Hospital-based Brief Intervention for Alcohol Problems
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Alcohol Dependence
- Sponsor
- Boston Medical Center
- Enrollment
- 350
- Locations
- 1
- Primary Endpoint
- Change in drinks per day
- Status
- Completed
- Last Updated
- 16 years ago
Overview
Brief Summary
The objective of this project was to test whether screening and brief intervention for unhealthy alcohol use leads to improved alcohol-related outcomes (such as alcohol consumption and linkage to alcohol assistance) and is cost-effective.
Detailed Description
In this study the effectiveness and cost-effectiveness of brief intervention for unhealthy alcohol use in a diverse group of hospitalized medical patients was tested. We conducted a randomized trial of medical inpatients with the whole spectrum of alcohol problems from risky use through dependence. Subjects in one group received standard care; subjects in the second group received a brief motivational intervention tailored to the severity of his or her alcohol problem. Primary outcomes are alcohol consumption and linkage to alcohol treatment. Additional outcomes include health-related quality of life, health care utilization, alcohol problems, and readiness to change. Costs, and clinical outcomes measured in quality-adjusted life years, a standard metric that allows comparison to other chronic illnesses, will be compared in a cost-effectiveness analysis.
Investigators
Eligibility Criteria
Inclusion Criteria
- •18 years of age or older
- •Fluent in English or Spanish
- •Consume risky amounts of alcohol
- •Provide 2 contacts to assist with follow-up
- •Have no plans to move from the local area within a year of screening
- •Score \>21 on Mini-Mental State Examination (no serious cognitive impairment)
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Change in drinks per day
Linkage to alcohol assistance
Secondary Outcomes
- Change in the number of times a subject exceeded per occasion limits
- Abstinence (dichotomous)
- Change in drinks per day
- Drinking risky amounts (dichotomous)
- Binge drinking (dichotomous)
- Hospitalization
- Emergency Department visits
- Health related quality of life
- Readiness to change alcohol use