Nat'l Alcohol Screening Day Emergency Department Study

在美国成年人中，大约有1000万依赖性饮酒者和4000万高危饮酒者。每年到急诊科（ED）就诊的1亿名患者中，多达30%存在酒精相关问题[20，21]。国家酒精滥用和酒精中毒研究所（NIAAA）已将2004年4月10日定为国家酒精筛查日（NASD），NASD的目标是使参与者能够重新评估和改变他们的饮酒模式，以保护他们的健康，并获得进一步的评估和治疗。该提案旨在确定在艾德提供者中采用筛查、简短干预和转诊治疗酒精滥用（SBIRT）是否会在3个月和6个月的随访中减少高危饮酒行为。结合NASD艾德酒精教育建议（R25），培训艾德医生使用SBIRT，之前/之后的设计将用于确定医生/护士/医生助理对艾德患者酒精问题进行简短干预的有效性。使用NIAAA数量，频率和最大使用（狂欢）标准，我们建议在连续两周的时间内筛选至少500名艾德患者。筛选阳性患者（基于NIAAA 数量，频率和最大使用（狂欢）饮酒标准）将被要求参加随访。 在NASD之前的控制期内，筛选阳性的艾德患者将不接受任何干预，只接受酒精治疗资源的印刷讲义。在第二阶段或干预阶段，筛选呈阳性的艾德患者将获得酒精治疗资源列表，简短的动机干预，以减少危险或依赖性饮酒，并推荐酒精治疗资源。所有患者将在3个月和6个月时通过集中管理的交互式电话访谈进行随访和重新评估。主要结果测量将是使用NIAAA数量，频率和最大使用（狂欢）饮酒标准的自我报告的酒精。数据分析将在数据协调中心进行。该提案旨在补充NASD艾德酒精教育提案，该提案将为该项目提供培训资源。该项目旨在提高供应商对NASD的认识，并在ED内增加SBIRT的使用。该提案旨在补充NASD艾德酒精教育提案，该提案将为该项目提供培训资源。该项目旨在提高供应商对NASD的认识，并增加SBIRT的使用。

DESCRIPTION (provided by applicant): Among U.S. adults, there are approximately 10 million dependent drinkers and 40 million at-risk drinkers. As many as 30% of the 100 million patient-visits to Emergency Departments (EDs) each year present with alcohol-related problems [20, 21]. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) has designated April 10, 2004 as National Alcohol Screening Day (NASD), with the goal of NASD being to empower participants to reassess and change their drinking patterns to safeguard their health, and to get further evaluation and treatment. This proposal seeks to determine if the adoption of screening, brief intervention and referral to treatment for alcohol abuse (SBIRT) among ED providers will decrease at-risk drinking behavior at three and six month follow-ups. Coupled with the NASD ED Alcohol Education proposal (R25) for training ED physicians in the use of SBIRT, a before/after design will be used to determine the effectiveness of physician/nurse/physician assistant brief intervention for alcohol problems among ED patients. Using NIAAA quantity, frequency and maximum use (binge) criteria, we propose to screen at least 500 ED patients during two consecutive two-week periods. Patients screening positive (based on the NIAAA quantity, frequency and maximum use (binge) drinking criteria) will be asked to participate in follow-up. During the control period prior to NASD, ED patients screening positive will receive no intervention, only a printed handout of alcohol treatment resources. In the second or intervention period, ED patients screening positive will receive a list of alcohol treatment resources, a brief motivational intervention to reduce hazardous or dependent drinking and a referral to alcohol treatment resources. All patients will be followed and re-assessed at three and six months using a centrally managed interactive telephone interview. The main outcome measure will be self-reported alcohol using the NIAAA quantity, frequency and maximum use (binge) drinking criteria. Data analysis will be performed at the data-coordinating center. This proposal is designed to complement a proposal for NASD ED Alcohol Education, which will provide training resources for this project. This project is designed to increase provider awareness of NASD and increase the use of SBIRT within the ED. This proposal is designed to complement a proposal for NASD ED Alcohol Education, which will provide training resources for this project. This project is designed to increase provider awareness of NASD and increase the use of SBIRT.