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Acute Alcohol Consumption and Motivation to Reduce Drinking Among Injured Patients in a Swedish Emergency Department
Linköping University, Department of Medical and Health Sciences, Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in West Östergötland, Department of Medical Specialist in Motala.
Alcohol Research Group, Emeryville, CA, USA.
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2012 (English)In: Journal on Addictions Nursing, ISSN 1088-4602, E-ISSN 1548-7148, Vol. 23, no 3, 152-158 p.Article in journal (Refereed) Published
Abstract [en]

Abstract: Injuries constitute a major public health problem. Millions of people are injured each year, and acute drinking is a well-known risk factor for injuries. Research suggests that acknowledgment of alcohol as a factor in an injury enhances willingness to change drinking behavior, possibly because the patient becomes aware of the negative consequences of their drinking. This study aims to investigate the prevalence of acute alcohol consumption (drinking before the event) among injury patients and to examine the importance of factors potentially associated with motivation to reduce alcohol consumption among these patients. All patients aged 18-69 years were requested to answer alcohol-related questions on a touchscreen computer. Fifteen percent of injured patients were categorized as acute drinkers, and of these, 64% reported that their injury was connected to alcohol. There were significant differences for all sociodemographic and drinking characteristics between acute drinkers and nonacute drinkers. Acute drinkers were categorized as risky drinkers to a much higher extent than nonacute drinkers. Acute drinkers had a considerably higher average weekly alcohol consumption and engaged far more frequently in heavy episodic drinking than nonacute drinkers. Acute drinkers were motivated to reduce their alcohol intake to a greater extent than nonacute drinkers; 51% were in the action, preparation, and contemplation stages, compared with 19% of the nonacute drinkers. Acute drinkers had considerably more detrimental alcohol consumption than nonacute drinkers, and the acute drinkers were more motivated to reduce their drinking than the nonacute drinkers.

Place, publisher, year, edition, pages
2012. Vol. 23, no 3, 152-158 p.
Keyword [en]
Alcohol consumption; acute drinking; motivation to change; injured patients; emergency department
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-72331DOI: 10.1097/JAN.0b013e31826f4bbdISI: 000321968500002PubMedID: 24335731OAI: oai:DiVA.org:liu-72331DiVA: diva2:459182
Available from: 2011-11-25 Created: 2011-11-25 Last updated: 2017-12-08Bibliographically approved
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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