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Published in: Oral and Maxillofacial Surgery 2/2019

01-06-2019 | Facial Fracture | Original Article

Assessing the impact of computerised and written advice in changing the habit and behaviour of alcohol use in patients who have suffered alcohol-related facial injuries—a pilot study

Authors: Kai Lee, Hao-Hsuan Tsai, Jiandong Sun, Arun Chandu

Published in: Oral and Maxillofacial Surgery | Issue 2/2019

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Abstract

Purpose

Alcohol screening and a brief intervention (SBI) can be effective in changing harmful drinking behaviour and reducing the chance of future alcohol-related traumas. However, there is no standardised method in its application. This study aims to deliver a novel method of SBI to patients with alcohol-related facial fractures and to assess changes in their alcohol intake and attitudes to drinking following this intervention.

Methods

Twenty consecutive patients at two Victorian Hospitals were consented to undergo a novel SBI program. This study analysed the results of the initial survey and the follow-up survey completed at least 3 months later.

Results

Of the 20 patients recruited for the initial survey, 18 returned for the follow-up (90% response rate). All patients were males, 50% were aged between 18 and 29 years, 61% involved in interpersonal violence, 56% sustained mandibular fractures and 89% underwent surgery. The alcohol risk score increased in the follow-up survey; however, the relationship is not statistically significant. A high proportion of the patients were still unaware of their risk. Patients showed greater awareness of their drinking and willingness to accept help and more readiness to accept written advice rather than computerised materials.

