{"id":1376,"date":"2025-06-30T09:40:31","date_gmt":"2025-06-30T08:40:31","guid":{"rendered":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/?p=1376"},"modified":"2025-06-30T17:50:17","modified_gmt":"2025-06-30T16:50:17","slug":"effect-of-alcohol-brief-interventions-in-ae","status":"publish","type":"post","link":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/30\/effect-of-alcohol-brief-interventions-in-ae\/","title":{"rendered":"Effect of alcohol brief interventions in A&amp;E"},"content":{"rendered":"\n<p><strong>Investigating the effect of Alcohol Brief Interventions within accident and emergency departments using a data informatics methodology<\/strong><\/p>\n\n\n\n<p><strong>Background<\/strong><\/p>\n\n\n\n<p>Alcohol Brief Interventions (ABI) have been implemented throughout Scotland since 2008 and aim to reduce hazardous drinking through a Scottish Government funded initiative delivered in a range of settings, including Accident and Emergency (A and E) departments.<\/p>\n\n\n\n<p><strong>Purpose<\/strong><\/p>\n\n\n\n<p>To study the extent to which Alcohol Brief Interventions (ABI) are associated with later health service use.<\/p>\n\n\n\n<p><strong>Method<\/strong><\/p>\n\n\n\n<p>An opportunistic informatics approach was applied. A unique patient identifier was used to link patient data with core datasets spanning two years previous and two years post ABI. Variables included inpatient attendance, outpatient attendance, psychiatric admissions, and A and E attendance and prescribing. Patients (N\u202f=\u202f1704) who presented at A and E departments who reported an average alcohol consumption of more than 8 units daily received the ABI. Fast Alcohol Screening Test (FAST) was used to assess patients for hazardous alcohol consumption. Multilevel linear modelling was employed to predict post-intervention utilisation using pre-ABI variables and controlling for person characteristics and venue.<\/p>\n\n\n\n<p><strong>Results<\/strong><\/p>\n\n\n\n<p>Significant decrease in A and E usage was found at one and two years following the ABI intervention. Previous health service use was predictive of later service use. A single question (Item 4) on the FAST was predictive of A and E attendance at one and two years.<\/p>\n\n\n\n<p><strong>Conclusions<\/strong><\/p>\n\n\n\n<p>This investigation and methodology used provide support for the delivery of the ABI. However, it cannot be ascertained whether this is due to the ABI or simply is a result of making contact with a specialist in the addiction field.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Output<\/h3>\n\n\n\n<p><strong>Baldacchino, AM<\/strong> O\u2019Rourke, L., Humphris, G., 2018. Investigating the effect of Alcohol Brief Interventions within accident and emergency departments using a data informatics methodology. <em>Drug and Alcohol Dependence<\/em> 188, 47\u201352. <a href=\"https:\/\/doi.org\/10.1016\/j.drugalcdep.2018.03.035\">https:\/\/doi.org\/10.1016\/j.drugalcdep.2018.03.035<\/a><br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>nvestigating the impact of Alcohol Brief Interventions (ABIs) in Accident &amp; Emergency (A&amp;E) departments using data informatics methodology involves analyzing patient data to assess the effectiveness of these interventions in reducing subsequent healthcare utilization and associated alcohol-related issues. This approach links patient data from A&amp;E visits with various datasets to track long-term outcomes, such as hospital readmissions, GP visits, and other healthcare services. <\/p>\n","protected":false},"author":5884,"featured_media":1378,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[27],"tags":[],"class_list":["post-1376","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-data_science"],"_links":{"self":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/posts\/1376","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/users\/5884"}],"replies":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/comments?post=1376"}],"version-history":[{"count":0,"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/posts\/1376\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/media\/1378"}],"wp:attachment":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/media?parent=1376"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/categories?post=1376"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/tags?post=1376"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}