Alcohol Counseling in Hospital Trauma: Examining Two Brief Interventions
Corresponding Author
Laura J. Veach
Surgery Department, Wake Forest School of Medicine
Correspondence concerning this article should be addressed to Laura J. Veach, Surgery Department, Wake Forest School of Medicine, One Medical Center Boulevard, Winston-Salem, NC 27157 (email: [email protected]).Search for more papers by this authorRegina R. Moro
Department of Counselor Education, Boise State University
Search for more papers by this authorPreston Miller
Surgery Department, Wake Forest School of Medicine
Search for more papers by this authorBeth A. Reboussin
Department of Biostatistical Sciences, Wake Forest School of Medicine
Search for more papers by this authorNathaniel N. Ivers
Department of Counseling, Wake Forest University
Search for more papers by this authorJennifer L. Rogers
Department of Counseling, Wake Forest University
Search for more papers by this authorMary Claire O'Brien
Department of Emergency Medicine, Wake Forest School of Medicine
Search for more papers by this authorCorresponding Author
Laura J. Veach
Surgery Department, Wake Forest School of Medicine
Correspondence concerning this article should be addressed to Laura J. Veach, Surgery Department, Wake Forest School of Medicine, One Medical Center Boulevard, Winston-Salem, NC 27157 (email: [email protected]).Search for more papers by this authorRegina R. Moro
Department of Counselor Education, Boise State University
Search for more papers by this authorPreston Miller
Surgery Department, Wake Forest School of Medicine
Search for more papers by this authorBeth A. Reboussin
Department of Biostatistical Sciences, Wake Forest School of Medicine
Search for more papers by this authorNathaniel N. Ivers
Department of Counseling, Wake Forest University
Search for more papers by this authorJennifer L. Rogers
Department of Counseling, Wake Forest University
Search for more papers by this authorMary Claire O'Brien
Department of Emergency Medicine, Wake Forest School of Medicine
Search for more papers by this authorThis study was supported, in part, by a grant from the Robert Wood Johnson Foundation Substance Abuse Policy Research Program.
Abstract
Hospital trauma centers intervene with patients who incur alcohol-related injuries. This prospective study, using professional counselors and trainees, investigated brief counseling interventions (BCIs). Participants were randomized to either a conventional BCI examining quantity and frequency of drinks or a personalized BCI exploring overintoxication. No statistically significant difference between risky drinkers randomized to either intervention in a hospital trauma center was observed. Findings indicate that a personalized BCI may be an alternative to a quantitative BCI in reducing risky alcohol consumption.
References
- Academic ED SBIRT Research Collaborative. (2010). The impact of screening, brief intervention and referral for treatment in emergency department patients' alcohol use: A 3-, 6-, and 12-month follow-up. Alcohol and Alcoholism, 45, 514–519. doi:10.1093/alcalc/agq058
- American College of Surgeons. (2006). Resources for optimal care of the injured patient: 2006. Chicago, IL: Author.
