Alcohol Intervention in an Inner-City Emergency Room

说明(申请人提供)：本申请书建议设立霍华德大学“全国学术急诊内科合作酒精筛查日”。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，以减少市中心ED患者的危险饮酒。霍华德大学将创建强大而有效的员工基础设施和最佳的研究环境，以(1)减少市中心ED患者的危险饮酒水平；(2)利用全国酒精筛查日(NASD)产生的宣传，促进ED人员和(医生、护士和急救人员)采用SBIRT。霍华德大学NASD项目将设在霍华德大学医院的急诊医学系和药理学系内，作为管理所有行政和科学职能的中心。在首席调查员和共同主任的指导和领导下，将设立一个行政核心，由以下部分组成：(1)执行委员会，提供全面指导和指导；(2)项目协调员，负责组织培训班和所有研究活动的质量控制；(3)研究协调员，将积极参与教育部门的筛选工作，并直接监督其他研究人员完成的数据收集工作；(4)面谈人员将积极收集数据，并遵循项目的操作程序；以及(5)行政支助人员将为项目提供技术支持。霍华德大学为NASD项目提供了一个多样化的文化环境，以进一步调查酒精对少数族裔的影响。铭记2010年健康人的愿景，该项目可以为减少穷人、少数群体和其他未得到充分服务的人的健康结果方面的健康差距的文献作出宝贵的贡献。

DESCRIPTION (provided by applicant): This application proposes the establishment of a Howard University "National Alcohol Screening Day in Academic Emergency Medicine Department Collaboration". 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 hazardous drinking among inner-city ED patients. Howard University will create a strong and effective infrastructure of staff and an optimum research environment to (1) reduce levels of hazardous drinking among inner-city ED patients; and (2) use publicity generated by National Alcohol Screening Day (NASD) to enhance adoption of SBIRT by ED personnel and (physicians, nurses and EMTs). The Howard University NASD Project will be housed within the Department of Emergency Medicine and Department of Pharmacology at Howard University Hospital which will serve as the hub for the management of all administrative and scientific functions. Under the direction and leadership of the Principal Investigator and Co-PI, an Administrative Core will be established with the following components: (1) an Executive Board to provide overall direction and guidance, (2) a Project Coordinator who will organize training sessions and quality control of all research activities, (3) a Research Coordinator who will actively participate in screening in the ED and directly oversee the data collection completed by other research personnel, (4) Interviewers will actively collect data and follow the operating procedures of this project, and (5) Administrative support personnel will provide technical support to the project. Howard University offers the NASD Program a diverse cultural setting to further investigate the impact of alcohol among minorities. Keeping in mind the vision of Healthy People 2010, this project can add invaluable contributions to the literature regarding the reduction of Health Disparities in health outcomes for poor, minorities, and other underserved people.