Brief motivational intervention delivered in the emergency department can reduce hazardous drinking and risky sexual behaviour

Commentary on: MontiPMMastroleoNRBarnettNP. Brief motivational intervention to reduce alcohol and HIV/sexual risk behavior in emergency department patients: a randomized controlled trial. J Consult Clin Psychol2016;84:580–91.

Implications for practice and research

In an emergency department (ED) setting, a 1-hour motivational interviewing session involving personalised risk feedback can yield meaningful reductions in hazardous alcohol use and risky sexual behaviour.

Research is needed to evaluate this intervention with racial, ethnic and sexual minority patients and test its effectiveness when delivered by clinical rather than research staff.

Additional innovation is needed to develop integrated brief intervention protocols for addressing a larger range of health risks and to increase the feasibility of implementing such protocols in all appropriate settings.

Context

Heavy drinkers are more likely to engage in sexual behaviour that increases risk for STI/HIV infection, although alcohol's role in causing such behaviour is unclear.1 Employing a single intervention to address both behaviours takes advantage...

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