title: A randomized controlled trial of a brief intervention after alcohol-related facial injury.
abstract: OBJECTIVE
  To evaluate the effectiveness of a brief motivational intervention on alcohol consumption and misuse in young males with alcohol-related face injury.
  
  
  METHODS
  Randomized controlled trial.
  
  
  METHODS
  Oral and maxillofacial surgery out-patient clinic in an urban teaching hospital.
  
  
  METHODS
  One hundred and fifty-one participants were randomized to motivational intervention and control conditions.
  
  
  METHODS
  Control was treatment as usual. The intervention was treatment as usual plus a one-session brief motivational intervention administered by a nurse.
  
  
  METHODS
  Three sets of measurements were taken at baseline, 3-month and 1-year follow-up. Collateral measurements were also taken at 1-year follow-up. Primary outcome measures were total alcohol consumption, typical weeks consumption and days abstinent in preceding 3 months. Other outcome measures included the Alcohol Use Disorders Identification Test, a short form of the Alcohol Problems Questionnaire, and a measure of satisfaction with social relationships.
  
  
  RESULTS
  There was a significant decrease in 84-day total alcohol consumption across the year (P < 0.006) and further, a significant effect for the motivational intervention was demonstrated (P < 0.029). This pattern was repeated for days abstinent and alcohol consumption in a typical week as well as alcohol-related problems. There was a significantly greater reduction in the percentage of hazardous drinkers in the motivational intervention group (from 60% to 27%, P < 0.009) compared to the control group (from 54% to 51%, NS).
  
  
  CONCLUSIONS
  A proportion of young men change their alcohol consumption following alcohol-related injury. A nurse-led psychological intervention adds significantly to the proportion and magnitude of response.
authors.affiliation: Violence Research Group, Department of Oral and Maxillofacial Surgery, Dental School, University of Wales College of Medicine, Cardiff, UK.
authors.forename: A J
authors.initials: AJ
authors.lastname: Smith
authors.forename: R J
authors.initials: RJ
authors.lastname: Hodgson
authors.forename: K
authors.initials: K
authors.lastname: Bridgeman
authors.forename: J P
authors.initials: JP
authors.lastname: Shepherd
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000517:prevention & control*; D005151:Facial Injuries / Q000209:etiology / Q000523:psychology*; D005240:Feasibility Studies; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D011614:Psychotherapy, Brief / Q000379:methods*; D011786:Quality Control; D016896:Treatment Outcome