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Study Title and Description

Short- to Midterm Effectiveness of a Brief Motivational Intervention to Reduce Alcohol Use and Related Problems for Alcohol Intoxicated Children and Adolescents in Pediatric Emergency Departments: A Randomized Controlled Trial.



Key Questions Addressed
1 Evidence map
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Primary Publication Information
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TitleData
Title Short- to Midterm Effectiveness of a Brief Motivational Intervention to Reduce Alcohol Use and Related Problems for Alcohol Intoxicated Children and Adolescents in Pediatric Emergency Departments: A Randomized Controlled Trial.
Author Arnaud N., Diestelkamp S., Wartberg L., Sack PM., Daubmann A., Thomasius R.
Country German Centre for Addiction Research in Childhood and Adolescence (DZSKJ), University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Year 2017
Numbers Pubmed ID: 27801991

Secondary Publication Information
There are currently no secondary publications defined for this study.


Extraction Form: Evidence Map
Arms
Number Title Description Comments
1 MI brief MI group
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2 TAU Treatment as usual
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Design Details
Question... Follow Up Answer Follow-up Answer
Should this citation be included? Yes
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Does this paper originate from a primary study of interest? No
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Ages eligible (in years) nd
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17
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Total sample size (in all arms) 320
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Age distribution of enrolled population (in years) 15.7
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Substance used Alcohol
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Interventions studied? Behavioral
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No active treatment
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Outcome? Self report of use/abstinence and/or intensity
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Substance-related problems or symptoms scale
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Other ... Service utilization
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Age variation of enrolled population (in years) 1.2
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Study type Cluster randomized RCT
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Is any arm a brief intervention (or single session)? Yes
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Income level of country(ies) of origin Upper income
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Results & Comparisons


Results Data
Outcome: heavy drinking days      Population: All Participants
Time Point Measure MI TAU


0 months

N Analyzed 141 175
Mean 2.69 2.10
95% CI low 2.22 1.81
95% CI high 3.15 2.39


3 months

N Analyzed 141 175
Mean 1.02 1.07
95% CI low 0.77 0.8
95% CI high 1.27 1.34


6 months

N Analyzed 141 175
Mean 1.21 1.15
95% CI low 0.91 0.94
95% CI high 1.51 1.35
Within-Arm Comparisons
Comparison Measure MI TAU
3 months vs. 0 months N Analyzed 141 175
Mean Difference -1.36 -1.29
95% CI low -1.81 -1.77
95% CI high -0.91 -0.81
Mean Difference 95% CI low 95% CI high P-Value Mean Difference 95% CI low 95% CI high P-Value Mean Difference 95% CI low 95% CI high P-Value
Outcome: drinks per drinking day      Population: All Participants Between-Arm Comparisons
Time Point Measure MI TAU Comparison Measure MI vs. TAU


0 months

N Analyzed 141 175 nr
Mean 6.69 6.32 nr
95% CI low 6.09 5.58 nr
95% CI high 7.28 7.06 nr


3 months

N Analyzed 141 175 -0.88
Mean 4.18 4.65 -0.55
95% CI low 3.51 4.08 2.31
95% CI high 4.84 5.23 0.345


6 months

N Analyzed 141 175 -0.2
Mean 4.45 4.57 -1.23
95% CI low 3.92 4.09 1.63
95% CI high 4.96 5.05 0.756
P-Value effect size P-Value effect size P-Value effect size
Outcome: RAPI      Population: All Participants Between-Arm Comparisons
Time Point Measure MI TAU Comparison Measure MI vs. TAU


0 months

N Analyzed 141 175 nr
Mean 11.26 9.72 nr
95% CI low 10.04 8.68
95% CI high 12.48 10.76


3 months

N Analyzed 141 175 0.673
Mean 4.45 4.05 0.07
95% CI low 3.65 3.36
95% CI high 5.25 4.74


6 months

N Analyzed 141 175 0.778
Mean 3.75 3.32 0.12
95% CI low 3.11 2.77
95% CI high 4.39 3.87


Quality Dimensions
Dimension Value Notes Comments
Intention-to-treat-analysis: Bias due to incomplete reporting and analysis according to group allocation Yes
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Group similarity at baseline (selection bias): Selection bias due to dissimilarity at baseline for the most important prognostic indicators No Baseline differences not accounted for
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Co-interventions (performance bias): Performance bias because co-interventions were different across groups Yes
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Compliance (performance bias): Performance bias due to inappropriate compliance with interventions across groups No Data
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Timing of outcome assessments (detection bias): Detection bias because important outcomes were not measured at the same time across groups Yes
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Additional Bias: Bias due to problems not covered elsewhere in the table. If yes, describe them in the Notes. No
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Random sequence generation (selection bias): Selection bias (biased allocation to interventions) due to inadequate generation of a randomized sequence Unclear Cluster randomized
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Allocation concealment (selection bias): Selection bias (biased allocation to interventions) due to inadequate concealment of allocations prior to assignment Unclear
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Blinding of participants (performance bias): Performance bias due to knowledge of the allocated interventions by participants during the study High
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Blinding of personnel/ care providers (performance bias): Performance bias due to knowledge of the allocated interventions by personnel/care providers during the study. High
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Blinding of outcome assessor (detection bias): Detection bias due to knowledge of the allocated interventions by outcome assessors. Unclear
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Incomplete outcome data (attrition bias): Attrition bias due to amount, nature or handling of incomplete outcome data Low <20%
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Selective Reporting (reporting bias): Reporting bias due to selective outcome reporting
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Quality Rating
No quality rating data was found.