Alcohol Screening and Brief Intervention in the ED

描述(申请人提供)：酒精滥用与伤害、慢性病、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、短期干预和转诊治疗(SBIRT)，将初级保健环境中成功的激励性干预措施转化到急诊科(ED)环境中，以减少ED患者的高危饮酒。康涅狄格州康涅狄格州健康中心寻求作为全国酒精筛查日(NASD)的数据协调中心(DCC)参与这一项目，该研究以全国酒精筛查日(NASD)为重点，旨在测试(SBIRT)的可行性和有效性，作为ED环境下临床护理的一部分，急诊护士和医生实践(SBIRT)。来自每个ED站点的大约250名患者将在2004年NASD期间的两周内接受危险饮酒筛查，那些得分为阳性的患者(每个站点约50名)将针对酒精使用提供简短的激励干预。每个站点将在2004年2月的两周内对另外250名患者进行筛查；筛查呈阳性的患者(约50)将只收到一份印刷的酒精资源讲义，但不会收到简短的干预。这些程序预计将在10-12个急诊地点产生大约1000名患者的初始样本。在急诊室就诊三个月和六个月后，治疗和对照条件下的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与酒精有关的健康后果(例如，酒后驾车、打架等)。使用对医院内患者的嵌套进行调整的统计程序对这些数据进行分析，预计将显示与对照组相比，接受SBIRT的患者饮酒的数量和频率以及饮酒的负面后果显著减少。这项研究的结果将使研究人员、临床工作人员和科学界了解到，作为一种行为干预措施，在ED环境下减少高危酒精消费的简短协商访谈的有效性。

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.