Alcohol Screening and Brief Intervention in the ED

描述（由申请人提供）：酒精滥用与伤害、慢性疾病、旷工以及家庭和社区的社会成本有关。该项目的目标是通过实施筛查、短暂干预和转诊治疗（SBIRT），将初级保健环境中成功的动机干预转化为急诊科（ED）环境，以减少急诊科患者的饮酒风险。康涅狄格大学健康中心寻求作为全国酒精筛查日（NASD）重点多中心研究的数据协调中心（DCC）参与该项目，该研究旨在测试（SBIRT）作为急诊科护士和医生在急诊科环境中临床护理的一部分的可行性和有效性。在NASD 2004的两周内，每个ED站点大约有250名患者将被筛查是否存在危险饮酒，那些评分为阳性的患者（每个站点大约50名）将接受针对饮酒的简短动机干预。在2004年2月的两周内，将对每个地点的另外250名患者进行筛查；筛检呈阳性者约为。50)将只收到一份酒精资源的打印材料，但不会接受简短的干预。这些程序预计将在10-12个ED部位产生大约1000名患者的初始样本。在急诊科就诊后的3个月和6个月，治疗组和对照组的患者都将通过电话完成随访

DESCRIPTION (provided by applicant): 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. The UCONN Health Center seeks to participate in this project as the Data Coordinating Center (DCC) for a National Alcohol Screening Day (NASD) focused, multi-center study designed to test the feasibility and effectiveness of (SBIRT) as practiced by ED nurses and physicians as part of clinical care in the ED setting. Approximately 250 patients from each ED site will be screened for risky drinking during the 2 weeks accompanying NASD 2004, with those scoring positive (approximately 50 at each site) offered a brief motivational intervention targeting alcohol use. An additional 250 patients at each site will be screened during 2 weeks in February 2004; those screening positive (approx. 50) will receive only a printed handout of alcohol resources but will not receive the brief intervention. These procedures are expected to yield an initial sample of approximately 1000 patients across 10-12 ED sites. Three and six months following their ED visits patients in both the treatment and control conditions will complete follow-up interviews by telephone using Interactive Voice Response (IVR) technology. Primary outcomes assessed include drinking behavior and alcohol related health consequences (e.g., drunken driving, fights, etc.). Analysis of these data using statistical procedures that adjust for the nesting of patients within hospital sites is expected to show significant decreases in the quantity and frequency of drinking and in negative consequences of alcohol use among patients receiving SBIRT relative to controls. Results from this study will inform the investigators, clinical staff, and the scientific community about the effectiveness of a brief negotiated interview as a behavioral intervention to decrease at-risk alcohol consumption among patients in the ED setting.