ED-SMART: Emergency Department-Substance Use Screening, Motivational Interviewing and Active Referral Targeting Substance Use Disorder and Overdose Prevention
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 650
- 试验地点
- 1
- 主要终点
- Self-reported substance use
研究概览
简要总结
The purpose of this research study is to learn if an emergency department screening and telehealth intervention reduces substance use among individuals receiving emergency department treatment at The Ohio State University Wexner Medical Center.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult at least 18 years of age
- •Capacity and willingness to participate (including reliable phone or internet access for counseling session)
- •Lower or Moderate Risk score on one or more substance use types on National Institute on Drug Abuse (NIDA)-Modified Alcohol, Smoking, and Substance Use Involvement Test (ASSIST). Participants may also endorse alcohol use in conjunction with substance use as indicated by an Alcohol Use Disorder Identification Test-Concise (AUDIT-C) score of Moderate Risk.
排除标准
- •A priori participant request for participation
- •Previously enrolled in this or other study of substance use disorder prevention
- •Language other than English
- •Expected/actual ED disposition of hospitalization or non-independent status
- •Prisoner at time of enrollment
- •Known to be pregnant at time of enrollment
- •Past substance use disorder or substance use treatment
- •High risk score for one or more substances on the NIDA-Modified ASSIST or problematic alcohol use alone
研究组 & 干预措施
Substance use information
The substance use information condition will receive printed health information covering information about substance use (e.g., definitions, hazards, potential for addiction, injury, and other consequences). Staff will also discuss ways to utilize primary care or establish care with a primary care provider to provide ongoing follow-up.
干预措施: Substance use information (Behavioral)
ED-SMART intervention
The ED-SMART intervention includes: (i) a brief (approximately 15 minutes) counseling session in the emergency department and (ii) five, monthly brief counseling sessions (approximately 15 to 30 minutes) delivered by telehealth. These sessions will focus on creating individualized strategies to help participants reach their alcohol and substance use reduction goals.
干预措施: ED-SMART intervention (Behavioral)
结局指标
主要结局
Self-reported substance use
时间窗: From baseline to the sixth month follow-up assessment
Self-reported substance use frequency
次要结局
- Self-reported substance use quantity(From baseline to the six month follow-up)
- Incidence of positive substance use disorder screen(From baseline to the six month follow-up)
- Toxicology assays for substance use(From baseline to the six month follow-up assessment)
- Self-reported healthcare utilization(Baseline to the six month follow-up assessment)
- Fatal and non-fatal overdose(Baseline to the six month follow-up assessment)
研究者
BrownLab
Professor
Purdue University