A brief motivational intervention model implemented in the
emergency department among intoxicated young adults can have a beneficial
effect on heavy drinking, which is a major public health concern suggests a
recent study published in the JAMA Network Open.

Heavy drinking among young adults is a major public health
concern. Brief motivational interventions in the emergency department have
shown promising but inconsistent results.

A study was conducted to test whether young adults receiving
a newly developed brief motivational intervention reduce their number of heavy
drinking days and alcohol-related problems over 1 year compared with
participants receiving brief advice.

This randomized clinical trial was conducted at an emergency
department of a tertiary care university hospital in Lausanne, Switzerland.
Recruitment ran from December 2016 to August 2019. Follow-up was conducted
after 1, 3, 6, and 12 months. All adults aged 18 to 35 years presenting for any
cause and presenting with alcohol intoxication were eligible (N = 2108); 1764
were excluded or refused participation. Follow-up rate was 79% at 12 months and
89% of participants provided follow-up data at least once and were included in
the primary analyses. Statistical analysis was performed from September 2020 to
January 2021.

The novel intervention was based on motivational interviewing
and comprised in-person discussion in the emergency department and up to 3
booster telephone calls. The control group received brief advice.

Primary outcomes were the number of heavy drinking days (at
least 60 g of ethanol) over the previous month and the total score on the Short
Inventory of Problems (0-45, higher scores indicating more problems) over the
previous 3 months. Hypotheses tested were formulated before data collection.

Results:

There were 344 young adults included Among the 306 participants providing at least 1
follow-up point, a statistically significant time × group interaction was
observed, and simple slopes indicated an increase of heavy drinking days over
time in the control but not in the intervention group There was no effect on the Short Inventory of
Problems score

This randomized clinical trial found that a brief
motivational intervention implemented in the emergency department provided
beneficial effects on heavy drinking, which accounts for a substantial portion
of mortality and disease burden among young adults.

Reference:

Gaume J, Bertholet N, McCambridge J, et al. Effect of a
Novel Brief Motivational Intervention for Alcohol-Intoxicated Young Adults in
the Emergency Department: A Randomized Clinical Trial. JAMA Netw Open.
2022;5(10):e2237563. doi:10.1001/jamanetworkopen.2022.37563

Keywords:

Gaume J, Bertholet N, McCambridge J, Effect, Novel, Brief,
Motivational, Intervention, Alcohol-Intoxicated, Young, Adults, Emergency,
Department, Randomized Clinical Trial, JAMA Netw Open

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