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What makes emergency department patients reduce their alcoholconsumption?: A computer-based intervention study in Sweden
Linköping University, Department of Medical and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical 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 Medical and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
2011 (English)Manuscript (preprint) (Other academic)
Abstract [en]

Objectives: This study investigates the effectiveness of a computerized emergency department intervention for alcohol consumption and identifies explanation factors associated with reduced alcohol consumption from risk to non-risk drinking.

Methods: Patients aged 18–69 years registered at the ED triage answered alcohol-related questions on a touch-screen computer. Follow-up data were collected by means of a postal questionnaire that was mailed to the patients 6 months after their ED visit.

Results: There were four independent explanations for reduced alcohol consumption: being motivated to reduce alcohol consumption at baseline, influenced by just visiting the emergency department, considering the alcohol-related feedback information and impact from a health care provider. 339 patients could be followed up and of these were 97 categorized as risk drinkers at baseline and 45 became non-risk drinker 6 month later.

Conclusions: Being motivated to reduce alcohol consumption at baseline, influenced by just visiting the emergency department, considering the alcohol-related feedback information and impact from a health care provider were predictors for change from risk to non-risk drinking 6 months later.

Place, publisher, year, edition, pages
2011.
Keyword [en]
Alcohol; brief intervention; emergency care
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-72332OAI: oai:DiVA.org:liu-72332DiVA: diva2:459183
Available from: 2011-11-25 Created: 2011-11-25 Last updated: 2011-11-25Bibliographically 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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