BRIEF INTERVENTION FOR ETOH POSITIVE INJURED PATIENTS

研究集中在三个关于受伤的主要问题 在医院急诊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)将 减少随后与酒精相关的负面后果 标准临床实践？(2)某些类型的干预措施是否更多 对某些类型的患者有效(即，是否存在交互作用 干预类型和预后变量之间的关系)？以及(3)什么是 成功互动的有效成分，以及它们是如何 与伤害事件的各个方面互动，这会将患者带到 艾德？ 为了解决这些问题，740名患者提出了治疗和 罗德罗德岛医院急诊科出院 岛上的一级创伤中心，将被招募来研究谁是 自我报告或BAC呈酒精阳性，和/或有自我报告 危险饮酒史。他们将被随机分配到以下其中之一 三种干预条件：(1)标准临床护理；(2)和 在急诊室就诊时立即干预；(3) 立即干预，然后进行全面干预 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，反映在报告的变化中 危险饮酒、与酒精有关的负面后果、伤害 重演。分析将检验干预类型的主要效果 (主要问题1)以及干预类型和干预类型之间的相互作用 预后因素(主要问题2)。此外，还分析了 干预、伤害事件和预后影响将在 以确定具有潜在重要意义的关系 但却是从理论中走出来的。

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.