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Table 1 Characteristics of the included reviews

From: Effectiveness and implementation of interventions for health promotion in urgent and emergency care settings: an umbrella review

Author (year)

Type of review

Search period

Topic

Population target age

Types / number of studies included

Countries

Sample size

Effectiveness studies (Alcohol)

 Barata et al., (2017) [18]

Systematic review

Jan 1966 to April 2016

Effectiveness of ED brief interventions for patients at risk for alcohol use disorder (AUD) for reducing alcohol intake and preventing alcohol-related injuries

All ages

RCTs (35 studies)

USA (33 studies); UK (1 study); Australia (1 study)

No data

 Diestelkamp et al., (2016) [19]

Systematic review

Not limited to a specific range of years

BIs targeting adolescents and young adults following an alcohol-related event including non-Anglo-Saxon evidence and parameters indicative of acceptance, participation and implementation

Aged between 12 and 25 years

RCTs (7 studies)

Additional evidence:

Practice projects (6 studies)

Non-randomised pilot study (1 study)

Observational study (1 study)

RCTs: USA (4 studies); Australia (1 study); Brazil (1 study); Germany (1 study)

Additional evidence: Germany (5 studies); Australia (2 studies); Switzerland (1)

1,125 participants, ranging from a minimum of 94 to a maximum of 254 participants

 Elzerbi et al., (2015) [20]

Systematic review and meta-analysis

January 2007 to August 2014

Efficacy of BI at 6- and 12-month follow-up in primary health care and emergency department (ED) studies; examine variance in study outcome by the geographical region (European versus non-European)

Aged 18–64 years old

RCTs (8 studies)

(RCTs in Primary Health Care (20 studies)—excluded from this review)

Europe (4 studies): UK (2 studies); Poland (1 study); Switzerland (1 study)

Non-Europe: USA (4 studies)

Total 4,799 participants: European = 2,465

Non-European = 2,334

 Elzerbi et al., (2017) [21]

Systematic review and meta-analysis

Published before September 2016

Direction and magnitude of difference between BI versus control group for reducing alcohol consumption in targeted injury and non-injury-specific studies at standard trial follow-up points

Aged 16–64 years old

RCTs (23 studies)

USA (15 studies); UK (2 studies); Switzerland (2 studies); Australia (1 study); Sweden (1 study); Germany (1 study); Poland (1 study)

15,173 participants

 Kodadek et al., (2020) [22]

Systematic review

Up to November 2018

Preventive efficacy of SBIRT in adult patients treated for injury in the ED, trauma centre, or hospital setting

Adult patients

Total (11 studies):

RCTs (5 studies)

Observational studies (6 studies):

Retrospective cohort (1 study)

Prospective (1 study)

Non-randomised (4 studies)

USA studies only

3,119 patients comprised of 1,897 patients who received SBIRT and 1,222 patients who received usual trauma care

 Kohler & Hofmann (2015) [23]

Systematic review and meta-analysis

Up to 24th September 2013

Changes in alcohol consumption after brief motivational interventions for young people with existing alcohol use problems, who were admitted to an emergency care unit alcohol positive, with an alcohol-related trauma, or with a history of elevated alcohol consumption

Included some young people ≤ 18 years; excluded > 25 years

RCTs (6 studies)

USA (5 studies); Brazil (1 study)

1,433 participants included in the meta-analysis. Sample size varied from 94 to 567 participants

 Landy et al., (2016) [24]

Systematic review

Published in June 2014 and earlier

Effectiveness of BIs for alcohol misuse in EDs

Adult sample (majority 18 to 65 years of age)

Total (33 studies):

RCTs (18 studies)

Pre/post designs (14 studies)

Secondary analysis (1 study)

USA (16 studies); UK (6 studies); Sweden (4 studies); Switzerland (3 studies); Australia (1 study); Germany (1 study); Poland (1 study); Spain (1 study)

No data

 McGinnes et al., (2016) [25]

Systematic review

1996 to 19th January 2015

Effectiveness of preventive health interventions in the ED setting of 10 min or less or involving technology in reducing harmful or risky drinking; characteristics of effective interventions and feasibility issues or barriers to the introduction of preventive health interventions in EDs

Adults and adolescents

Total (13 studies):

RCTs (12 studies)

Quasi-randomised trial (1 study)

USA (8 studies); Australia (2 studies); Germany (1 study)

