Alcohol Screening and Brief Intervention in the ED

急诊室的酒精筛查和短暂干预

• 批准号: 6863706
• 负责人: Robert H Aseltine
• 金额: $ 14.44万
• 依托单位: UNIVERSITY OF CONNECTICUT SCH OF MED/DNT
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-03-01 至 2007-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6863706
• 关键词: alcoholism /alcohol abuse; alcoholism /alcohol abuse education; alcoholism /alcohol abuse prevention; behavior therapy; behavioral /social science research tag; clinical research; cooperative study; counseling; data collection methodology /evaluation; driving while intoxicated; emergency care; emergency health services; health care personnel performance; health care referral /consultation; health care service evaluation; health services research tag; human subject; human therapy evaluation; injury prevention; interview; longitudinal human study; mass screening; motivation; outcomes research; patient oriented research; statistics /biometry

DESCRIPTION (provided by applicant): Alcohol abuse is associated with injury, chronic illness, absenteeism from work, and social costs to families and communities. 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 at-risk drinking among ED patients. The UCONN Health Center seeks to participate in this project as the Data Coordinating Center (DCC) for a National Alcohol Screening Day (NASD) focused, multi-center study designed to test the feasibility and effectiveness of (SBIRT) as practiced by ED nurses and physicians as part of clinical care in the ED setting. Approximately 250 patients from each ED site will be screened for risky drinking during the 2 weeks accompanying NASD 2004, with those scoring positive (approximately 50 at each site) offered a brief motivational intervention targeting alcohol use. An additional 250 patients at each site will be screened during 2 weeks in February 2004; those screening positive (approx. 50) will receive only a printed handout of alcohol resources but will not receive the brief intervention. These procedures are expected to yield an initial sample of approximately 1000 patients across 10-12 ED sites. Three and six months following their ED visits patients in both the treatment and control conditions will complete follow-up interviews by telephone using Interactive Voice Response (IVR) technology. Primary outcomes assessed include drinking behavior and alcohol related health consequences (e.g., drunken driving, fights, etc.). Analysis of these data using statistical procedures that adjust for the nesting of patients within hospital sites is expected to show significant decreases in the quantity and frequency of drinking and in negative consequences of alcohol use among patients receiving SBIRT relative to controls. Results from this study will inform the investigators, clinical staff, and the scientific community about the effectiveness of a brief negotiated interview as a behavioral intervention to decrease at-risk alcohol consumption among patients in the ED setting.

描述（由申请人提供）：酗酒与受伤、慢性病、缺勤以及家庭和社区的社会成本有关。该项目的目标是通过实施筛查、简短干预和转诊治疗 (SBIRT)，将初级保健环境中成功的激励干预措施转化为急诊科 (ED) 环境，以减少 ED 患者的饮酒风险。 UCONN 健康中心寻求作为数据协调中心 (DCC) 参与该项目，开展以全国酒精筛查日 (NASD) 为重点的多中心研究，旨在测试 ED 护士和医生作为 ED 临床护理的一部分所实践的 (SBIRT) 的可行性和有效性。在 NASD 2004 举办的两周内，将对来自每个 ED 中心的约 250 名患者进行危险饮酒筛查，对得分为阳性的患者（每个中心约 50 名）提供针对饮酒的简短动机干预。 2004 年 2 月，将在两周内对每个地点另外 250 名患者进行筛查；筛查呈阳性的人（约 50 人）将仅收到酒精资源的印刷版讲义，但不会接受简短的干预。这些程序预计将产生来自 10-12 个急诊室的约 1000 名患者的初始样本。急诊室就诊后三个月和六个月，治疗和对照条件下的患者将通过电话完成后续访谈 使用交互式语音应答（IVR）技术。评估的主要结果包括饮酒行为和酒精相关的健康后果（例如醉酒驾驶、打架等）。使用根据患者在医院内的安置情况进行调整的统计程序对这些数据进行分析，预计会显示，与对照组相比，接受 SBIRT 的患者的饮酒数量和频率以及饮酒的负面后果显着减少。这项研究的结果将使研究人员、临床工作人员和科学界了解简短协商访谈作为行为干预措施的有效性，以减少急诊室患者的高风险饮酒。