Conclusion

This study found a high rate of acceptance among trauma patients to the intervention program. Although there was no significant change in the risk scores between the initial and follow-up surveys, certain subgroup was more amenable to the intervention given. There is generally an improvement in the attitudes towards and knowledge of harmful drinking.
Literature
1.
go back to reference Magennis P, Shepherd J, Hutchinson I, Brown A (1998) Trends in facial injury. Br Med J 316:325–326CrossRef Magennis P, Shepherd J, Hutchinson I, Brown A (1998) Trends in facial injury. Br Med J 316:325–326CrossRef
2.
go back to reference Peterson JB, Rothfleisch J, Zelazo P, Pihl RO (1990) Acute intoxication and cognitive functioning. J Stud Alcohol 51:114–122CrossRefPubMed Peterson JB, Rothfleisch J, Zelazo P, Pihl RO (1990) Acute intoxication and cognitive functioning. J Stud Alcohol 51:114–122CrossRefPubMed
3.
go back to reference O’Mearaa C, Witherspoon RB, Hapangamab N, Hyamb DM (2012) Alcohol and interpersonal violence may increase the severity of facial fracture. Br J Oral Maxillofac Surg 50(1):36–40CrossRef O’Mearaa C, Witherspoon RB, Hapangamab N, Hyamb DM (2012) Alcohol and interpersonal violence may increase the severity of facial fracture. Br J Oral Maxillofac Surg 50(1):36–40CrossRef
4.
go back to reference Hutchison I, Magennis P, Shepherd JP, Brown A (1998) The BAOMS United Kingdom survey of facial injuries part 1: Aetiology and the association with alcohol consumption. Br J Oral Maxillofac Surg 36:4–14CrossRef Hutchison I, Magennis P, Shepherd JP, Brown A (1998) The BAOMS United Kingdom survey of facial injuries part 1: Aetiology and the association with alcohol consumption. Br J Oral Maxillofac Surg 36:4–14CrossRef
5.
go back to reference Kruger E, Smith K, Tennant M (2006) Jaw fractures in the indigenous and non-indigenous populations of Western Australia. Int J Oral Maxillofac Surg 35:658–674CrossRefPubMed Kruger E, Smith K, Tennant M (2006) Jaw fractures in the indigenous and non-indigenous populations of Western Australia. Int J Oral Maxillofac Surg 35:658–674CrossRefPubMed
6.
go back to reference Montovani J, Pirani de Campos L, Gomes M (2006) Etiology and incidence of facial fractures in children and adults. Rev Bras Otorrinolaringol 72:235–241CrossRef Montovani J, Pirani de Campos L, Gomes M (2006) Etiology and incidence of facial fractures in children and adults. Rev Bras Otorrinolaringol 72:235–241CrossRef
8.
go back to reference Laski R, Ziccardi VS, Border HL, Janal M (2004) Facial trauma: a recurrent disease? The potential role of disease prevention. J Oral Maxillofac Surg 62(6):685–688CrossRefPubMed Laski R, Ziccardi VS, Border HL, Janal M (2004) Facial trauma: a recurrent disease? The potential role of disease prevention. J Oral Maxillofac Surg 62(6):685–688CrossRefPubMed
9.
go back to reference Lee KH, Snape L (2008) Role of alcohol in maxillofacial fractures. N Z Med J 4(1271):121 Lee KH, Snape L (2008) Role of alcohol in maxillofacial fractures. N Z Med J 4(1271):121
10.
go back to reference Lock CA, Kaner E, Heather N, Doughty J, Crawshaw A, McNamee P, Purdy S, Pearson P (2006) Effectiveness of nurse-led brief alcohol intervention: a cluster randomized controlled trial. J Adv Nurs 54(4):426–439CrossRefPubMed Lock CA, Kaner E, Heather N, Doughty J, Crawshaw A, McNamee P, Purdy S, Pearson P (2006) Effectiveness of nurse-led brief alcohol intervention: a cluster randomized controlled trial. J Adv Nurs 54(4):426–439CrossRefPubMed
12.
go back to reference Havard A, Shakeshaft A, Sanson-Fisher R (2008) Systematic review and meta-analyses of strategies targeting alcohol problems in emergency departments: interventions reduce alcohol-related injuries. Addiction 103:368–376CrossRefPubMed Havard A, Shakeshaft A, Sanson-Fisher R (2008) Systematic review and meta-analyses of strategies targeting alcohol problems in emergency departments: interventions reduce alcohol-related injuries. Addiction 103:368–376CrossRefPubMed
13.
go back to reference Miller WR, Heather N (1998) Using brief opportunities for change in medical settings. Plenum Press, New York, pp 133–147 Miller WR, Heather N (1998) Using brief opportunities for change in medical settings. Plenum Press, New York, pp 133–147
14.
go back to reference Bien T, Miller W, Tonigan J (1993) Brief interventions for alcohol problems: a review. Addiction 88:315–336CrossRefPubMed Bien T, Miller W, Tonigan J (1993) Brief interventions for alcohol problems: a review. Addiction 88:315–336CrossRefPubMed
