Kiosk versus In-person Screening for Alcohol and Drug Use in the Emergency Department: Patient Preferences and Disclosure
Kiosk versus In-person Screening for Alcohol and Drug Use in the Emergency Department: Patient Preferences and Disclosure
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DOI：
10.5811/westjem.2015.1.24121
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发表时间：
2015-03-01
影响因子：
3.1
通讯作者：
Houry, Debra
中科院分区：
文献类型：
--
作者：
Hankin, Abigail;Haley, Leon;Houry, Debra
导言：每年有800万人次的急诊科就诊可归因于酒精使用。对ED患者进行酒精和物质使用风险筛查是筛查、简短干预和转介治疗计划的组成部分，经证明在减少物质使用方面是有效的。本研究的目的是评估勃起功能障碍患者是否接受并愿意通过电脑信息终端披露酒精/物质的使用情况，而不是通过面对面的访谈。符合条件的参与者包括那些提出步入分诊的人，讲英语，=18岁，临床稳定并能够同意。患者有机会进入急诊室候诊室的信息亭，并由研究助理(工作日上午9点至下午5点)亲自进行调查。这两项调查都使用了经过验证的评估工具来评估药物和酒精的使用情况。采用卡方检验和McNemar‘s检验计算披露统计和偏好。结果：共筛查了1207名患者：229人，824人，154人和154人。单一模式的参与者更有可能披露危险饮酒(p=0.003)和高风险药物使用(OR=22.312.3-42.2.)；
Introduction: Annually eight million emergency department (ED) visits are attributable to alcohol use. Screening ED patients for at-risk alcohol and substance use is an integral component of screening, brief intervention, and referral to treatment programs, shown to be effective at reducing substance use. The objective is to evaluate ED patients' acceptance of and willingness to disclose alcohol/substance use via a computer kiosk versus an in-person interview.Methods: This was a cross-sectional, survey-based study. Eligible participants included those who presented to walk-in triage, were English-speaking, >= 18 years, were clinically stable and able to consent. Patients had the opportunity to access the kiosk in the ED waiting room, and were approached for an in-person survey by a research assistant (9am-5pm weekdays). Both surveys used validated assessment tools to assess drug and alcohol use. Disclosure statistics and preferences were calculated using chi-square tests and McNemar's test.Results: A total of 1,207 patients were screened: 229 in person only, 824 by kiosk, and 154 by both in person and kiosk. Single-modality participants were more likely to disclose hazardous drinking (p=0.003) and high-risk drug use (OR=22.3 [12.3-42.2]; p