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Impact of a Brief Motivational Interview on Drinking Behaviors of At Risk Drinkers Screened in the Emergency Room

Primary Purpose

Alcohol Abuse

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Screening and Brief Intervention
Sponsored by
UConn Health
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alcohol Abuse focused on measuring Alcohol Abuse, Harm Reduction, Motivational Interviewing, Emergency Department, Risky Drinking, Prevention

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Age 18+ Communication in English or Spanish Met NIAAA criteria for "at-risk drinking": for Men: 15 or more drinks/week, or 5 or more drinks on a single occasion for Women: 8 or more drinks/week, or 4 or more drinks on a single occasion Age 65 or over: 8 or more drinks/week or more than 1 drink per day Exclusion Criteria: Requests detox or already in alcohol treatment program Abnormal mental status Too ill to give consent Unable to provide consent for other reasons Suicidal Employee or student of site institution (where required) Prisoner Inability to follow up

Sites / Locations

  • Charles R. Drew University of Medicine and Science/Matrin Luther King Hospital
  • University of Southern California Keck School of Medicine / Los Angeles County+University of Southern California Medical Center
  • University of California San Diego Medical Center - Hillcrest
  • University of Denver/Denver Health Medical Center
  • University of Connecticut Health Center
  • Section of Emergency Medicine/Yale University School of Medicine
  • Howard University/College of Medicine/Department of Pharmacology and Emergency Medicine
  • Department of Emergency Medicine Emory University School of Medicine / Emergency Care Center of the Grady Memorial Hospital
  • Boston University Medical Center
  • Tufts-New England Medical Center Hospital/Tufts University
  • University of Michigan Hospital and Health System / Department of Emergency Medicine
  • Cooper Health/Department of Emergency Medicine at UMNDJ-RWJMS
  • The University of New Mexico Hospital/Health Sciences Center
  • Rhode Island Hospital / Brown University / Department of EM and Injury Prevention Center
  • University of Virginia Health System, University Hospital

Outcomes

Primary Outcome Measures

Quantity of drinks per day
Frequency of drinking days per week

Secondary Outcome Measures

Completing alcohol related treatment
Reporting negative alcohol related events

Full Information

First Posted
September 12, 2005
Last Updated
May 21, 2010
Sponsor
UConn Health
Collaborators
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
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1. Study Identification

Unique Protocol Identification Number
NCT00183183
Brief Title
Impact of a Brief Motivational Interview on Drinking Behaviors of At Risk Drinkers Screened in the Emergency Room
Official Title
Alcohol Screening and Brief Intervention in the Emergency Department
Study Type
Interventional

2. Study Status

Record Verification Date
May 2010
Overall Recruitment Status
Completed
Study Start Date
April 2004 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
December 2005 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
UConn Health
Collaborators
National Institute on Alcohol Abuse and Alcoholism (NIAAA)

4. Oversight

5. Study Description

Brief Summary
Alcohol abuse is associated with injury, chronic illness, absenteeism from work, and social costs to families and communities. The goal of this project is to translate motivational interventions successful in the primary care setting to the Emergency Department (ED) environment by implementing screening, brief intervention and referral to treatment (SBIRT) in order to reduce at-risk drinking among ED patients.
Detailed Description
To evaluate the effectiveness of SBIRT in the emergency room setting, ED patients meeting NIAAA criteria for high risk drinking were recruited from 14 sites nationwide (control group-Spring, 2004; intervention group-Summer, 2004). 26% of screened ED patients met inclusion criteria. All enrollees received a list of local referral resources. Intervention group patients also participated in a 15 minute negotiated interview and ED staff referred them directly for treatment if indicated. Enrollees completed 3-month follow-up surveys with a telephone Interactive Voice Response (IVR) system. A total of 1137 patients were enrolled across 14 sites (561 intervention, 576 control), with 62% male, 37% Black, and 38% White, and a mean age of 37. At baseline intervention-i and control-c groups were similar in demographic characteristics and number of drinks on a typical day (mean-i 5.00, mean-c 5.12) and maximum drinks on a given day in the past month (mean-i 7.51, mean-c 7.33). The 3 month follow-up rate was 62% (n=687); the 6 month follow-up rate was 52% (n=567). The 12 month follow up is currently underway.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alcohol Abuse
Keywords
Alcohol Abuse, Harm Reduction, Motivational Interviewing, Emergency Department, Risky Drinking, Prevention

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
Investigator
Allocation
Non-Randomized
Enrollment
1137 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Behavioral
Intervention Name(s)
Screening and Brief Intervention
Primary Outcome Measure Information:
Title
Quantity of drinks per day
Title
Frequency of drinking days per week
Secondary Outcome Measure Information:
Title
Completing alcohol related treatment
Title
Reporting negative alcohol related events

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age 18+ Communication in English or Spanish Met NIAAA criteria for "at-risk drinking": for Men: 15 or more drinks/week, or 5 or more drinks on a single occasion for Women: 8 or more drinks/week, or 4 or more drinks on a single occasion Age 65 or over: 8 or more drinks/week or more than 1 drink per day Exclusion Criteria: Requests detox or already in alcohol treatment program Abnormal mental status Too ill to give consent Unable to provide consent for other reasons Suicidal Employee or student of site institution (where required) Prisoner Inability to follow up
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Edward Bernstein, MD
Organizational Affiliation
Boston University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Charles R. Drew University of Medicine and Science/Matrin Luther King Hospital
City
Los Angeles
State/Province
California
Country
United States
Facility Name
University of Southern California Keck School of Medicine / Los Angeles County+University of Southern California Medical Center
City
Los Angeles
State/Province
California
Country
United States
Facility Name
University of California San Diego Medical Center - Hillcrest
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
University of Denver/Denver Health Medical Center
City
Denver
State/Province
Colorado
Country
United States
Facility Name
University of Connecticut Health Center
City
Farmington
State/Province
Connecticut
ZIP/Postal Code
06030
Country
United States
Facility Name
Section of Emergency Medicine/Yale University School of Medicine
City
New Haven
State/Province
Connecticut
Country
United States
Facility Name
Howard University/College of Medicine/Department of Pharmacology and Emergency Medicine
City
Washington
State/Province
District of Columbia
Country
United States
Facility Name
Department of Emergency Medicine Emory University School of Medicine / Emergency Care Center of the Grady Memorial Hospital
City
Atlanta
State/Province
Georgia
Country
United States
Facility Name
Boston University Medical Center
City
Boston
State/Province
Massachusetts
Country
United States
Facility Name
Tufts-New England Medical Center Hospital/Tufts University
City
Boston
State/Province
Massachusetts
Country
United States
Facility Name
University of Michigan Hospital and Health System / Department of Emergency Medicine
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
Cooper Health/Department of Emergency Medicine at UMNDJ-RWJMS
City
Camden
State/Province
New Jersey
Country
United States
Facility Name
The University of New Mexico Hospital/Health Sciences Center
City
Albuquerque
State/Province
New Mexico
Country
United States
Facility Name
Rhode Island Hospital / Brown University / Department of EM and Injury Prevention Center
City
Providence
State/Province
Rhode Island
Country
United States
Facility Name
University of Virginia Health System, University Hospital
City
Charlottesville
State/Province
Virginia
Country
United States

12. IPD Sharing Statement

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Impact of a Brief Motivational Interview on Drinking Behaviors of At Risk Drinkers Screened in the Emergency Room

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