15.
go back to reference Field CA, Caetano R (2010) The effectiveness of brief intervention among injured patients with alcohol dependence: who benefits from brief interventions? Drug Alcohol Depend 111:13–20CrossRefPubMedPubMedCentral Field CA, Caetano R (2010) The effectiveness of brief intervention among injured patients with alcohol dependence: who benefits from brief interventions? Drug Alcohol Depend 111:13–20CrossRefPubMedPubMedCentral
16.
go back to reference Goodall CA, Ayoub AF, Crawford A, Smith I, Bowman A, Koppel D, Gilchrist G (2008) Nurse-delivered brief interventions for hazardous drinkers with alcohol-related facial trauma: a prospective randomised controlled trial. Br J Oral Maxillofac Surg 46(2):96–101CrossRefPubMed Goodall CA, Ayoub AF, Crawford A, Smith I, Bowman A, Koppel D, Gilchrist G (2008) Nurse-delivered brief interventions for hazardous drinkers with alcohol-related facial trauma: a prospective randomised controlled trial. Br J Oral Maxillofac Surg 46(2):96–101CrossRefPubMed
17.
go back to reference Oakey F, Ayoub AF, Goodall CA, Crawford A, Smith I, Russell A, Holland IS (2008) Delivery of a brief motivational intervention to patients with alcohol-related facial injuries: role for a specialist nurse. Br J Oral Maxillofac Surg 46:102–106CrossRefPubMed Oakey F, Ayoub AF, Goodall CA, Crawford A, Smith I, Russell A, Holland IS (2008) Delivery of a brief motivational intervention to patients with alcohol-related facial injuries: role for a specialist nurse. Br J Oral Maxillofac Surg 46:102–106CrossRefPubMed
18.
go back to reference Dunn C, Zatzick D, Russo J, Rivara F, Roy-Byrne P, Ries R, Wisner D, Gentilello L (2003) Hazardous drinking by trauma patients during the year after injury. J Trauma 54(4):707–712CrossRefPubMed Dunn C, Zatzick D, Russo J, Rivara F, Roy-Byrne P, Ries R, Wisner D, Gentilello L (2003) Hazardous drinking by trauma patients during the year after injury. J Trauma 54(4):707–712CrossRefPubMed
19.
go back to reference Whitty M, Nagel T, Jayaraj R, Kavanagh D (2016) Development and evaluation of training in culturally specific screening and brief intervention for hospital patients with alcohol-related injuries. Aust J Rural Health 24(1):9–15CrossRefPubMed Whitty M, Nagel T, Jayaraj R, Kavanagh D (2016) Development and evaluation of training in culturally specific screening and brief intervention for hospital patients with alcohol-related injuries. Aust J Rural Health 24(1):9–15CrossRefPubMed
20.
go back to reference Lee KH, Bobinskas A, Sun J (2015) Addressing alcohol related harms within maxillofacial trauma practice. J Oral Maxillofac Surg 73(2):314.e1–314.e6CrossRef Lee KH, Bobinskas A, Sun J (2015) Addressing alcohol related harms within maxillofacial trauma practice. J Oral Maxillofac Surg 73(2):314.e1–314.e6CrossRef
21.
go back to reference Danielsson PE, Rivara FP, Gentilello LM, Maier RV (1999) Reasons why trauma surgeons fail to screen for alcohol problems. Arch Surg 134(5):564–568CrossRefPubMed Danielsson PE, Rivara FP, Gentilello LM, Maier RV (1999) Reasons why trauma surgeons fail to screen for alcohol problems. Arch Surg 134(5):564–568CrossRefPubMed
22.
go back to reference World Health Organisation (1996) A cross-national trial of brief interventions with heavy drinkers: brief intervention study group. Am J Public Health 86:948–955CrossRef World Health Organisation (1996) A cross-national trial of brief interventions with heavy drinkers: brief intervention study group. Am J Public Health 86:948–955CrossRef
23.
go back to reference Iqbal N, McCambridge O, Edgar L, Young C, Shorter GW (2015) Health-care professionals’ attitudes across different hospital departments regarding alcohol-related presentations. Drug Alcohol Rev 34:487–494CrossRefPubMed Iqbal N, McCambridge O, Edgar L, Young C, Shorter GW (2015) Health-care professionals’ attitudes across different hospital departments regarding alcohol-related presentations. Drug Alcohol Rev 34:487–494CrossRefPubMed
24.
go back to reference Rodriguez-Martos A, Castellano Y, Salmeron JM, Domingo G (2007) Simple advice for injured hazardous drinkers: an implementation study. Alcohol Alcohol 42:430–435CrossRefPubMed Rodriguez-Martos A, Castellano Y, Salmeron JM, Domingo G (2007) Simple advice for injured hazardous drinkers: an implementation study. Alcohol Alcohol 42:430–435CrossRefPubMed
