Brief Alcohol Interventions for Adolescents and Young Adults in Emergency Department Settings: A Descriptive Review and Meta-analysis

Abstract

Brief interventions have shown promise for reducing alcohol use among adolescents and young adults. However, research on the efficacy of these programs has largely ignored one potentially useful approach—interventions which take place in emergency department settings. The current study combines quantitative and descriptive approaches to synthesize the available literature examining the efficacy of brief interventions for alcohol usage among adolescents and young adults in emergency department settings. One-hundred-thirty-eight effect sizes from 11 studies contributed to an overall weighted average effect size as well as effect sizes for variations related to participant demographics, study characteristics (recruitment, instrumentation, and assessment delay) and intervention details (personnel, focal modality, and intervention components). Descriptive analyses examined many of these variations in more detail. Overall, quantitative summary provided little evidence supporting the efficacy of brief interventions in emergency department settings while descriptive analyses revealed primarily a lack of consistency, especially in the definition of adolescence and operationalization of alcohol usage. In many cases, a lack of detailed enough reporting prevented the identification of patterns which might have been present. The discussion includes a call for more agreement in the field regarding operationalization of adolescence and drinking behavior.