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Challenges and solutions in implementing screening and brief interventions for hazardous alcohol use in accident and emergency departments

Deluca, P., Drummond, C., Coulton, Simon, Perryman, K., Bland, M., Cassidy, P., Crawford, M., Gilvarry, E., Godfrey, C., Heather, N., and others. (2010) Challenges and solutions in implementing screening and brief interventions for hazardous alcohol use in accident and emergency departments. In: Alcoholism-Clinical And Experimental Research. 34 (6). 294A-294A. (doi:10.1111/j.1530-0277.2010.01211.x) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided)

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Official URL
http://dx.doi.org/10.1111/j.1530-0277.2010.01211.x

Abstract

There is a wealth of evidence on the detrimental impact of excessive alcohol consumption on

evidence base for the efficacy of brief interventions aimed at reducing alcohol consumption

departments has reinforced the current evidence regarding the potential effectiveness and

centres and there is little evidence of the wider issues of generalisability and implementation

pragmatic factorial cluster randomised controlled trial. Emergency Departments (ED) (n = 9)

an intervention (Minimal intervention-PIL vs. Brief advice-BA vs. Brief lifestyle counseling-

was more effective than BA or PIL delivered by ED staff. Secondary hypotheses looked at

screening instruments and the cost-effectiveness of SBI in ED. Participants were followed up

motivation (p < .001) of the 250 A&E staff involved in the trial (SAAPPQ) compared with staff

(p < .001). However, SBI implementation was difficult and in some settings needed external

a total of 5992 individuals were approached and 3696 were eligible and screened with 1491

disorders in this population (40.3%), which varies considerably across EDs (23.8–71.3%).

screen conversion rate was significantly higher for M-SASQ versus FAST and PAT and

modeling to account for potential clustering effects indicated that M-SASQ was significantly

better than PAT at identifying hazardous alcohol users.

Item Type: Conference or workshop item (Paper)
DOI/Identification number: 10.1111/j.1530-0277.2010.01211.x
Subjects: H Social Sciences > HV Social pathology. Social and public welfare > HV5001 Alcoholism and intemperance
R Medicine > RA Public aspects of medicine
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Tony Rees
Date Deposited: 27 Aug 2014 09:34 UTC
Last Modified: 22 Jan 2020 04:06 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/42702 (The current URI for this page, for reference purposes)
Coulton, Simon: https://orcid.org/0000-0002-7704-3274
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