25.
go back to reference Das AK, Corrado OJ, Sawicka Z (2014) Junior doctors’ understanding of alcohol units remains poor. Clin Med 14(2):141–144CrossRef Das AK, Corrado OJ, Sawicka Z (2014) Junior doctors’ understanding of alcohol units remains poor. Clin Med 14(2):141–144CrossRef
26.
go back to reference Dunn C, Ostafin B (2005) Brief interventions for hospitalized trauma patients. J Trauma 59(3(88)):93–100 Dunn C, Ostafin B (2005) Brief interventions for hospitalized trauma patients. J Trauma 59(3(88)):93–100
27.
go back to reference Turner B, McCann B, Dunn C et al (2017) Examining the reach of a brief alcohol intervention service in routine practice at a level 1 trauma Centre. J Subst Abus Treat 79:29–33CrossRef Turner B, McCann B, Dunn C et al (2017) Examining the reach of a brief alcohol intervention service in routine practice at a level 1 trauma Centre. J Subst Abus Treat 79:29–33CrossRef
29.
go back to reference Blow F, Ilgen M, Walton M, Czyz E et al (2009) Severity of baseline alcohol use as a moderator of brief interventions in the emergency department. Alcohol Alcohol 44(5):486–490CrossRefPubMedPubMedCentral Blow F, Ilgen M, Walton M, Czyz E et al (2009) Severity of baseline alcohol use as a moderator of brief interventions in the emergency department. Alcohol Alcohol 44(5):486–490CrossRefPubMedPubMedCentral
30.
go back to reference Crawford M, Csipke E, Brown A et al (2010) The effect of referral for brief intervention for alcohol misuse on repetition of deliberate self-harm: an exploratory randomized controlled trial. Psychol Med 40(11):1821–1828CrossRefPubMed Crawford M, Csipke E, Brown A et al (2010) The effect of referral for brief intervention for alcohol misuse on repetition of deliberate self-harm: an exploratory randomized controlled trial. Psychol Med 40(11):1821–1828CrossRefPubMed
31.
go back to reference Dauer A, Rubio E, Coris M et al (2006) Brief intervention in alcohol-positive traffic casualties: is it worth the effort? Alcohol Alcohol 41(1):76–83CrossRefPubMed Dauer A, Rubio E, Coris M et al (2006) Brief intervention in alcohol-positive traffic casualties: is it worth the effort? Alcohol Alcohol 41(1):76–83CrossRefPubMed
32.
go back to reference Puljula J, Savola O, Tuomivaara V, Pribula J, Hillbom M (2007) Weekday distribution of head traumas in patients admitted to the emergency department of a city hospital: effect of age, gender and drinking pattern. Alcohol Alcohol 42:474–479CrossRefPubMed Puljula J, Savola O, Tuomivaara V, Pribula J, Hillbom M (2007) Weekday distribution of head traumas in patients admitted to the emergency department of a city hospital: effect of age, gender and drinking pattern. Alcohol Alcohol 42:474–479CrossRefPubMed
33.
go back to reference Dill PL, Wells-Parker E, Soderstrom CA (2004) The emergency care setting for screening and intervention for alcohol use problems among injured and high-risk drivers: a review. Traffic Inj Prev 5:278–291CrossRefPubMed Dill PL, Wells-Parker E, Soderstrom CA (2004) The emergency care setting for screening and intervention for alcohol use problems among injured and high-risk drivers: a review. Traffic Inj Prev 5:278–291CrossRefPubMed
34.
go back to reference Kaner EF, Dickinson HO, Beyer F et al (2009) The effectiveness of brief alcohol interventions in primary care settings: a systematic review. Drug Alcohol Rev 28(3):301–23 Kaner EF, Dickinson HO, Beyer F et al (2009) The effectiveness of brief alcohol interventions in primary care settings: a systematic review. Drug Alcohol Rev 28(3):301–23
35.
go back to reference Bazargan-Hejazi S, Bing E, Bazargan M, der-Martirosian C, Hardin E, Bernstein J, Bernstein E (2005) Evaluation of a brief intervention in an inner-city emergency department. Ann Emerg Med 46:67–76CrossRefPubMed Bazargan-Hejazi S, Bing E, Bazargan M, der-Martirosian C, Hardin E, Bernstein J, Bernstein E (2005) Evaluation of a brief intervention in an inner-city emergency department. Ann Emerg Med 46:67–76CrossRefPubMed
36.
go back to reference Longabaugh R, Woolard RE, Nirenberg TD, Minugh AP, Becker B, Clifford PR, Carty K, Licsw, Sparadeo F, Gogineni A (2001) Evaluating the effects of a brief motivational intervention for injured drinkers in the emergency department. J Stud Alcohol 62:806–816CrossRefPubMed Longabaugh R, Woolard RE, Nirenberg TD, Minugh AP, Becker B, Clifford PR, Carty K, Licsw, Sparadeo F, Gogineni A (2001) Evaluating the effects of a brief motivational intervention for injured drinkers in the emergency department. J Stud Alcohol 62:806–816CrossRefPubMed
