42548
document
Screening , brief intervention , and referral to treatment ( SBIRT ) in a Polish emergency department : three-month outcomes of a randomized , controlled clinical trial . OBJECTIVE A randomized , controlled trial of screening , brief intervention , and referral to treatment ( SBIRT ) for drinking and related problems among at-risk and dependent drinkers was conducted in an emergency department ( ED ) in Sosnowiec , Poland , among patients ages 18 years and older . METHOD Data were collected over a 23-week period , from 4:00 PM to midnight , and resulted in 446 patients being recruited into the study ( 90 % of those who screened positive ) and randomized to three conditions following a two-stage process : screened only ( n = 147 ) , assessed ( n = 152 ) , and received intervention ( n = 147 ) . Patients in the assessment ( 85 % ) and intervention ( 83 % ) conditions were blindly reassessed at 3 months via a telephone interview . RESULTS At 3-month follow-up , both groups showed significant decreases in the proportion who were positive for at-risk drinking , the primary outcome variable . Both groups also showed significant decreases in drinking days per week , drinks per drinking day , maximum drinks per occasion , and negative consequences of drinking . Using analysis of covariance to control for baseline measures and demographic characteristics , no difference in outcome measures was found between intervention and assessment conditions . Subgroup analysis found some significant interactions between intervention and secondary outcomes . CONCLUSIONS Although the main findings were similar to those from other brief-intervention studies in Western cultures , findings here also suggest that intervention may have differential benefits for specific subgroups of patients in the ED , an area of research that may warrant additional study of brief intervention in the ED setting .
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Intervention_Physical
Screening , brief intervention , and referral to treatment ( SBIRT )
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Intervention_Physical
screening , brief intervention , and referral to treatment ( SBIRT )
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Intervention_Physical
screened only
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Intervention_Control
assessed
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Intervention_Physical
received intervention
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Intervention_Other
intervention
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Intervention_Other
intervention
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Intervention_Control
assessment
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Intervention_Other
intervention
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Outcome_Mental
drinking days per week
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Outcome_Mental
drinks per drinking day
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Outcome_Mental
maximum drinks per occasion
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Outcome_Mental
negative consequences of drinking
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Participant_Age
emergency department ( ED ) in Sosnowiec , Poland , among patients ages 18 years and older .