- American College of Surgeons Committee on Trauma. (2007). Alcohol screening and brief intervention (SBI) for trauma patients: COT quick guide. Retrieved from https://www.facs.org/
- American Counseling Association, Office of Government Affairs. (2011). Frequently asked questions regarding participation of licensed professional counselors in the Veterans Affairs (VA) health care system. Retrieved from https://www.counseling.org/docs/public-policy-faqs-and-documents/participation-of-lpcs-in-the-va-health-care-system-(4-11).pdf?sfvrsn=6
- Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for use in primary care (2nd ed.). Retrieved from World Health Organization website: http://www.who.int/substance_abuse/publications/audit/en/
- Babor, T. F., McRee, B. G., Kassebaum, P. A., Grimaldi, P. L., Ahmed, K., & Bray, J. (2007). Screening, brief intervention, and referral to treatment (SBIRT): Toward a public health approach to the management of substance abuse. Substance Abuse, 28, 7–30. doi:10.1300/J465v28n03_03
- Bernstein, J., Bernsteing, E., Belanoff, C., Cabral, H. J., Babakhanlou-Chase, H., Derrington, T. M., … Kotelchuck, M. (2014). The association of injury with substance use disorder among women of reproductive age: An opportunity to address a major contributor to recurrent preventable emergency department visits? Academic Emergency Medicine, 21, 1459–1468. doi:10.1111/acem.12548
- Bischof, G., Grothues, J. M., Reinhardt, S., Meyer, C., John, U., & Rumpf, H. J. (2008). Evaluation of a telephone-based stepped care intervention for alcohol-related disorders: A randomized controlled trial. Drug and Alcohol Dependence, 93, 244–251. doi:10.1016/j.drugalcdep.2007.10.003
- Bradley, K. A., Boyd-Wickizer, J., Powell, S. H., & Burman, M. L. (1998). Alcohol screening questions in women: A critical review. JAMA, 280, 166–171. doi:10.1001/jama.280.2.166
- Bray, J. W., Zarkin, G. A., Hinde, J. M., & Mills, M. J. (2012). Costs of alcohol screening and brief intervention in medical settings: A review of the literature. Journal of Studies on Alcohol and Drugs, 73, 911–919. doi:10.15288/jsad.2012.73.911
- Cherpitel, C. J. (2014). Focus on: The burden of alcohol use—Trauma and emergency outcomes. Alcohol Research: Current Reviews, 35, 150–154.
- Darnell, D., Dunn, C., Atkins, D., Ingraham, L., & Zatzick, D. (2016). A randomized evaluation of motivational interviewing training for mandated implementation of alcohol screening and brief intervention in trauma centers. Journal of Substance Abuse Treatment, 60, 36–44. doi:10.1016/j.jsat.2015.05.010
- de Meneses-Gaya, C., Zuardi, A. W., Loureiro, S. R., & Crippa, J. A. S. (2009). Alcohol Use Disorders Identification Test (AUDIT): An updated systematic review of psychometric properties. Psychology & Neuroscience, 2, 83–97. doi:10.3922/j.psns.2009.1.12
10.3922/j.psns.2009.1.12 Google Scholar
- Désy, P. M., Howard, P. K., Perhats, C., & Li, S. (2010). Alcohol screening, brief intervention, and referral to treatment conducted by emergency nurses: An impact evaluation. Journal of Emergency Nursing, 36, 538–545. doi:10.1016/j.jen.2009.09.011
- D'Onofrio, G., & Degutis, L. C. (2004–2005). Screening and brief intervention in the emergency department. Alcohol Research and Health, 28, 63–72.
- Fantus, R. J. (2017). Annual report 2016: Almost a 10. Bulletin of the American College of Surgeons. Retrieved from http://bulletin.facs.org
- Fleming, M. F., Barry, K. L., & Macdonald, R. (1991). The Alcohol Use Disorders Identification Test (AUDIT) in a college sample. Substance Use & Misuse, 26, 1173–1185. doi:10.3109/10826089109062153
- Gentilello, L. M., Ebel, B. E., Wickizer, T. M., Salkever, D. S., & Rivara, F. P. (2005). Alcohol interventions for trauma patients treated in emergency departments and hospitals: A cost benefit analysis. Annals of Surgery, 241, 541–550.
- Gentilello, L., Rivara, F., Donovan, D., Jurkovich, G. J., Daranciang, E., Dunn, C. W., … Ries, R. R. (1999). Alcohol interventions in a trauma center as a means of reducing the risk of injury recurrence. Annals of Surgery, 230, 473–483.
