Cargando…

Effect of a text message intervention to reduce hazardous drinking among injured patients discharged from a trauma ward: a randomized controlled trial

Screening and brief intervention for hazardous alcohol use in trauma care settings is known to reduce alcohol intake and injury recidivism, but is often not implemented due to resource constraints. Brief interventions delivered by mobile phone could overcome this challenge. This study aimed to evalu...

Descripción completa

Detalles Bibliográficos
Autores principales: Sharpe, Sarah, Kool, Bridget, Whittaker, Robyn, Lee, Arier C., Reid, Papaarangi, Civil, Ian, Walker, Matthew, Thornton, Vanessa, Ameratunga, Shanthi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6550138/
https://www.ncbi.nlm.nih.gov/pubmed/31304298
http://dx.doi.org/10.1038/s41746-018-0019-3
_version_ 1783424135647461376
author Sharpe, Sarah
Kool, Bridget
Whittaker, Robyn
Lee, Arier C.
Reid, Papaarangi
Civil, Ian
Walker, Matthew
Thornton, Vanessa
Ameratunga, Shanthi
author_facet Sharpe, Sarah
Kool, Bridget
Whittaker, Robyn
Lee, Arier C.
Reid, Papaarangi
Civil, Ian
Walker, Matthew
Thornton, Vanessa
Ameratunga, Shanthi
author_sort Sharpe, Sarah
collection PubMed
description Screening and brief intervention for hazardous alcohol use in trauma care settings is known to reduce alcohol intake and injury recidivism, but is often not implemented due to resource constraints. Brief interventions delivered by mobile phone could overcome this challenge. This study aimed to evaluate the effect of a mobile phone text message intervention (YourCall(TM)) on hazardous drinkers admitted for an injury. The parallel two-group, single-blind, randomised controlled trial enrolled 598 injured patients aged 16–69 years identified as medium-risk drinkers at recruitment. The intervention group (n = 299) received 16 text messages incorporating brief intervention principles in the 4 weeks following discharge from hospital. Controls (n = 299) received usual care and one text message acknowledging participation in the trial. The primary outcome was the difference in hazardous alcohol use (assessed using AUDIT-C) between study groups at 3 months, with the maintenance of effect examined at 6 and 12 months’ follow-up. Data were analysed using a mixed-effects model for repeated measures. Both groups had similar baseline features. Compared to controls, hazardous drinking was significantly lower in the intervention group at 3 months and maintained over the 12-month follow-up period (least squares mean difference in AUDIT-C scores: −0.322; 95% CI: −0.636, −0.008; p = 0.04). The intervention effect was similar among Māori (New Zealand’s indigenous population) and non-Māori (interaction p = 0.59), and among younger (16–29 years) and older (30–69 years) patients (p = 0.77). The effectiveness of this intervention reflects the potential of low cost, scalable mobile health technologies to overcome common barriers in implementing alcohol harm reduction strategies following injury.
format Online
Article
Text
id pubmed-6550138
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Nature Publishing Group UK
record_format MEDLINE/PubMed
spelling pubmed-65501382019-07-12 Effect of a text message intervention to reduce hazardous drinking among injured patients discharged from a trauma ward: a randomized controlled trial Sharpe, Sarah Kool, Bridget Whittaker, Robyn Lee, Arier C. Reid, Papaarangi Civil, Ian Walker, Matthew Thornton, Vanessa Ameratunga, Shanthi NPJ Digit Med Article Screening and brief intervention for hazardous alcohol use in trauma care settings is known to reduce alcohol intake and injury recidivism, but is often not implemented due to resource constraints. Brief interventions delivered by mobile phone could overcome this challenge. This study aimed to evaluate the effect of a mobile phone text message intervention (YourCall(TM)) on hazardous drinkers admitted for an injury. The parallel two-group, single-blind, randomised controlled trial enrolled 598 injured patients aged 16–69 years identified as medium-risk drinkers at recruitment. The intervention group (n = 