Alcohol Screening and Brief Intervention in the Emergency Department
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 1,137
- 试验地点
- 19
- 主要终点
- Frequency of drinking days per week
研究概览
简要总结
Alcohol abuse is associated with injury, chronic illness, absenteeism from work, and social costs to families and communities. The goal of this project is to translate motivational interventions successful in the primary care setting to the Emergency Department (ED) environment by implementing screening, brief intervention and referral to treatment (SBIRT) in order to reduce at-risk drinking among ED patients.
详细描述
To evaluate the effectiveness of SBIRT in the emergency room setting, ED patients meeting NIAAA criteria for high risk drinking were recruited from 14 sites nationwide (control group-Spring, 2004; intervention group-Summer, 2004). 26% of screened ED patients met inclusion criteria. All enrollees received a list of local referral resources. Intervention group patients also participated in a 15 minute negotiated interview and ED staff referred them directly for treatment if indicated. Enrollees completed 3-month follow-up surveys with a telephone Interactive Voice Response (IVR) system. A total of 1137 patients were enrolled across 14 sites (561 intervention, 576 control), with 62% male, 37% Black, and 38% White, and a mean age of 37. At baseline intervention-i and control-c groups were similar in demographic characteristics and number of drinks on a typical day (mean-i 5.00, mean-c 5.12) and maximum drinks on a given day in the past month (mean-i 7.51, mean-c 7.33). The 3 month follow-up rate was 62% (n=687); the 6 month follow-up rate was 52% (n=567). The 12 month follow up is currently underway.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Communication in English or Spanish
- •Met NIAAA criteria for "at-risk drinking":
- •for Men: 15 or more drinks/week, or 5 or more drinks on a single occasion
- •for Women: 8 or more drinks/week, or 4 or more drinks on a single occasion
- •Age 65 or over: 8 or more drinks/week or more than 1 drink per day
排除标准
- •Requests detox or already in alcohol treatment program
- •Abnormal mental status
- •Too ill to give consent
- •Unable to provide consent for other reasons
- •Employee or student of site institution (where required)
- •Inability to follow up
结局指标
主要结局
Frequency of drinking days per week
Quantity of drinks per day
次要结局
- Reporting negative alcohol related events
- Completing alcohol related treatment