37.
go back to reference Moyer A, Finney JW, Swearingen CE, Vergun P (2002) Brief interventions for alcohol problems: a meta-analytic review of controlled investigations in treatment-seeking and non-treatment-seeking populations. Addiction 97(3):279–292CrossRefPubMed Moyer A, Finney JW, Swearingen CE, Vergun P (2002) Brief interventions for alcohol problems: a meta-analytic review of controlled investigations in treatment-seeking and non-treatment-seeking populations. Addiction 97(3):279–292CrossRefPubMed
38.
go back to reference Babor TF, McRee BG, Kassebaum PA et al (2007) Screening, brief intervention, and referral to treatment (SBIRT) toward a public health approach to the management of substance abuse. Subst Abus 28(3):7–30CrossRefPubMed Babor TF, McRee BG, Kassebaum PA et al (2007) Screening, brief intervention, and referral to treatment (SBIRT) toward a public health approach to the management of substance abuse. Subst Abus 28(3):7–30CrossRefPubMed
39.
go back to reference Madras BK, Compton WM, Avula D, Stegbauer T, Stein JB, Clark HW (2009) Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: comparison at intake and 6 months later. Drug Alcohol Depend 99(1):280–295CrossRefPubMed Madras BK, Compton WM, Avula D, Stegbauer T, Stein JB, Clark HW (2009) Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: comparison at intake and 6 months later. Drug Alcohol Depend 99(1):280–295CrossRefPubMed
40.
go back to reference Kypri K, Sitharthan T, Cunningham JA, Kavanagh DJ, Dean JI (2005) Innovative approaches to intervention for problem drinking. Curr Opin Psychiatry 18(3):229–234CrossRefPubMed Kypri K, Sitharthan T, Cunningham JA, Kavanagh DJ, Dean JI (2005) Innovative approaches to intervention for problem drinking. Curr Opin Psychiatry 18(3):229–234CrossRefPubMed
41.
go back to reference Johnson NA, Kypri K, Attia J (2013) Development of an electronic alcohol screening and brief intervention program for hospital outpatients with unhealthy alcohol use. JMIR Res Protoc 2(2):e36CrossRefPubMedPubMedCentral Johnson NA, Kypri K, Attia J (2013) Development of an electronic alcohol screening and brief intervention program for hospital outpatients with unhealthy alcohol use. JMIR Res Protoc 2(2):e36CrossRefPubMedPubMedCentral
42.
go back to reference Lotfipour S, Cisneros V, Chakravarthy B, Barrios C, Anderson CL, Fox JC, Roumani S, Hoonpongsimanont W, Vaca FE (2012) Assessment of readiness to change and relationship to AUDIT score in a trauma population utilizing computerized alcohol screening and brief intervention. Subst Abus 33(4):378–386CrossRefPubMedPubMedCentral Lotfipour S, Cisneros V, Chakravarthy B, Barrios C, Anderson CL, Fox JC, Roumani S, Hoonpongsimanont W, Vaca FE (2012) Assessment of readiness to change and relationship to AUDIT score in a trauma population utilizing computerized alcohol screening and brief intervention. Subst Abus 33(4):378–386CrossRefPubMedPubMedCentral
43.
go back to reference Bendtsen P, Holmqvist M, Johansson K (2017) Implementation of computerized alcohol screening and advice in an emergency department - a nursing staff perspective. Accid Emerg Nurs 15(1):3–9CrossRef Bendtsen P, Holmqvist M, Johansson K (2017) Implementation of computerized alcohol screening and advice in an emergency department - a nursing staff perspective. Accid Emerg Nurs 15(1):3–9CrossRef
44.
go back to reference Choo EK, Ranney ML, Aggarwal N, Boudreaux ED (2012) A systematic review of emergency department technology-based behavioral health interventions. Acad Emerg Med 19(3):318–328CrossRefPubMedPubMedCentral Choo EK, Ranney ML, Aggarwal N, Boudreaux ED (2012) A systematic review of emergency department technology-based behavioral health interventions. Acad Emerg Med 19(3):318–328CrossRefPubMedPubMedCentral
Metadata
Title
Assessing the impact of computerised and written advice in changing the habit and behaviour of alcohol use in patients who have suffered alcohol-related facial injuries—a pilot study
Authors
Kai Lee
Hao-Hsuan Tsai
Jiandong Sun
Arun Chandu
Publication date
01-06-2019
Publisher
Springer Berlin Heidelberg
Published in
Oral and Maxillofacial Surgery / Issue 2/2019
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-019-00749-2

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