Cargando…

Use of a Brief Negotiation Interview in the emergency department to reduce high‐risk alcohol use among older adults: A randomized trial

OBJECTIVE: To determine whether a Brief Negotiation Interview (BNI) performed in the emergency department (ED) can reduce future rates of alcohol use among older adults who are high‐risk drinkers. METHODS: Adults aged 65 years and older in a single academic ED were screened for high‐risk alcohol use...

Descripción completa

Detalles Bibliográficos
Autores principales: Shenvi, Christina L., Wang, Yushan, Revankar, Rishab, Phillips, Jacline, Bush, Montika, Biese, Kevin J., Aylward, Aileen, D'Onofrio, Gail, Platts‐Mills, Timothy F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828696/
https://www.ncbi.nlm.nih.gov/pubmed/35156089
http://dx.doi.org/10.1002/emp2.12651
_version_ 1784647901363830784
author Shenvi, Christina L.
Wang, Yushan
Revankar, Rishab
Phillips, Jacline
Bush, Montika
Biese, Kevin J.
Aylward, Aileen
D'Onofrio, Gail
Platts‐Mills, Timothy F.
author_facet Shenvi, Christina L.
Wang, Yushan
Revankar, Rishab
Phillips, Jacline
Bush, Montika
Biese, Kevin J.
Aylward, Aileen
D'Onofrio, Gail
Platts‐Mills, Timothy F.
author_sort Shenvi, Christina L.
collection PubMed
description OBJECTIVE: To determine whether a Brief Negotiation Interview (BNI) performed in the emergency department (ED) can reduce future rates of alcohol use among older adults who are high‐risk drinkers. METHODS: Adults aged 65 years and older in a single academic ED were screened for high‐risk alcohol use based on the National Institute for Alcohol Abuse and Alcoholism definition of >7 drinks per week or >3 drinks per occasion. Eligible individuals who were high‐risk drinkers who passed a cognitive impairment screener and who consented to enrollment were randomly assigned to receive the BNI versus usual care. Outcomes were assessed at 3, 6, and 12 months.  The primary outcome was the rate of high‐risk alcohol use at 6 months. RESULTS:  Of 2250 ED patients who were screened, 183 (8%) met the criteria for high‐risk alcohol use. Of those, 98 (53%) patients met full criteria and consented to participation. Of the participants, 67% were men and 83% were non‐Hispanic White. There was no significant difference in the primary outcome of high‐risk alcohol use at 6 months between the BNI at 59.1% (95% confidence interval [CI], 45.5%–76.8%) and the control at 49.1% (95% CI, 36.9%–65.2%). However, there was a significant time‐effect reduction in alcohol consumption and rates of high‐risk alcohol use for both groups. CONCLUSION: Among older adults who met the criteria for high‐risk alcohol use, the BNI in the ED did not result in a reduction in high‐risk alcohol use at 6 months, although both groups showed significant reductions after their ED visit. Further work is needed to determine the optimal setting and time to use the BNI to impact high‐risk alcohol use in this population.
format Online
Article
Text
id pubmed-8828696
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-88286962022-02-11 Use of a Brief Negotiation Interview in the emergency department to reduce high‐risk alcohol use among older adults: A randomized trial Shenvi, Christina L. Wang, Yushan Revankar, Rishab Phillips, Jacline Bush, Montika Biese, Kevin J. Aylward, Aileen D'Onofrio, Gail Platts‐Mills, Timothy F. J Am Coll Emerg Physicians Open Geriatrics OBJECTIVE: To determine whether a Brief Negotiation Interview (BNI) performed in the emergency department (ED) can reduce future rates of alcohol use among older adults who are high‐risk drinkers. METHODS: Adults aged 65 years and older in a single academic ED were screened for high‐risk alcohol use based on the National Institute for Alcohol Abuse and Alcoholism definition of >7 drinks per week or >3 drinks per occasion. Eligible individuals who were high‐risk drinkers who passed a cognitive impairment screener and who consented to enrollment were randomly assigned to receive the BNI versus usual care. Outcomes were assessed at 3, 6, and 12 months.  