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A Prospective, Randomized, Controlled Trial to Assess the Efficacy of a Multi-Disciplinary Screening, Brief Intervention and Referral to Treatment Program for Patients with Fractures of the Oral and Maxillofacial Region Because of Alcohol-Related Injuries in the Emergency Department
J Trauma Inj 2018;31(3):143-150
Published online December 31, 2018
© 2018 The Korean Society of Trauma.

Ja Heon Koo, M.D.1, Hyung Jun Song, M.D.1, Jun Hee Lee, M.D.1, Jae Hyun Kim, M.D., Ph.D.2, Jung Woo Nam, D.D.S.3, Jae Eun Im, R.N.1

Departments of 1Emergency Medicine, 2Neuropsychiatry, 3Oral and Maxillofacial Surgery, Wonkwang University Sanbon Hospital, Wonkwang University School of Medicine, Gunpo, Korea
Correspondence to: Hyung Jun Song, M.D.
Department of Emergency Medicine, Wonkwang University Sanbon Hospital, Wonkwang University School of Medicine, 321 Sanbon-ro, Gunpo 15865, Korea
Tel: +82-31-390-2269
Fax: +82-31-390-2348
E-mail: babydog7@hotmail.com
Received October 8, 2018; Revised October 19, 2018; Accepted October 22, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: We have implemented a multi-disciplinary Screening, Brief Intervention and Referral to Treatment (SBIRT) protocol to prevent individuals who sustained alcohol-related traumatic injuries. We therefore conducted this single-center, prospective, randomized, controlled trial (RCT) to assess its efficacy.
Methods: All the enrolled patients (n=30) were randomized to either the SBIRT group or the control group. In the current RCT, the proportion of the patients who reduced the amount of alcohol consumption and those who received a specialized treatment served as primary outcome measures. Moreover, changes in a 3-item version of the Alcohol Use Disorders Identification Test Consumption (AUDIT-C), Severity of Dependence Scale (SDS) and Kessler Psychological Distress Scale (K-6) scores at 3 months from baseline served as secondary outcome measures.
Results: At 3 months, the proportion of the patients who reduced the amount of alcohol consumption was significantly higher in the SBIRT group as compared with the control group (86.7% vs. 57.1%, p=0.02). Moreover, the proportion of the patients who received a specialized treatment was also significantly higher as compared with the control group (26.7% vs. 1.4%, p=0.01). Furthermore, there were significant differences in changes in the AUDIT, SDS and K-6 scores at 3 months from baseline between the two groups (p<0.05).
Conclusions: In conclusion, our results indicate that the SBIRT is effective in reducing hazardous and harmful levels of drinking, the degree of alcohol dependence and that of psychological distress in at-risk drinkers.
Keywords : Alcohols; Alcohol drinking; Surgery, Oral; Interdisciplinary studies; SBIRT


December 2018, 31 (3)
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