Teaching An Alcohol Intervention To Pediatric ER Staff

向儿科急诊室工作人员教授酒精干预措施

• 批准号: 7357516
• 负责人: THOMAS H CHUN
• 金额: $ 20.37万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-03-15 至 2010-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7357516
• 关键词: Accident and Emergency department; Adherence; Adolescence; Adolescent; Adult; Alcohol abuse; Alcohol consumption; Alcohols; Attitude; Belief; Biometry; Caring; Cessation of life; Childhood; Clinical; Condition; Data Analyses; Educational Intervention; Educational process of instructing; Elderly; Ensure; Environment; Future; Health Personnel; Healthcare; Hour; Human Resources; Injury; Institution; Intervention; Journals; Knowledge; Learning; Manuals; Manuscripts; Medical; Medical Staff; Mentors; Monitor; Motivation; Nurses; Patient Care; Patient Self-Report; Patients; Pattern; Physicians; Population; Preparation; Protocols documentation; Psychological reinforcement; Research; Research Project Grants; Risk; Secondary Prevention; Source; Study Subject; Surveys; Testing; Time; Training; Translating; Uncertainty; United States; Visit; Week; Work; Writing; addiction; alcohol behavior; alcohol intervention; alcohol related problem; base; cost; design; early /brief intervention /therapy; experience; improved; motivational enhancement therapy; programs; theories

DESCRIPTION (provided by applicant): In the United States it is estimated that the overall annual cost of alcohol use is $100 billion. In adolescents, it is a leading cause of injuries and death. Numerous studies of adults and one of older adolescents have demonstrated the efficacy of brief interventions in reducing alcohol consumption and related injuries. In all of these studies however, interventions were administered by a research team, not the clinical staff who worked in the medical settings. As medical institutions are unlikely to hire extra personnel specifically to perform these interventions, important questions remain unanswered. Can these interventions be translated from the research setting into "real world" clinical settings? Can and will medical staff administer such interventions? Are these interventions effective when administered by such staff? An Emergency Department (ED) is an ideal setting to investigate this question. Many patients seen in ED's are at high risk for alcohol related problems. The ED is often the exclusive source of health care for these patients. Additionally, an ED visit and/or an injury itself may be unique "teachable moment" not found in other medical settings. Such an injury or visit may be a powerful motivation to change alcohol related behaviors. Study subjects will be the physicians and nurses of a Pediatric ED. Staff will be assessed for current attitudes, understanding, and practices regarding treatment of alcohol problems. Potential barriers to learning brief interventions (BI) will also be identified. An educational intervention will be developed and administered to ED staff, to teach them an alcohol BI. Post-intervention, ED staff will be retested for their knowledge of alcohol Bl's, as well as monitored for how often they administer the BI and how well they adhere to BI principles. The knowledge gained will be used to develop future educational interventions and ultimately to test the efficacy of alcohol Brs administered by medical personnel. This proposal includes a 5 year training plan to ensure successful completion of the research protocol. The training proposal includes: seminars in addiction theory, journal club, research and grant writing seminars, biostatistics, 2-3 hours per week of mentoring, field experiences, data analysis, and manuscript preparation and submission.

描述（由申请人提供）：在美国，据估计，每年酒精使用的总成本为1000亿美元。在青少年中，它是造成伤害和死亡的主要原因。对成年人和一项年龄较大的青少年进行的大量研究表明，短期干预在减少酒精消费和相关伤害方面有效。然而，在所有这些研究中，干预措施都是由一个研究小组实施的，而不是由在医疗机构工作的临床工作人员实施的。由于医疗机构不太可能专门雇用额外人员来执行这些干预措施，一些重要问题仍未得到解答。这些干预措施能否从研究环境转化为“现实世界”的临床环境？医务人员是否能够并愿意实施此类干预措施？这些干预措施在由这些工作人员实施时是否有效？