Multidisciplinary Approach to Reduce Injury and Substance Abuse
| Status: | Completed |
|---|---|
| Conditions: | Hospital, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology, Other |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | January 2010 |
| End Date: | June 2015 |
The primary purpose of the project entitled: Multidisciplinary Approach to Reduce Injury and
Substance Abuse, which is funded by the National Institute on Drug Abuse (5R01DA026088-02),
is to compare the effectiveness of brief intervention, brief intervention plus a booster,
and brief advice for adult patients who abuse drugs and present to a trauma department for
treatment of an injury.
Substance Abuse, which is funded by the National Institute on Drug Abuse (5R01DA026088-02),
is to compare the effectiveness of brief intervention, brief intervention plus a booster,
and brief advice for adult patients who abuse drugs and present to a trauma department for
treatment of an injury.
Multidisciplinary Approach to Reduce Injury and Substance Abuse is a randomized clinical
trial evaluating the effectiveness of brief advice (BA), brief motivational intervention
with feedback (BMI), and brief motivational intervention with feedback and booster (BMI+B)
in injured patients with drug problems.
The setting is a level 1 Trauma Department, which serves a large and diverse patient
population. Injured patients are screened for eligibility in the project based on a positive
toxicology screen or self reported drug use in the past 90 days. The primary outcome of
interest will be patients' subsequent drug use. Other outcomes of interest include:
HIV-related risk behaviors, improved health outcomes (including injury reduction), increased
employment, decreased engagement in illegal behavior, increased substance abuse treatment
utilization, and enhanced quality of life at three, six, and twelve month follow-ups.
This study will also examine the potential moderating and mediating effects of patient
readiness to change, use of experiential and behavioral processes of change and decisional
balance considerations. In addition, this project will examine implementation factors at the
organizational level and the cost effectiveness of BA, BMI, and BMI+B.
Study participants and their related identifying information will be collected during the
time they are admitted to the recruitment hospital trauma department. Study participants
must be 18 years or older, speak English or Spanish, have been admitted to the recruitment
hospital trauma department, and test positive for illegal drugs or admit to illegal drug use
when verbally screened. Additional information will be collected from participants in the
in-person assessment interviews at three, six, and 12 month follow-up periods.
trial evaluating the effectiveness of brief advice (BA), brief motivational intervention
with feedback (BMI), and brief motivational intervention with feedback and booster (BMI+B)
in injured patients with drug problems.
The setting is a level 1 Trauma Department, which serves a large and diverse patient
population. Injured patients are screened for eligibility in the project based on a positive
toxicology screen or self reported drug use in the past 90 days. The primary outcome of
interest will be patients' subsequent drug use. Other outcomes of interest include:
HIV-related risk behaviors, improved health outcomes (including injury reduction), increased
employment, decreased engagement in illegal behavior, increased substance abuse treatment
utilization, and enhanced quality of life at three, six, and twelve month follow-ups.
This study will also examine the potential moderating and mediating effects of patient
readiness to change, use of experiential and behavioral processes of change and decisional
balance considerations. In addition, this project will examine implementation factors at the
organizational level and the cost effectiveness of BA, BMI, and BMI+B.
Study participants and their related identifying information will be collected during the
time they are admitted to the recruitment hospital trauma department. Study participants
must be 18 years or older, speak English or Spanish, have been admitted to the recruitment
hospital trauma department, and test positive for illegal drugs or admit to illegal drug use
when verbally screened. Additional information will be collected from participants in the
in-person assessment interviews at three, six, and 12 month follow-up periods.
Inclusion Criteria:
- Study participants must be 18 years or older
- Speak English or Spanish
- Been admitted to the level 1 Trauma Department
- Test positive for illegal drugs or admit to illegal drug use
Exclusion Criteria:
- Other penetrating trauma not related to motor vehicle collisions, violence or falls,
such as poisoning and, bites
- Patients with traumatic brain injury, or a Glasgow Coma Scale score of less than 15
- Patients who do not pass the Mini-Mental Status Exam are excluded
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