Screening and Brief Intervention in the ED Among Mexican-origin Young Adults

Phase 2

Completed

• Conditions: Problem Drinking; Alcohol Dependence
• Interventions: Behavioral: Brief Motivational Intervention

• Registration Number: NCT02056535
• Lead Sponsor: Public Health Institute, California

Brief Summary

The aims of this study are to: 1) examine the effectiveness of Screening, Brief Intervention and Referral to Treatment (SBIRT) among Mexican-origin young adults (age 18-25), using a motivational intervention delivered by a Health Promotion Advocate, relative to standard care with and without assessment, on a reduction in heavy drinking and alcohol-related problems in the emergency department (ED) at the U.S.-Mexico border; and, 2) identify variables that are related to effectiveness of the intervention and that predict successful treatment outcome. Patients will be re-assessed by telephone at three and twelve months to evaluate outcomes.The specific hypotheses to be examined in this proposal are: 1) the motivational interview will lead to significantly greater reductions in the maximum number of drinks on an occasion and in Rapid Alcohol Problem Screen (RAPS4) score at the 12-month follow-up compared to standard care without assessment (those who screen positive but are not assessed) as well as compared to standard care with assessment; 2) the motivational interview will lead to significantly greater reductions in number of drinking days per week, average number of drinks per day, maximum number of drinks on an occasion, RAPS4 score, and number of negative consequences of drinking at 3-month and 12-month follow-up compared to standard care with assessment; 3) a positive breath alcohol concentration (BAC) at the time of the ED visit and/or self-reported drinking prior to the event resulting in the ED visit will be positively predictive of effectiveness of the intervention; 4) attributing a causal association of drinking and the reason for the ED visit will be positively associated with effectiveness of brief intervention; 5) readiness to change (and stage of change) will be positively associated with effectiveness of brief intervention; 6) risk taking/impulsivity and sensation seeking dispositions will be negatively associated with effectiveness of brief intervention.

Detailed Description

This is a randomized controlled brief intervention trial for dependent and at-risk drinking, among Mexican origin young adults (18-30) admitted to Texas Tech Health Sciences Center ER in El Paso, Texas, using Screening, Brief Intervention and Referral to Treatment (SBIRT) Patients are randomized into one of three groups: 1) screened only, 2) screened plus assessment, 3) screened plus assessment plus intervention with three-month outcome follow-up for the assessed and intervention groups and 12-month outcome follow-up for all three groups.

Study Timeline

• Study Start: 2010-05
• Status Verified: 2013-06
• Study First Submitted: 2013-06-04
• Primary Completion: 2013-10
• Study Completion: 2013-10
• Study First Submitted QC: 2014-02-04
• Last Update Submitted: 2014-02-04
• Study First Posted: 2014-02-06
• Last Update Posted: 2014-02-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 698

Inclusion Criteria

18-30 years old

1. Self-identify as Mexican-origin
2. Living in the El Paso area on the U.S. side
3. Screen positive for at-risk or dependent drinking (positive on one or more of the four RAPS4 items during the last year, or reports 15 or more drinks per week for males (8 or more for females), or reports 5 or more drinks on an occasion for males (4 or more for females)
4. Agree to be randomized to one of three groups
5. Can supply contact information on at least two individuals who will always know where they are
6. Not currently being treated for an alcohol problem

Exclusion Criteria

• Does not meet inclusion criteria

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	Brief Motivational Intervention	Screened eligible, received baseline assessment and intervention

Primary Outcome Measures

Name	Time	Method
Change in the number of drinks per week and the number of drinks per drinking day	Baseline, 3 months & 12 months	Change to less than 15 or more drinks per week for males (8 or more per week for females), and 5 or more drinks on occasion for males (4 or more for females)

Secondary Outcome Measures

Name	Time	Method
Change in Frequency of Drinking	Baseline, 3 months & 12 months	Change in number of drinking days per week
Change in Quantity of Drinking	Baseline, 3 months & 12 months	Change in average number of drinks per week; number of drinks per drinking day; and maximum number of drinks
Change in Alcohol-related problems	Baseline, 3 months &12 months	Change in Rapid Alcohol Problem Screen score and Short Inventory of Problems related to drinking

Trial Locations

Locations (1)

Texas Tech University Medical Sciences Center, ER; 🇺🇸 El Paso, Texas, United States