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Reach and effectiveness of a computer-based alcohol intervention in a Swedish emergency room
Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in the West of Östergötland, Department of Medical Specialist.
Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
2010 (English)In: International emergency nursing, ISSN 1878-013X, Vol. 18, no 3, 138-146 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: This study evaluates a computerized alcohol intervention implemented in a Swedish emergency department (ED) with regard to the effectiveness of two different types of tailored brief feedback on patients drinking patterns and the reach of the intervention. METHODS: The study was a prospective, randomized controlled trial of ED patients. The designated target population was the ED population aged 18-69 years who registered at the triage room before receiving care. Patients who were categorized as risky drinkers and completed the computerized test were randomized to either a long or a short feedback. The feedback was tailored on the basis of the individual patients responses to questions on their drinking patterns. RESULTS: The computerized intervention reached 41% of the target population. Those who completed the computerized test and received the feedback were younger than those who did not receive the intervention. Among those who could be followed up, the feedback was effective in reducing the patients weekly alcohol consumption and the number of heavy episodic drinking occasions. The long feedback was slightly more effective than the short feedback, but the differences were not statistically significant.

Place, publisher, year, edition, pages
2010. Vol. 18, no 3, 138-146 p.
Keyword [en]
Computerized intervention, Tailored feedback, Reach, Effectiveness
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-58825DOI: 10.1016/j.ienj.2009.08.004OAI: oai:DiVA.org:liu-58825DiVA: diva2:345871
Available from: 2010-08-27 Created: 2010-08-27 Last updated: 2011-11-25
In thesis
1. Alcohol prevention in emergency care: Drinking patterns among patients and the impact of a computerized intervention in a Swedish Emergency department
Open this publication in new window or tab >>Alcohol prevention in emergency care: Drinking patterns among patients and the impact of a computerized intervention in a Swedish Emergency department
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of this thesis was to generate knowledge about alcohol consumption among patients in a Swedish ED, the reach and effectiveness of a computerized brief intervention delivered in the ED, and factors that are associated with reduced alcohol consumption 6 months after the ED visit.

The results from the studies show that alcohol consumption was higher among patients who were injured than patients who were not injured. Injury patients had a higher weekly consumption, drank more frequently and drank higher typical quantities than non-injury patients. Patients who were categorized as acute drinkers had higher weekly alcohol consumption and were more frequently engaged in heavy episodic drinking (HED) than non-acute drinkers.

Among the patients who took part in the computerized test, more than 15% stated that they were at the preparation stage or actively motivated to change their alcohol consumption. Of the patients who were categorized as acute drinkers, 34% were at the action or preparation stage.

Among patients who were categorized as risky drinkers, 48% became non-risky drinkers at follow-up. The relative change in average weekly consumption among risky drinkers was 30% and the relative change in HED occasions per month was 37% from baseline to follow-up.

Motivated to reduce alcohol consumption at baseline, influenced by just visiting the ED, considering the alcohol-related feedback information and impact from a health care provider are independent predictors for reduced alcohol consumption.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2011. 79 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1266
Keyword
Alcohol prevention, drinking patterns, emergency department, computerized concept
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-72333 (URN)9789173930499 (ISBN)
Public defence
2011-12-12, Aulan, Universitetssjukhuset, Campus US, Linköpings Universitet, Linköping, 09:00 (English)
Opponent
Supervisors
Available from: 2011-11-25 Created: 2011-11-25 Last updated: 2017-12-08Bibliographically approved

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Trinks, AnnaFestin, KarinBendtsen, PrebenNilsen, Per

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