Nat'l Alcohol Screening Day Emergency Department Study

全国酒精筛查日急诊室研究

• 批准号: 6813317
• 负责人: Ronald Maio
• 金额: $ 3.83万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-03-22 至 2005-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6813317
• 关键词: alcoholic beverage consumption; alcoholism /alcohol abuse education; alcoholism /alcohol abuse prevention; behavioral /social science research tag; biomedical facility; clinical research; cooperative study; counseling; education evaluation /planning; emergency health services; health care personnel education; health care referral /consultation; health science research support; health services research tag; hospital personnel; human subject; interview; mass screening; questionnaires

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.

描述（由申请人提供）：在美国成年人中，大约有1000万依赖的饮酒者和4000万高风险的饮酒者。每年出现与酒精有关的问题的急诊科（ED）的1亿次患者访问中，有多达30％[20，21]。美国国家酒精滥用和酒精中毒研究所（NIAAA）已将2004年4月10日指定为国家酒精筛查日（NASD），NASD的目的是使参与者能够重新评估和改变其饮酒方式以维护他们的健康，并获得进一步的评估和治疗。该提案旨在确定在ED提供者中采用筛查，简短的干预和转诊对酒精滥用治疗（SBIRT）是否会在三个月和六个月的随访中降低风险饮酒行为。再加上NASD的酒精教育建议（R25），用于培训ED医生的使用SBIRT，将使用A前/之后的设计来确定医生/护士/医师助理对ED患者酒精问题的有效性。使用NIAAA数量，频率和最大使用（暴饮暴食）标准，我们建议在连续两个两周的时间内至少筛查500名ED患者。患者筛查阳性（基于NIAAA 数量，频率和最大使用（暴饮暴食）将要求参与随访。 在NASD之前的控制期间，ED患者筛查阳性将不会接受干预，只有对酒精治疗资源的印刷讲义。在第二个或干预期间，ED患者筛查阳性将获得酒精治疗资源的清单，这是一种简短的动机干预措施，可减少危险或依赖的饮酒以及转介到酒精治疗资源。所有患者将在三到六个月的时间进行遵循和重新评估，并通过中央管理的互动电话采访。主要结果指标将使用NIAAA数量，频率和最大使用（暴饮暴食）饮酒标准进行自我报告的酒精。数据分析将在数据协调中心进行。该建议旨在补充NASD饮酒教育的提案，该提案将为该项目提供培训资源。该项目旨在提高提供者对NASD的认识，并增加ED中SBIRT的使用。该建议旨在补充NASD饮酒教育的提案，该提案将为该项目提供培训资源。该项目旨在提高提供者对NASD的认识并增加SBIRT的使用。