Skip Navigation


Alcohol and Alcoholism Advance Access originally published online on August 2, 2007
Alcohol and Alcoholism 2007 42(5):430-435; doi:10.1093/alcalc/agm052
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
42/5/430    most recent
agm052v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (1)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Rodríguez-Martos, A.
Right arrow Articles by Domingo, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Rodríguez-Martos, A.
Right arrow Articles by Domingo, G.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?


Copyright © The Author 2007. Published by Oxford University Press on behalf of the Medical Council on Alcohol.

Simple advice for injured hazardous drinkers: an implementation study

Alicia Rodríguez-Martos1,2,*, Yolanda Castellano1, Joan M. Salmerón3 and Gemma Domingo4

1 Agència de Salut Pública de Barcelona, Spain
2 Ciber en Epidemiología y Salud Pública CIBERESP, Spain
3 Fundació Clínic, Barcelona, Spain
4 Hospital de St. Pau, Barcelona, Spain

* Author to whom correspondence should be addressed at: Agència de Salut Pública de Barcelona, Pl Lesseps, 1, 08023-Barcelona, Spain. Tel: 34 93 202 77 05; Fax: 93 292 14 44; E-mail: amartos{at}aspb.es

Received 2 April 2007; in revised form 29 May 2007; accepted 31 May 2007


  Abstract

Aim: To evaluate the implementation of a screening and intervention procedure for hazardous drinkers in the routine praxis of an emergency service, without increasing the ED (emergency department) staff. Methods: Four stages of the implementation process were undertaken: exploration and adoption, programme installation, and initial implementation. Two hospitals participated, with a coordinator, four trainers and all the emergency nursing staff. Eligible patients were males over age 15 presenting at the weekend with a traffic injury. Screening was performed with five questions (the three items of alcohol use disorders identification test (AUDIT-C) plus two questions about drinking within 6 h before the crash). Hazardous drinkers and drivers who had driven while intoxicated were offered simple advice. The programme implementation was evaluated by reviewing the patients' forms and by interviews and surveys of the nursing staff. Results: The study lasted for 27 weeks. Knowledge and compliance with the programme were good. However, only 25% of the eligible patients were identified. Simple advice was accomplished by 94.7% of those in need of it. Although the majority of nurses felt at ease performing the intervention, 75% considered the programme as a work overload and only 21% reckoned that it was feasible for the emergency service. Conclusion: The emergency setting poses important barriers to the implementation of brief interventions.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.