Feasibility of using an interactive laptop program in the emergency department to prevent alcohol misuse among adolescents

Gregor, Mary Ann; Shope, Jean T.; Blow, Frederic C.; Maio, Ronald F.; Weber, James E.; Nypaver, Michele M.

doi:10.1067/mem.2003.265

Cited by 54 publications

(46 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Expansion of the curricular content of EM to include topics such as injury prevention, interventions for patients with substance use disorders, and safe sexual behavior is needed. 14 and reminders embedded within the electronic health record, as well as electronic selfadministered questionnaires in ED waiting areas, 15,16 all hold the potential to increase the ability of EDs to offer cost-and time-sensitive interventions for patients with risky health behaviors.…”

Section: Discussionmentioning

confidence: 99%

“…30,31 Several studies have examined computerized screening and printed interventions for alcohol in trauma and ED settings. These studies have found moderate to strong support for the feasibility and patient and provider acceptability of integrating such programs in routine clinical practice, 16,[32][33][34] particularly when the ED staff perceive alcohol screening and counseling to be part of their job responsibilities. 35,36 Besides the Neumann report, 26 Maio et al 37 studied an interactive computer program to prevent alcohol misuse among injured adolescents and found that, while it was feasible to integrate into the clinical setting, it did not appear to have a meaningful impact on actual alcohol misuse at 12 months.…”

Section: Research Dimensionmentioning

confidence: 99%

“…Several studies have documented the feasibility of using laptop computer-based interactive programs for addressing alcohol misuse in the adolescent 16 and adult ED populations. 26 Neumann et al 26 used a computerized alcohol screening program to screen 3,026 subcritically injured trauma patients, 1,139 of whom screened positive for alcohol misuse using a laptop computer, who were randomly assigned to receive a computer-generated tailored report versus no report.…”

Section: Research Dimensionmentioning

confidence: 99%

“…15 Other trials have validated the use of computer-based interactive programs. 16,26 More information is needed regarding what subgroups would benefit from which specific screening or intervention modality.…”

Section: Research Dimensionmentioning

confidence: 99%

See 3 more Smart Citations

Public Health Considerations in Knowledge Translation in the Emergency Department

Bernstein¹,

Bernstein²,

Boudreaux³

et al. 2007

Academic Emergency Medicine

View full text Add to dashboard Cite

Effective preventive and screening interventions have not been widely adopted in emergency departments (EDs). Barriers to knowledge translation of these initiatives include lack of knowledge of current evidence, perceived lack of efficacy, and resource availability. To address this challenge, the Academic Emergency Medicine 2007 Consensus Conference, ''Knowledge Translation in Emergency Medicine: Establishing a Research Agenda and Guide Map for Evidence Uptake,'' convened a public health focus group. The question this group addressed was ''What are the unique contextual elements that need to be addressed to bring proven preventive and other public health initiatives into the ED setting?'' Public health experts communicated via the Internet beforehand and at a breakout session during the conference to reach consensus on this topic, using published evidence and expert opinion. Recommendations include 1) to integrate proven public health interventions into the emergency medicine core curriculum, 2) to configure clinical information systems to facilitate public health interventions, and 3) to use ancillary ED personnel to enhance delivery of public health interventions and to obtain successful funding for these initiatives. Because additional research in this area is needed, a research agenda for this important topic was also developed. The ED provides medical care to a unique population, many with increased needs for preventive care. Because these individuals may have limited access to screening and preventive interventions, wider adoption of these initiatives may improve the health of this vulnerable population.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Research Dimensionmentioning

confidence: 99%

Section: Research Dimensionmentioning

confidence: 99%

Section: Research Dimensionmentioning

confidence: 99%

See 2 more Smart Citations

Public Health Considerations in Knowledge Translation in the Emergency Department

Bernstein¹,

Bernstein²,

Boudreaux³

et al. 2007

Academic Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…Effective learning also requires that young people have the opportunity to personally interact with the material in a meaningful way which is relevant to their own lives [37]. Computer technology is an age appropriate tool which can be utilised to simulate real life situations involving characters and contexts to which young people can relate [53,54], which allows for this level of interacttion.…”

Section: Stage 1-reviewing the Literaturementioning

confidence: 99%

Developing a school-based drug prevention program to overcome barriers to effective program implementation: The CLIMATE schools: Alcohol module

Vogl¹,

Teesson²,

Newton³

et al. 2012

OJPM

View full text Add to dashboard Cite

Although effective school-based alcohol prevention programs do exist, the overall efficacy of these programs has been compromised by implementation failure. The CLIMATE Schools: Alcohol Module was developed to overcome some of the obstacles to high fidelity program implementation. This paper details this development of the CLIMATE Schools: Alcohol Module. The development involved two stages, both of which were considered essential. The first stage, involved reviewing the literature to ensure the program was based on the most effecttive pedagogy and health promotion practice and the second stage involved collaborating with teachers, students and specialists in the area of alcohol and other drugs, to ensure these goals were realised. The final CLIMATE Schools: Alcohol Module consists of computer-driven harm minimisation program which is based on a social influence approach. The program consists of six lessons, each with two components. The first component involves students completing an interactive computer-based program, with the second consisting of a variety of individual, small group and class-based activities. This program was developed to provide an innovative new platform for the delivery of drug education and has proven to be both feasible and effective in the school environment. The success of this program is considered to be testament to this collaborative development approach.

show abstract

Personalised digital interventions for reducing hazardous and harmful alcohol consumption in community-dwelling populations

Kaner

Beyer

Garnett

et al. 2017

Cochrane Database of Systematic Reviews

229

250

View full text Add to dashboard Cite

There is moderate-quality evidence that digital interventions may lower alcohol consumption, with an average reduction of up to three (UK) standard drinks per week compared to control participants. Substantial heterogeneity and risk of performance and publication bias may mean the reduction was lower. Low-quality evidence from fewer studies suggested there may be little or no difference in impact on alcohol consumption between digital and face-to-face interventions.The BCTs of behaviour substitution, problem solving and credible source were associated with the effectiveness of digital interventions to reduce alcohol consumption and warrant further investigation in an experimental context.Reporting of theory use was very limited and often unclear when present. Over half of the interventions made no reference to any theories. Limited reporting of theory use was unrelated to heterogeneity in intervention effectiveness.

show abstract

Feasibility of using an interactive laptop program in the emergency department to prevent alcohol misuse among adolescents

Cited by 54 publications

References 31 publications

Public Health Considerations in Knowledge Translation in the Emergency Department

Public Health Considerations in Knowledge Translation in the Emergency Department

Developing a school-based drug prevention program to overcome barriers to effective program implementation: The CLIMATE schools: Alcohol module

Personalised digital interventions for reducing hazardous and harmful alcohol consumption in community-dwelling populations

Contact Info

Product

Resources

About