TY - JOUR PY - 2009// TI - Severity of Baseline Alcohol Use as a Moderator of Brief Interventions in the Emergency Department JO - Alcohol and alcoholism A1 - Blow, Frederic C. A1 - Ilgen, Mark A. A1 - Walton, Maureen A. L. A1 - Czyz, Ewa K. A1 - McCammon, Ryan A1 - Chermack, Stephen T. A1 - Cunningham, Rebecca M. A1 - Barry, Kristen L. SP - 486 EP - 490 VL - 44 IS - 5 N2 - AIMS: This study examines whether the severity of baseline alcohol consumption/consequences moderates the effect of an alcohol brief intervention (BI) in the emergency department (ED). METHODS: Injured patients (N = 494) were recruited from an ED, randomly assigned to receive brief advice or not and completed a 12-month follow-up interview. RESULTS: A significant interaction was found between severity of baseline alcohol consumption (i.e. average weekly, binge drinking) and receipt of a BI on alcohol consumption at 12 months. The form of this interaction indicates that the BI group tended to report lower alcohol consumption at follow-up than the untreated group especially in those who had reported high baseline consumption. Severity of alcohol consequences at baseline did not significantly impact the effect of the BI on 12-month outcomes. CONCLUSION: ED patients with higher alcohol consumption benefit from BI. In some cases, the BI's effects may be enhanced for patients who are heavier drinkers, perhaps due to a greater opportunity to develop a discrepancy between current behavior and future goals.
Language: en
LA - en SN - 0735-0414 UR - http://dx.doi.org/10.1093/alcalc/agp031 ID - ref1 ER -