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Alcohol and Alcoholism Advance Access published online on November 22, 2005
Alcohol and Alcoholism, doi:10.1093/alcalc/agh241
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© The Author 2005. Published by Oxford University Press on behalf of the Medical Council on Alcohol. All rights reserved
Received July 15, 2005
Revised October 14, 2005
Accepted October 24, 2005

Article

BRIEF INTERVENTION IN ALCOHOL-POSITIVE TRAFFIC CASUALTIES: IS IT WORTH THE EFFORT?

ALICIA RODRÍGUEZ-MARTOS DAUER 1 *, ELENA SANTAMARIÑA RUBIO 1, MERCÈ ESCAYOLA CORIS 2, and JOSEP MARTÍ VALLS 2

1 Public Health Agency, Barcelona, Spain
2 University Hospital Vall d'Hebron, Trauma Area, Barcelona, Spain

* To whom correspondence should be addressed.
ALICIA RODRÍGUEZ-MARTOS DAUER, E-mail: amartos{at}aspb.es


  Abstract

Aims: This study aimed at testing the effectiveness of a brief motivational intervention (BI) compared with a minimal intervention (MI) for reducing alcohol consumption in adult, alcohol-positive traffic casualties. Methods: Patients were recruited at the emergency room of a trauma hospital and screened for alcohol by a qualitative saliva test (positive from a blood alcohol concentration of 0.02 g/l). Positive patients (13.3%) who accepted entering the study were randomly allocated into BI and MI. Baseline assessment was the same for all patients. Blind telephone follow-ups were performed at months 3, 6, and 12, and results were analysed by protocol and by intention-to-treat analysis. Results: After 1 year of follow-up, 67% of the patients had reduced their consumption, the percentage of heavy drinkers had dropped by 47%, and 62% of baseline AUDIT-C positive patients (hazardous drinkers) had become negative. Binge drinking dropped significantly (P < 0.05). Results at month 12 were in line with the previous ones. Conclusions: The effectiveness of BI compared with MI has not been verified, but a significant reduction in consumption has been observed in the whole sample, without significant differences by type of intervention. The persistence and dimension of changes suggest a real effect of both interventions, although the lack of a pure control group does not allow definitive conclusions. Traffic casualties are in a teachable moments to benefit from easy and cheap interventions.


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[Abstract] [Full Text] [PDF]


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