BRIEF INTERVENTION FOR ETOH POSITIVE INJURED PATIENTS

对 ETHH 阳性受伤患者的简短干预

• 批准号: 2046106
• 负责人: RICHARD LONGABAUGH
• 金额: $ 56.13万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-09-01 至 1999-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2046106
• 关键词: alcoholism /alcohol abuse prevention; emergency care; human subject; human therapy evaluation; injury prevention; prognosis

The research focuses on three primary questions concerning injured patients with hazardous drinking who are treated in a hospital emergency department setting: (1) which, if any, of two brief interventions will decrease subsequent alcohol-related negative consequences compared to standard clinical practice? (2) are certain kinds of interventions more effective for certain kinds of patients (i.e., is there an interaction between type of intervention and prognostic variable)? and (3) what are the active ingredients of a successful interaction, and how do they interact with aspects of the injury event which brings the patient to the ED? To address these questions, 740 patients presenting for treatment and discharged from the emergency department of Rhode Island Hospital, Rhode Island's Level 1 Trauma Center, will be recruited for study who are alcohol positive by self-report or BAC, and/or have a self-reported history of hazardous drinking. They will be randomly assigned to one of three intervention conditions: (1) standard clinical care, (2) an immediate intervention at the time of the Emergency Room visit; (3) immediate intervention followed by a comprehensive intervention session subsequent to the Emergency Room. Patients will be interviewed at three and 18 months to assess the effectiveness of the interventions, as reflected in reported changes in hazardous drinking, alcohol-related and negative consequences, injury reoccurrence. Analysis will test for a main effect of intervention type (Primary Question 1) and an interaction between intervention type and prognostic factors (Primary Question 2). Additionally, analyses of intervention, injury event and prognostic effects are to be conducted in order to identify relationships of potential significance which have not yet emerged from theory.

研究集中在三个主要问题， 在医院急诊室接受治疗的危险饮酒患者 部门设置：（1）两个简短干预中的哪一个，如果有的话，将 减少随后与酒精相关的负面后果， 标准临床实践？(2)是某种干预 对某些类型的患者有效（即，有没有一种互动 干预类型和预后变量之间）？（3）什么是 成功互动的有效成分，以及它们如何 与伤害事件的各个方面相互作用， 艾德？ 为了解决这些问题，740名患者接受治疗， 从罗德岛州罗得岛医院急诊科出院 岛的1级创伤中心，将招募研究谁是 酒精阳性的自我报告或BAC，和/或有自我报告 危险饮酒史他们将被随机分配到 三种干预条件：（1）标准临床护理，（2） 在急诊室就诊时立即干预;（3） 立即干预，然后是全面干预会议 在急诊室之后。 患者将在3个月和18个月时接受采访，以评估 干预措施的有效性，反映在所报告的 危险饮酒、与酒精有关的不良后果、伤害 重现分析将检验干预类型的主效应 （主要问题1）以及干预类型和 预后因素（主要问题2）。此外，分析 干预、伤害事件和预后影响将在 为了确定尚未确定的潜在重要关系， 但却从理论中浮现出来。