British Journal of Oral and Maxillofacial Surgery
Volume 46, Issue 2 , Pages 96-101, March 2008

Nurse-delivered brief interventions for hazardous drinkers with alcohol-related facial trauma: A prospective randomised controlled trial

  • C.A. Goodall

      Affiliations

    • Department of Oral and Maxillofacial Surgery, University of Glasgow Dental Hospital and School, Glasgow, UK
  • ,
  • A.F. Ayoub

      Affiliations

    • Department of Oral and Maxillofacial Surgery, University of Glasgow Dental Hospital and School, Glasgow, UK
    • Corresponding Author InformationCorresponding author. Tel.: +44 0 141 211 9604; fax: +44 0 141 211 9601.
  • ,
  • A. Crawford

      Affiliations

    • RCA Trust, Paisley, UK
  • ,
  • I. Smith

      Affiliations

    • Gartnavel Royal Hospital, Glasgow, UK
  • ,
  • A. Bowman

      Affiliations

    • Department of Statistics, Glasgow University, UK
  • ,
  • D. Koppel

      Affiliations

    • Regional Maxillofacial Unit, Southern General Hospital, Glasgow, UK
  • ,
  • G. Gilchrist

      Affiliations

    • Department of General Practice, University of Melbourne, Melbourne, Australia

Accepted 21 November 2007. published online 21 December 2007.

Abstract 

Aims

To assess the impact of two methods of brief nurse-delivered brief interventions in reducing drinking variables in hazardous drinkers with alcohol-related facial injuries.

Methods

A randomised controlled trial of two brief interventions involving hazardous drinkers with facial trauma in three Oral and Maxillofacial Surgery outpatient clinics in the West of Scotland; 194 patients were recruited and randomised to have either a nurse-led brief motivational intervention (intervention group) or a leaflet about alcohol misuse (control group). Patients were followed up at 3 and 12 months after the intervention and drinking variables reassessed.

Results

A brief motivational intervention for alcohol provided by a nurse was more effective than a leaflet in helping some patients with facial trauma to reduce their alcohol consumption 12 months after the intervention (p<0.05).

Conclusions

Facial trauma in the West of Scotland is strongly associated with alcohol misuse and is a recurrent disease, particularly among those who drink heavily. A nurse-delivered brief motivational intervention is effective in helping patients with high scores in the Alcohol Use Disorders Identification Test to reduce their drinking, and this effect was apparent 12 months after the intervention.

Keywords: Facial injuries, Alcohol abuse, Brief intervention

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PII: S0266-4356(07)00495-0

doi:10.1016/j.bjoms.2007.11.014

British Journal of Oral and Maxillofacial Surgery
Volume 46, Issue 2 , Pages 96-101, March 2008