- Hays, R. D., Merz, J. F., & Nicholas, R. (1995). Response burden, reliability, and validity of the CAGE, Short MAST, and AUDIT alcohol screening measures. Behavior Research Methods, 27, 277–280. doi:10.3758/BF03204745
- Hinde, J. M., Bray, J. W., Aldridge, A., & Zarkin, G. A. (2015). The impact of a mandated trauma center alcohol intervention on readmission and cost per readmission in Arizona. Medical Care, 53, 639–645. doi:10.1097/MLR.0000000000000381
- Hubble, M. A., Duncan, B. L., & Miller, S. D. (1999). The heart and soul of change: What works in therapy. Washington, DC: American Psychological Association.
- Kowalenko, T., Burgess, B., Szpunar, S. M., & Irvin-Babcock, C. B. (2013). Alcohol and trauma—In every age group. American Journal of Emergency Medicine, 31, 705–709. doi:10.1016/j.ajem.2012.12.032
- Leibert, T. W., & Dunne-Bryant, A. (2015). Do common factors account for counseling outcome? Journal of Counseling & Development, 93, 225–235. doi:10.1002/j.1556-6676.2015.00198.x
- Leontieva, L., Horn, K., Helmkamp, J., Furbee, M., Jarrett, T., & Williams, J. (2009). Counselors' reflections on the administration of screening and brief intervention for alcohol problems in the emergency department and 3-month follow-up outcome. Journal of Critical Care, 24, 273–279. doi:10.1016/j.jcrc.2008.07.002
- London, J. A., Dunn, C. W., & Utter, G. H. (2011). Alcohol-related brief interventions as a criterion for American College of Surgeons Level I trauma center verification: How best to train the interventionists? The Journal of Trauma, 70, 931–938. doi:10.1097/TA.0b013e3182127b0b
- McCambridge, J. (2013). Brief intervention content matters. Drug and Alcohol Review, 32, 339–341. doi:10.1111/dar.12044
- McCambridge, J., & Kypri, K. (2011). Can simply answering research questions change behaviour? Systematic review and meta analyses of brief alcohol intervention trials. PLoS ONE, 6, 1–10. doi:10.1371/journal.pone.0023748
- Mello, M. J., Bromberg, J., Baird, J., Nirenberg, T., Chun, T., Lee, C., & Linakis, J. G. (2013). Translation of alcohol screening and brief intervention guidelines to pediatric trauma centers. The Journal of Trauma, 75(Suppl. 3), S301–S307. doi:10.1097/TA.0b013e318292423a
10.1097/TA.0b013e318292423a Google Scholar
- Miller, W. R. (2014). Celebrating Carl Rogers: Motivational interviewing and the person-centered approach. Motivational Interviewing: Training, Research, Implementation, Practice, 3, 4–6. doi:10.5195/mitrip.2014.54
10.5195/mitrip.2014.54 Google Scholar
- Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change ( 3rd ed.). New York, NY: Guilford Press.
- Monti, P. M., Barnett, N. P., Colby, S. M., Gwaltney, C. J., Spirito, A., Rohsenow, D. J., & Woolard, R. (2007). Motivational interviewing versus feedback only in emergency care for young adult problem drinking. Addiction, 102, 1234–1243. doi:10.1111/j.1360-0443.2007.01878.x148
- Moyers, T. B., & Miller, W. R. (2013). Is low therapist empathy toxic? Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors, 27, 878–884. doi:10.1037/a0030274
- National Institute on Alcohol Abuse and Alcoholism. (2008). Tips for cutting down on drinking. Retrieved from http://pubs.niaaa.nih.gov/publications/Tips/tips.pdf
- nQuery Advisor (Version 6.0) [Computer software]. https://www.statsols.com/nquery-sample-size-and-power-calculation-for-successful-clinical-trials
- O'Brien, M. C., McCoy, T. P., Rhodes, S. D., Wagoner, A., & Wolfson, M. (2008). Caffeinated cocktails: Energy drink consumption, high-risk drinking, and alcohol-related consequences among college students. Journal of Academic Emergency Medicine, 15, 453–460. doi:10.1111/j.1553-2712.2008.00085.x
10.1111/j.1553‐2712.2008.00085.x Google Scholar
- Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting Psychology, 21, 95–103. doi:10.1037/h0045357
- Rollnick, S., Mason, P., & Butler, C. (1999). Health behavior change: A guide for practitioners. New York, NY: Churchill Livingston/Elsevier.
