brief intervention
Alcoholism
Crisis Intervention
Physical therapy
H1
Cost-effectiveness
HV5001
Emergency Service, Hospital
0305 other medical science
business
Alcohol
Research Paper
Subjects
Details
- Language :
- English
- ISSN :
- 09553959
- Database :
- OpenAIRE
- Journal :
- The International Journal on Drug Policy
- Accession number :
- edsair.doi.dedup.....b71cd69c637c563c78947faa2efacdab