A Critical Illness Recovery Navigator for Alcohol
| Status: | Terminated |
|---|---|
| Conditions: | Hospital, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology, Other |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 3/30/2019 |
| Start Date: | December 2016 |
| End Date: | August 31, 2018 |
A Critical Illness Recovery Navigator for Alcohol: a Pilot Clinical Trial
Excessive alcohol consumption is common in patients admitted to the intensive care unit
(ICU). Among patients who survive an ICU admission, excessive alcohol consumption is
associated with a higher risk of being admitted the hospital. In this study, the
Investigators will compare an intervention designed to address excessive drinking in ICU
survivors to usual care. This intervention combines motivational interviewing (MI) and shared
decision making (SDM). MI and SDM share several core components including the development of
a therapeutic alliance and promotion of autonomy. MI can be employed in the context of
motivating a patient to change their drinking. Once this decision has been made, SDM can be
employed to help a patient decide amongst multiple reasonable treatment options. The
Investigators long-term goal is to test whether MI-SDM is better than usual care and whether
multiple sessions of MI-SDM are better than a single session. This pilot clinical trial will
demonstrate the feasibility of conducting a larger efficacy study to test these hypotheses.
(ICU). Among patients who survive an ICU admission, excessive alcohol consumption is
associated with a higher risk of being admitted the hospital. In this study, the
Investigators will compare an intervention designed to address excessive drinking in ICU
survivors to usual care. This intervention combines motivational interviewing (MI) and shared
decision making (SDM). MI and SDM share several core components including the development of
a therapeutic alliance and promotion of autonomy. MI can be employed in the context of
motivating a patient to change their drinking. Once this decision has been made, SDM can be
employed to help a patient decide amongst multiple reasonable treatment options. The
Investigators long-term goal is to test whether MI-SDM is better than usual care and whether
multiple sessions of MI-SDM are better than a single session. This pilot clinical trial will
demonstrate the feasibility of conducting a larger efficacy study to test these hypotheses.
Inclusion Criteria:
1. Admission to the intensive care unit;
2. Age 18 years or older;
3. Resolution of critical illness, defined as the intention of the treating team to
discharge the patient or downgrade their admission level from the ICU to a progressive
care unit or the floor;
4. Resolution of delirium, defined by:
- a Riker Agitation Sedation Scale score of 0,
- a negative CAM ICU, and
- confirmation from the treating team (nurse, physicians) that the patient is not
delirious.
5. AUDIT-C score of 3 or greater for women and 4 or greater for men.
Exclusion Criteria:
1. Prisoner;
2. Pregnant;
3. Unable to speak or write in English;
4. Unable to provide informed consent;
5. Unable to provide a home or cell phone number plus at least one additional way to be
contacted (mail, email, friend or family);
6. Expected survival less than 6 months.
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