Sweden (1 study); UK (1 study)

No data

 Newton et al., (2013) [26]

Systematic review

1985 to April 2011

Effect of ED-based BI compared with standard or other care in reducing harmful and hazardous alcohol and other drug use and associated morbidities in youth

Patients predominantly ≤ 19 years

RCT s (9 studies)

USA (8 studies); Australia (1 study)

No data

 Schmidt et al., (2016) [27]

Systematic review and meta-analysis

January 2002 to August 2015

Impact of BI in ED on alcohol consumption

All ages

RCTs (including cluster randomisation or randomisation by time sequence) (28 studies from 33 publications)

USA (22 studies); UK (4 studies); Poland (2 studies); Australia (1 study); Brazil (1 study); Germany (1 study); Sweden (1 study); Switzerland (1 study)

14,456 patients

 Simioni et al., (2015) [28]

Systematic review

Up to 31st December 2013

Interventions that effectively increase alcohol treatment utilization among ED patients with AUDs

Adults 18 or older

Total (7 studies):

RCTs (4 studies)

Controlled Clinical Trials (2 studies)

Non-randomised controlled trial (1 studies)

USA (5 studies); UK (1 study); France (1 study)

No data

 Taggart et al., (2013) [29]

Systematic review

1990 to April 2012

Use of brief ED interventions in the college-age population

18–20 year olds

Total (7 studies):

Prospective randomized trials (6 studies); Prospective (1 study)

USA (5 studies); Brazil (1 study); Australia (1 study);

No data

 Yuma-Guerrero et al., (2012) [30]

Systematic review

Published before January 2011

SBIRT with adolescent patients in acute care settings

Adolescents (11–21 years of age)

RCTs (7 studies)

USA studies only

No data

Effectiveness studies (Smoking)

 Lemhoefer et al., (2017) [33]

Systematic review and meta-analysis

4th October 2010 to 15th May 2015

Update of the systematic review and meta-analysis of RCTs published in 2012 (Rabe et al., 2013)

Any age

RCTs (4 additional studies; one published as an abstract)

US (3 studies); Canada (1 study)

1,392 participants overall

 Pelletier et al., (2014) [34]

Systematic review

Up to February 2014

Smoking cessation interventions for patients in the adult or paediatric emergency care including effectiveness, feasibility, and appropriateness assessed by their impact on smoking cessation, all-cause mortality, patient satisfaction, practitioner time spent, non-practitioner time spent, & cost per quit

Any age

13 studies with lowest risk of bias included:

RCTs (12 studies); Prospective study (1 study)

USA (11 studies); Germany (1 study); Turkey (1 study)

No data

 Rabe et al., (2013) [35]

Systematic review and meta-analysis

Up to 4th October 2010

Efficacy of Emergency Department-initiated tobacco control (ETC)

Any age

RCTs (7 studies)

USA (6 studies); Germany (1 study)

1,986 participants overall (sample size range: 40 to 1,044 study participants)

Implementation studies

 Gargaritano et al., (2020) [31]

Systematic review

Up to 27th June 2019

Clinician perceived barriers for the implementation of alcohol screening and brief intervention in hospital settings

Not applicable (Clinicians of any age)

Total (25 studies):

Quantitative studies (16 studies);

Qualitative studies (8 studies); Mixed methods (1 study)

USA (9 studies); Canada (2 studies); UK (2 studies); Spain (1 studies); Australia (6 studies); Denmark (3 studies);

Tanzania (1 studies); Taiwan (1 studies)

No data

 Pedersen et al., (2011) [32]

Systematic review

Up to 25th November 2010

Acceptance of screening and intervention and adherence to intervention programmes among emergency department (ED) and surgical patients with AUDs

Adults

Total (33 studies):

RCTs (31 studies); Conducted in ED (28 studies); Conducted in surgical patients (5 studies)

USA (16 studies); UK (6 studies); Spain (3 studies); Australia (2 studies); Sweden (2 studies); Denmark (1 study); Finland (1 study); Germany (1 study); Switzerland (1 study)

Total population given in 18 of 28 studies; median size was 5,640 ranging 697 to 32,965 patients

  1. AUD Alcohol use disorder, BI Brief intervention, COM-B Capability, Opportunity, Motivation – Behaviour, ED Emergency Department, ETC Emergency Department-initiated tobacco control, RCTs Randomised control trials, SBIRT screening, brief intervention and referral to treatment