Alcohol Screening and Brief Intervention in the ED

急诊室的酒精筛查和短暂干预

• 批准号: 6813958
• 负责人: Robert H Aseltine
• 金额: $ 25.17万
• 依托单位: UNIVERSITY OF CONNECTICUT SCH OF MED/DNT
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-03-01 至 2006-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6813958
• 关键词: alcoholism /alcohol abuse; alcoholism /alcohol abuse education; alcoholism /alcohol abuse prevention; behavior therapy; behavioral /social science research tag; clinical research; cooperative study; counseling; data collection methodology /evaluation; driving while intoxicated; emergency care; emergency health services; health care personnel performance; health care referral /consultation; health care service evaluation; health services research tag; human subject; human therapy evaluation; injury prevention; interview; longitudinal human study; mass screening; motivation; outcomes research; patient oriented research; statistics /biometry

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.

描述（由申请人提供）：酗酒与伤害、慢性病、缺勤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、简短干预和转诊治疗（SBIRT），将在初级保健环境中成功的激励性干预措施转化为急诊科（艾德）环境，以减少艾德患者的危险饮酒。UCONN健康中心寻求参与这个项目，作为全国酒精筛查日（NASD）的数据协调中心（DCC），重点是多中心研究，旨在测试艾德护士和医生作为艾德临床护理的一部分所实施的（SBIRT）的可行性和有效性。每个艾德研究中心约250名患者将在NASD 2004的2周内接受风险饮酒筛查，对评分阳性的患者（每个研究中心约50名）提供针对酒精使用的简短动机干预。在2004年2月的2周内，每个研究中心将另外筛选250名患者;筛选阳性的患者（约250名）将在2004年12月进行筛选。50)将只收到一份关于酒精资源的印刷品，但不会收到简短的干预。预计这些程序将在10-12个艾德研究中心获得约1000例患者的初始样本。在艾德访视后3个月和6个月，治疗组和对照组患者将通过电话完成随访 使用交互式语音应答（IVR）技术。评估的主要结果包括饮酒行为和酒精相关的健康后果（例如，酒后驾车、打架斗殴等）。这些数据的分析使用的统计程序，调整嵌套的患者在医院网站预计将显示显着减少的数量和频率的饮酒和饮酒的负面影响，接受SBIRT的患者相对于对照组。本研究的结果将告知研究者、临床工作人员和科学界，简短的协商访谈作为行为干预的有效性，以减少艾德环境中患者的风险酒精消费。