Brief Intervention for Alcohol Use Among Injured Patients
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Hospital, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology, Other |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 3/23/2019 |
| Start Date: | March 2006 |
| End Date: | January 24, 2027 |
Brief Intervention for Alcohol Use Among Injured Patients: A Prospective, Randomized Trial
The underlying hypothesis that providing brief interventions to individuals who engage in
potentially harmful patterns of alcohol use will alter their drinking behavior and therefore
avoid negative consequences. Specifically, this study aims to determine if brief
interventions will:
1. Reduce the number of re-admissions and deaths due to injuries associated with alcohol
consumption
2. Reduce the number of driving under the influence (DUI) arrests
3. Reduce harmful drinking behavior
potentially harmful patterns of alcohol use will alter their drinking behavior and therefore
avoid negative consequences. Specifically, this study aims to determine if brief
interventions will:
1. Reduce the number of re-admissions and deaths due to injuries associated with alcohol
consumption
2. Reduce the number of driving under the influence (DUI) arrests
3. Reduce harmful drinking behavior
Alcohol use is the most common underlying cause of injuries in the United States. There is a
growing body of literature suggesting that brief interventions (BI), in the form of a short
(10-60 minute) counseling session, may decrease alcohol consumption and its harmful
consequences. In contrast to the abundant literature on the effectiveness of BI in the
outpatient setting, only 3 randomized controlled trials have been performed an adults
specifically in the setting of acute trauma, and have had inconclusive results. All three
studies used highly trained persons to perform the BI, and all were greater than 30 minutes
in duration, a situation that may not necessarily reflect the practicalities of routine
medical care. This raises the question of whether the benefits seen in these studies reflect
the expertise of a small number of individuals or whether the effects correlate with the
amount of time spent with the patient. Highly trained personnel and time are valuable
commodities in a busy trauma center and may not be feasible given the competing clinical
demands. We propose to investigate whether BI are effective in a setting that is more likely
to reflect "real world" of clinical medicine rather than an idealized setting, utilizing
trauma nurse practitioners to perform brief (5-10 minute) interviews.
We will identify all patients admitted with trauma who test positive on a blood alcohol test.
These patients will be consented and randomized to either a brief intervention group, or a
standard medical care group. All patients will receive an AUDIT questionnaire to identify
patterns of drinking behavior and an alcohol information pamphlet. After discharge, patients
will be telephoned at 1,6, and 12 months. The first 2 contacts will be to see how the patient
is doing and to verify the contact information. The AUDIT questionnaire will be
re-administered during the 12 month interview.
growing body of literature suggesting that brief interventions (BI), in the form of a short
(10-60 minute) counseling session, may decrease alcohol consumption and its harmful
consequences. In contrast to the abundant literature on the effectiveness of BI in the
outpatient setting, only 3 randomized controlled trials have been performed an adults
specifically in the setting of acute trauma, and have had inconclusive results. All three
studies used highly trained persons to perform the BI, and all were greater than 30 minutes
in duration, a situation that may not necessarily reflect the practicalities of routine
medical care. This raises the question of whether the benefits seen in these studies reflect
the expertise of a small number of individuals or whether the effects correlate with the
amount of time spent with the patient. Highly trained personnel and time are valuable
commodities in a busy trauma center and may not be feasible given the competing clinical
demands. We propose to investigate whether BI are effective in a setting that is more likely
to reflect "real world" of clinical medicine rather than an idealized setting, utilizing
trauma nurse practitioners to perform brief (5-10 minute) interviews.
We will identify all patients admitted with trauma who test positive on a blood alcohol test.
These patients will be consented and randomized to either a brief intervention group, or a
standard medical care group. All patients will receive an AUDIT questionnaire to identify
patterns of drinking behavior and an alcohol information pamphlet. After discharge, patients
will be telephoned at 1,6, and 12 months. The first 2 contacts will be to see how the patient
is doing and to verify the contact information. The AUDIT questionnaire will be
re-administered during the 12 month interview.
Inclusion Criteria:
- >=18 yrs old
- English or Spanish Speaking
- Mentally and physically able to provide consent and participate in the intervention
- Admission to the trauma ward or ICU
Exclusion Criteria:
- <18 yrs old
- Non-English or Non-Spanish Speaking
- Severe Psychiatric illness
- incarcerated
We found this trial at
1
site
2315 Stockton Blvd.
Sacramento, California 95817
Sacramento, California 95817
(916) 734-2011
University of California, Davis Medical Center UC Davis Medical Center serves a 65,000-square-mile area that...
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