Nat'l Alcohol Screening Day Emergency Department Study

描述(由申请人提供)：在美国成年人中，约有1000万依赖饮酒者和4000万风险饮酒者。在每年去急诊科就诊的1亿人次中，多达30%的患者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)已将2004年4月10日定为全国酒精筛查日(NASD)，NASD的目标是使参与者能够重新评估和改变饮酒模式，以维护自己的健康，并获得进一步的评估和治疗。这项建议旨在确定在ED提供者中采用筛查、短暂干预和转介到酒精滥用治疗(SBIRT)是否会在三个月和六个月的随访中减少高危饮酒行为。结合NASD ED酒精教育提案(R25)关于培训ED医生使用SBIRT的建议，将使用前后设计来确定医生/护士/医生助理对ED患者酒精问题进行短暂干预的有效性。使用NIAAA的数量、频率和最大使用量(BIGGE)标准，我们建议在连续两周的时间内筛查至少500名ED患者。筛查呈阳性的患者(基于NIAAA (数量、频率和最大用量(酗酒标准))将被要求参与后续行动。 在NASD之前的控制期内，筛选出阳性的ED患者将不会得到任何干预，只会得到一份印刷的酒精治疗资源讲义。在第二个或干预期，筛选出阳性的ED患者将收到一份酒精治疗资源清单，一项简短的动机干预，以减少危险或依赖饮酒，并被转介到酒精治疗资源。所有患者将在三个月和六个月后通过中央管理的交互式电话访谈进行跟踪和重新评估。主要结果衡量标准将是使用NIAAA的饮酒数量、频率和最大饮酒标准的自我报告酒精。数据分析将在数据协调中心进行。该提案旨在补充NASD ED酒精教育提案，该提案将为该项目提供培训资源。该项目旨在提高提供者对NASD的认识，并在ED内增加SBIRT的使用。该提案旨在补充NASD ED酒精教育提案，该提案将为该项目提供培训资源。该项目旨在提高提供商对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.