Alcohol Drinking Clinical Trial
Official title:
Prevenció Dels Problemes Relacionats Amb Alcohol a urgències.
Alcohol use and its consequences represent an important public health problem. As well as
alcohol dependence, hazardous drinking also contributes to a high burden in terms of
morbidity and mortality. To improve these patients' prognosis and decrease associated social
and health care costs, it is necessary to increase early detection, intervention and
treatment for these problems. For these reasons, SBIRT programmes (Screening Brief
Intervention and Referral to Treatment) have been developed, evaluated and shown to be
effective, particularly in primary care and general practice. Nevertheless, effectiveness of
SBIRT in emergency departments (ED) has not been clearly established.
The investigators aimed to evaluate the feasibility and efficacy of an SBIRT programme in the
ED of a tertiary hospital.
The investigators conducted a randomized controlled trial to study the feasibility and efficacy of an SBIRT programme for hazardous drinkers presenting in an ED. All patients older than 18 years old attending the emergency department were potentially eligible. Cognitively impaired or medically unstable patients were excluded. Patients seeking treatment for alcohol use were also excluded. Patients were randomized to two groups, with the control group receiving two leaflets - one regarding alcohol use, and the other giving information about the study protocol. The intervention group received the same leaflets as well as a brief motivational intervention on alcohol use; and, where appropriate, a referral to specialised treatment. The primary outcomes were the proportion of hazardous drinkers measured by AUDIT-C scale and the proportion of patients attending specialised treatment at 1.5 and 4.5 months and 1 year. ;
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