299) received 16 text messages incorporating brief intervention principles in the 4 weeks following discharge from hospital. Controls (n = 299) received usual care and one text message acknowledging participation in the trial. The primary outcome was the difference in hazardous alcohol use (assessed using AUDIT-C) between study groups at 3 months, with the maintenance of effect examined at 6 and 12 months’ follow-up. Data were analysed using a mixed-effects model for repeated measures. Both groups had similar baseline features. Compared to controls, hazardous drinking was significantly lower in the intervention group at 3 months and maintained over the 12-month follow-up period (least squares mean difference in AUDIT-C scores: −0.322; 95% CI: −0.636, −0.008; p = 0.04). The intervention effect was similar among Māori (New Zealand’s indigenous population) and non-Māori (interaction p = 0.59), and among younger (16–29 years) and older (30–69 years) patients (p = 0.77). The effectiveness of this intervention reflects the potential of low cost, scalable mobile health technologies to overcome common barriers in implementing alcohol harm reduction strategies following injury. Nature Publishing Group UK 2018-05-02 /pmc/articles/PMC6550138/ /pubmed/31304298 http://dx.doi.org/10.1038/s41746-018-0019-3 Text en © The Author(s) 2018 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Sharpe, Sarah
Kool, Bridget
Whittaker, Robyn
Lee, Arier C.
Reid, Papaarangi
Civil, Ian
Walker, Matthew
Thornton, Vanessa
Ameratunga, Shanthi
Effect of a text message intervention to reduce hazardous drinking among injured patients discharged from a trauma ward: a randomized controlled trial
title Effect of a text message intervention to reduce hazardous drinking among injured patients discharged from a trauma ward: a randomized controlled trial
title_full Effect of a text message intervention to reduce hazardous drinking among injured patients discharged from a trauma ward: a randomized controlled trial
title_fullStr Effect of a text message intervention to reduce hazardous drinking among injured patients discharged from a trauma ward: a randomized controlled trial
title_full_unstemmed Effect of a text message intervention to reduce hazardous drinking among injured patients discharged from a trauma ward: a randomized controlled trial
title_short Effect of a text message intervention to reduce hazardous drinking among injured patients discharged from a trauma ward: a randomized controlled trial
title_sort effect of a text message intervention to reduce hazardous drinking among injured patients discharged from a trauma ward: a randomized controlled trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6550138/
https://www.ncbi.nlm.nih.gov/pubmed/31304298
http://dx.doi.org/10.1038/s41746-018-0019-3
work_keys_str_mv AT sharpesarah effectofatextmessageinterventiontoreducehazardousdrinkingamonginjuredpatientsdischargedfromatraumawardarandomizedcontrolledtrial
AT koolbridget effectofatextmessageinterventiontoreducehazardousdrinkingamonginjuredpatientsdischargedfromatraumawardarandomizedcontrolledtrial
AT whittakerrobyn effectofatextmessageinterventiontoreducehazardousdrinkingamonginjuredpatientsdischargedfromatraumawardarandomizedcontrolledtrial
AT leearierc effectofatextmessageinterventiontoreducehazardousdrinkingamonginjuredpatientsdischargedfromatraumawardarandomizedcontrolledtrial
AT reidpapaarangi effectofatextmessageinterventiontoreducehazardousdrinkingamonginjuredpatientsdischargedfromatraumawardarandomizedcontrolledtrial
AT civilian effectofatextmessageinterventiontoreducehazardousdrinkingamonginjuredpatientsdischargedfromatraumawardarandomizedcontrolledtrial
AT walkermatthew effectofatextmessageinterventiontoreducehazardousdrinkingamonginjuredpatientsdischargedfromatraumawardarandomizedcontrolledtrial
AT thorntonvanessa effectofatextmessageinterventiontoreducehazardousdrinkingamonginjuredpatientsdischargedfromatraumawardarandomizedcontrolledtrial
AT ameratungashanthi effectofatextmessageinterventiontoreducehazardousdrinkingamonginjuredpatientsdischargedfromatraumawardarandomizedcontrolledtrial