Richard Saitz, MD, MPH; Tibor P. Palfai, PhD; Debbie M. Cheng, ScD; Nicholas J. Horton, ScD; Naomi Freedner, MPH; Kim Dukes, PhD; Kevin L. Kraemer, MD, MSc; Mark S. Roberts, MD, MPP; Rosanne T. Guerriero, MPH; Jeffrey H. Samet, MD, MA, MPH
ClinicalTrials.gov Identifier: NCT00183105.
Acknowledgments: The authors thank the staff and patients of the medical inpatient service and CARE Unit research associates at Boston Medical Center; the staff and house staff of the Boston University Internal Medicine Residency Training Program; and Karen Sullivan, Nicole Tibbetts, Alison Pedley, and other data management staff at DM-STAT, Malden, Massachusetts.
Grant Support: This study was supported by the National Institute on Alcohol Abuse and Alcoholism (NIAAA RO1 12617) and a General Clinical Research Center grant from the National Center for Research Resources (M01 RR00533).
Potential Financial Conflicts of Interest: Honoraria: R. Saitz (Fusion Medical Education). All authors have received grant support from the National Institute on Alcohol Abuse and Alcoholism.
Requests for Single Reprints: Richard Saitz, MD, MPH, Boston Medical Center, 91 East Concord Street, Suite 200, Boston, MA 02118; e-mail, firstname.lastname@example.org.
Current Author Addresses: Drs. Saitz, Chang, and Samet and Ms. Guerriero: Boston Medical Center, 91 East Concord Street, Suite 200, Boston, MA 02118.
Dr. Palfai: Psychology Department, Boston University, 64 Cummington Street, Boston, MA 02215.
Dr. Horton: Department of Mathematics, Smith College, 44 College Lane, Northampton, MA 01063.
Ms. Freedner: ORC Macro, 126 College Street, Burlington, VT 05401.
Dr. Dukes: DM-STAT, Inc., One Salem Street, Suite 300, Malden, MA 02148.
Dr. Kraemer, MD: University of Pittsburgh School of Medicine, 230 McKee Place, Suite 600, Pittsburgh, PA 15213
Dr. Roberts: University of Pittsburgh School of Medicine, 200 Meyran Street, Suite 200, Pittsburgh, PA 15213.
Author Contributions: Conception and design: R. Saitz, T.P. Palfai, D.M. Cheng, K. Dukes, M.S. Roberts, J.H. Samet.
Analysis and interpretation of the data: R. Saitz, T.P. Palfai, D.M. Cheng, N.J. Horton, N. Freedner, K. Dukes, K.L. Kraemer, M.S. Roberts, J.H. Samet.
Drafting of the article: R. Saitz, T.P. Palfai, D.M. Cheng, N.J. Horton, N. Freedner, K.L. Kraemer, R.T. Guerriero.
Critical revision of the article for important intellectual content: R. Saitz, T.P. Palfai, D.M. Cheng, N. Freedner, K.L. Kraemer, M.S. Roberts, R.T. Guerriero, J.H. Samet.
Final approval of the article: R. Saitz, T.P. Palfai, D.M. Cheng, N. Freedner, N.J. Horton, K. Dukes, K.L. Kraemer, M.S. Roberts, R.T. Guerriero, J.H. Samet.
Provision of study materials or patients: R. Saitz.
Statistical expertise: D.M. Cheng, N.J. Horton, K. Dukes.
Obtaining of funding: R. Saitz.
Administrative, technical, or logistic support: R. Saitz, N. Freedner, R.T. Guerriero.
Collection and assembly of data: R. Saitz, N. Freedner, K. Dukes.
Saitz R, Palfai TP, Cheng DM, Horton NJ, Freedner N, Dukes K, et al. Brief Intervention for Medical Inpatients with Unhealthy Alcohol Use: A Randomized, Controlled Trial. Ann Intern Med. 2007;146:167-176. doi: 10.7326/0003-4819-146-3-200702060-00005
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Published: Ann Intern Med. 2007;146(3):167-176.
Professional organizations recommend that clinicians screen their patients for unhealthy alcohol use (that is, the spectrum from drinking risky amounts to dependence) and conduct a brief intervention when indicated (1, 2). Despite this recommendation and the existence of brief, valid screening tools (3–5), patients with unhealthy alcohol use often are not identified and do not receive timely care.
Although widely recommended, brief intervention has proven efficacy in decreasing alcohol consumption and related consequences only in unhealthy drinkers without alcohol dependence and in outpatient settings (6). Its efficacy among other populations (for example, persons with alcohol dependence) and in inpatient settings remains unclear (7).
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Hospital Medicine, Tobacco, Alcohol, and Other Substance Abuse.
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