@article{ref1,
title="Improving emergency medicine residents' approach to patients with alcohol problems: a controlled educational trial",
journal="Annals of emergency medicine",
year="2002",
author="D'Onofrio, Gail and Nadel, Eric S. and Degutis, Linda C. and Sullivan, Lisa M. and Casper, Karen and Bernstein, Elizabeth and Samet, Jeffrey H.",
volume="40",
number="1",
pages="50-62",
abstract="STUDY OBJECTIVE: We determine whether training using a structured skills-based intervention would improve emergency medicine residents' knowledge and practice in screening and intervening with patients presenting to the emergency department with alcohol problems. METHODS: In a controlled trial conducted at 2 similar emergency medicine residency programs associated with urban, Level I trauma centers, a 4-hour didactic, video, and skills-based workshop was conducted. Main outcome measures included (1) scores on changes in self-reported knowledge, current practice, self-efficacy, role-responsibility, attitudes and beliefs, and provider readiness to change from baseline to 1 year after intervention and (2) change in practice as measured by record review before and after intervention. RESULTS: The intervention group (n=17) had a significant increase in knowledge scores (P <.001) and practice with regard to percent of medical records with evidence of screening and intervention (17% before versus 58% after; 95% confidence interval [CI] 31 to 50; P <.001); no change was observed in the control group (n=19). These increases were significantly different between groups (95% CI 30 to 54; P <.001). There were no significant differences within or between groups for composite scores derived for current practice, self-efficacy, role responsibility, or readiness to change. CONCLUSION: A brief, structured, educational intervention for residents contributed to significant improvement in knowledge and practice with regard to patients with alcohol problems.<p /><p>Language: en</p>",
language="en",
issn="0196-0644",
doi="",
url="http://dx.doi.org/"
}