Nat'l Alcohol Screening Day Emergency Department Study

描述（由申请人提供）：在美国成年人中，大约有1000万依赖饮酒者和4000万高危饮酒者。每年到急诊科就诊的1亿患者中，有多达30%的人存在与酒精有关的问题[20,21]。国家酒精滥用和酒精中毒研究所（NIAAA）已指定2004年4月10日为国家酒精检查日（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，以保障他们的健康，并得到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、短暂干预和转介酒精滥用治疗（SBIRT）是否会在3个月和6个月的随访中减少危险饮酒行为。结合NASD ED酒精教育建议（R25）对ED医生使用SBIRT进行培训，将采用前后设计来确定医生/护士/医师助理对ED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（暴食）标准，我们建议在连续两个两周的时间内筛查至少500名ED患者。患者筛查呈阳性（基于NIAAA）

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.