The primary outcome was the rate of high‐risk alcohol use at 6 months. RESULTS:  Of 2250 ED patients who were screened, 183 (8%) met the criteria for high‐risk alcohol use. Of those, 98 (53%) patients met full criteria and consented to participation. Of the participants, 67% were men and 83% were non‐Hispanic White. There was no significant difference in the primary outcome of high‐risk alcohol use at 6 months between the BNI at 59.1% (95% confidence interval [CI], 45.5%–76.8%) and the control at 49.1% (95% CI, 36.9%–65.2%). However, there was a significant time‐effect reduction in alcohol consumption and rates of high‐risk alcohol use for both groups. CONCLUSION: Among older adults who met the criteria for high‐risk alcohol use, the BNI in the ED did not result in a reduction in high‐risk alcohol use at 6 months, although both groups showed significant reductions after their ED visit. Further work is needed to determine the optimal setting and time to use the BNI to impact high‐risk alcohol use in this population. John Wiley and Sons Inc. 2022-02-09 /pmc/articles/PMC8828696/ /pubmed/35156089 http://dx.doi.org/10.1002/emp2.12651 Text en © 2022 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Geriatrics
Shenvi, Christina L.
Wang, Yushan
Revankar, Rishab
Phillips, Jacline
Bush, Montika
Biese, Kevin J.
Aylward, Aileen
D'Onofrio, Gail
Platts‐Mills, Timothy F.
Use of a Brief Negotiation Interview in the emergency department to reduce high‐risk alcohol use among older adults: A randomized trial
title Use of a Brief Negotiation Interview in the emergency department to reduce high‐risk alcohol use among older adults: A randomized trial
title_full Use of a Brief Negotiation Interview in the emergency department to reduce high‐risk alcohol use among older adults: A randomized trial
title_fullStr Use of a Brief Negotiation Interview in the emergency department to reduce high‐risk alcohol use among older adults: A randomized trial
title_full_unstemmed Use of a Brief Negotiation Interview in the emergency department to reduce high‐risk alcohol use among older adults: A randomized trial
title_short Use of a Brief Negotiation Interview in the emergency department to reduce high‐risk alcohol use among older adults: A randomized trial
title_sort use of a brief negotiation interview in the emergency department to reduce high‐risk alcohol use among older adults: a randomized trial
topic Geriatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828696/
https://www.ncbi.nlm.nih.gov/pubmed/35156089
http://dx.doi.org/10.1002/emp2.12651
work_keys_str_mv AT shenvichristinal useofabriefnegotiationinterviewintheemergencydepartmenttoreducehighriskalcoholuseamongolderadultsarandomizedtrial
AT wangyushan useofabriefnegotiationinterviewintheemergencydepartmenttoreducehighriskalcoholuseamongolderadultsarandomizedtrial
AT revankarrishab useofabriefnegotiationinterviewintheemergencydepartmenttoreducehighriskalcoholuseamongolderadultsarandomizedtrial
AT phillipsjacline useofabriefnegotiationinterviewintheemergencydepartmenttoreducehighriskalcoholuseamongolderadultsarandomizedtrial
AT bushmontika useofabriefnegotiationinterviewintheemergencydepartmenttoreducehighriskalcoholuseamongolderadultsarandomizedtrial
AT biesekevinj useofabriefnegotiationinterviewintheemergencydepartmenttoreducehighriskalcoholuseamongolderadultsarandomizedtrial
AT aylwardaileen useofabriefnegotiationinterviewintheemergencydepartmenttoreducehighriskalcoholuseamongolderadultsarandomizedtrial
AT donofriogail useofabriefnegotiationinterviewintheemergencydepartmenttoreducehighriskalcoholuseamongolderadultsarandomizedtrial
AT plattsmillstimothyf useofabriefnegotiationinterviewintheemergencydepartmenttoreducehighriskalcoholuseamongolderadultsarandomizedtrial