Study of an Emergency Department-based Intervention to Reduce Alcohol Misuse in Older Adults
| Status: | Recruiting |
|---|---|
| Conditions: | Hospital, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology, Other |
| Healthy: | No |
| Age Range: | 65 - Any |
| Updated: | 2/3/2017 |
| Start Date: | October 2014 |
| End Date: | October 2017 |
| Contact: | Christina Shenvia, MD,PhD |
| Email: | clshenvi@gmail.com |
| Phone: | 302-353-6766 |
Pilot Trial of Emergency Department Intervention and Referral for Alcohol Misuse in Older Adults
This is a randomized trial to assess the value of an emergency department-based intervention
to reduce hazardous alcohol use among older adults. We hypothesize that the intervention
will result in a 25% reduction in the prevalence of hazardous alcohol use while the control
group will only have a 5% reduction.
to reduce hazardous alcohol use among older adults. We hypothesize that the intervention
will result in a 25% reduction in the prevalence of hazardous alcohol use while the control
group will only have a 5% reduction.
The goal of this project is to perform a pilot, randomized, controlled trial of a brief
intervention and referral for treatment among older adults in the emergency department (ED)
with alcohol misuse. The pilot data would then be used to design a larger study. The
intervention for this trial will consist of a Brief Negotiation Interview (BNI) with a
stratified referral for further treatment, compared with usual care. The BNI is a
standardized, well-described intervention that has been implemented in a broad range of
clinical settings but has not been specifically tested in older adults in the ED. Following
the BNI, we will provide a referral for further care for the patient that is stratified by
severity of alcohol misuse. Patients with hazardous or harmful alcohol use will follow-up
with a primary care physician; patients with alcohol abuse or dependence will follow-up with
an outpatient alcohol and substance abuse program; those at risk for complicated withdrawal
will be recommended for inpatient treatment. In all cases we will contact the referral
physician to help transition the patient's care, and ensure the patient receives a
consistent message regarding their alcohol use across the different care settings.
intervention and referral for treatment among older adults in the emergency department (ED)
with alcohol misuse. The pilot data would then be used to design a larger study. The
intervention for this trial will consist of a Brief Negotiation Interview (BNI) with a
stratified referral for further treatment, compared with usual care. The BNI is a
standardized, well-described intervention that has been implemented in a broad range of
clinical settings but has not been specifically tested in older adults in the ED. Following
the BNI, we will provide a referral for further care for the patient that is stratified by
severity of alcohol misuse. Patients with hazardous or harmful alcohol use will follow-up
with a primary care physician; patients with alcohol abuse or dependence will follow-up with
an outpatient alcohol and substance abuse program; those at risk for complicated withdrawal
will be recommended for inpatient treatment. In all cases we will contact the referral
physician to help transition the patient's care, and ensure the patient receives a
consistent message regarding their alcohol use across the different care settings.
Inclusion Criteria:
- Age 65 and older
- Receiving care in the emergency department
- Hazardous alcohol use, defined as reporting drinking more than 7 drinks per week on
an average week during the three months prior to the visit, and whether they have
consumed more than three drinks on any given occasion.
Exclusion Criteria:
- Prisoner
- psychosis or psychiatric hold
- nursing home
- life-threatening condition
- current hospice care
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