- Rosenthal, G. E. (2014). The role of pragmatic clinical trials in the evolution of learning health systems. Transactions of the American Clinical and Climatological Association, 125, 204–218.
- Saitz, R. (2014). Screening and brief intervention for unhealthy drug use: Little or no efficacy. Frontiers in Psychiatry, 5, 1–5. doi:10.3389/fpsyt.2014.00121
- Saunders, J. B., Aasland, O. G., Babor, T. F., de la Fuente, J. R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on early detection of persons with harmful alcohol consumption—II. Addiction, 88, 791–804. doi:10.1111/j.1360-0443.1993.tb02093.x
- Schermer, C. R., Moyers, T. B., Miller, W. R., & Bloomfield, L. A. (2006). Trauma center brief interventions for alcohol disorders decrease subsequent driving under the influence arrests. The Journal of Trauma, 60, 29–34. doi:10.1097/01.ta.0000199420.12322.5d
- Schumacher, J. A., Madson, M. B., & Nilsen, P. (2014). Barriers to learning motivational interviewing: A survey of motivational interviewing trainers' perceptions. Journal of Addictions & Offender Counseling, 35, 81–96. doi:10.1002/j.2161-1874.2014.00028.x
10.1002/j.2161‐1874.2014.00028.x Google Scholar
- Shallcross, L. (2015, February). Counseling clients with cancer. Counseling Today. Retrieved from http://ct.counseling.org/2015/02/counseling-clients-with-cancer/
- Soderstrom, C. A., DiClemente, C. C., Dischinger, P. C., Hebel, R., McDuff, D. R., Auman, K. M., & Kufera, J. A. (2007). A controlled trial of brief intervention versus brief advice for at-risk drinking trauma center patients. The Journal of Trauma, 62, 1102–1112. doi:10.1097/TA.0b013e31804bdb26
- Stata (Version 12) [Computer software]. College Station, TX: StataCorp.
- Wechsler, H., Lee, J. E., Kuo, M., Seibring, M., Nelson, T. F., & Lee, H. (2002). Trends in college binge drinking during a period of increased prevention efforts: Findings from 4 Harvard School of Public Health College Alcohol Study surveys: 1993–2001. Journal of American College Health, 50, 203–217. doi:10.1080/07448480209595713
- Woodruff, S. I., Clapp, J. D., Eisenberg, K., McCabe, C., Hohman, M., Shillington, A. M., … Gareri, J. (2014). Randomized clinical trial of the effects of screening and brief intervention for illicit drug use: The Life Shift/Shift Gears study. Addiction Science & Clinical Practice, 9, 1–11. doi:10.1186/1940-0640-9-8
- World Medical Association. (2013). WMA declaration of Helsinki—Ethical principles for medical research involving human subjects. Retrieved from https://www.wma.net/
- Young, M. E. (2012). Learning the art of helping: Building blocks and techniques ( 5th ed.). New York, NY: Pearson.
- Zatzick, D., Donovan, D., Dunn, C., Russo, J., Wang, J., Jurkovich, G., … Gentilello, L. (2012). Substance use and PTSD symptoms in trauma center patients receiving mandated alcohol screening and brief intervention. Journal of Substance Abuse Treatment, 43, 410–417. doi:10.1016/j.jsat.2012.08.009
- Zatzick, D., Donovan, D. M., Jurkovich, G., Gentilello, L., Dunn, C., Russo, J., … Rivara, F. P. (2014). Disseminating alcohol screening and brief intervention at trauma centers: A policy relevant cluster randomized effectiveness trial. Addiction, 109, 754–765. doi:10.1111/add.12492