Alcohol Brief Intervention Plus Personalized Mobile Chat-based Intervention to Reduce Alcohol Misuse in an Emergency Department
Primary Purpose
Alcohol Use Disorder
Status
Completed
Phase
Not Applicable
Locations
Hong Kong
Study Type
Interventional
Intervention
Mobile chat-based instant messages
Alcohol brief intervention
Sponsored by
About this trial
This is an interventional treatment trial for Alcohol Use Disorder focused on measuring chat-based intervention, alcohol brief intervention, Alcohol misuse, Accident & Emergency Department, AUDIT, instant messaging
Eligibility Criteria
Inclusion Criteria:
- Hong Kong resident aged 18 to 65
- scored ≥ 8 in the Alcohol Use Disorder Identification Test (AUDIT) in the past 12 months
- able to communicate in Cantonese (including reading Chinese)
- using a phone with instant messaging mobile application "WhatsApp" installed for communication.
Exclusion Criteria:
- patients with communication barrier (either physically or cognitively)
- currently participating in other alcohol treatment services or clinics
- will be hospitalized immediate after A&E consultation
Sites / Locations
- School of Nursing, The University of Hong Kong
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Intervention group
control group
Arm Description
Alcohol brief intervention+mobile chat-based instant messages
Alcohol brief intervention
Outcomes
Primary Outcome Measures
change in unit of alcohol consumption in gram
Assessed by unit in gram and compare the alcohol consumption between intervention and control group at 3-month after baseline.
Secondary Outcome Measures
change in unit of alcohol consumption in gram
Assessed by unit in gram and compare the alcohol consumption between intervention and control group at 1-month after phase I
change in episode of binge drinking measured by asking "Never", "less than a month", "two to four times a month", " two to three times a week" and "almost everyday"
Defined by 5 [male] or 4 [female] in a row for binge drinking and compare the episode of binge drinking between intervention group and control at baseline, 1 and 3-month follow-up questionnaires
change in frequency of drinking by asking "Never", "less than a month", "two to four times a month", " two to three times a week" and "almost everyday"
Compare the frequency of drinking between intervention group and control at baseline, 1 and 3-month follow-up questionnaires
attempt to reduce drinking measured by asking whether they have tried to reduce drinking at past month (yes or no)
Compare the attempt to reduce drinking between intervention group and control group at baseline, 1 and 3-month follow-up questionnaires
change in confidence to reduce drinking measured by Likert scale (1-10)
Score ranges from 0 to 10 with higher score indicates a high level. The score will be compared between intervention group and control group at baseline, 1 and 3-month follow-up questionnaires
Alcohol Problems Scale at 1 and 3-month follow-up
The 14-item measure of alcohol-related personal, social, sexual, and legal problems (eg, being physically aggressive toward someone while under the influence of alcohol).The score will be compared between intervention group and control group at baseline, 1 and 3-month follow-up questionnaires
Full Information
NCT ID
NCT03823599
First Posted
January 27, 2019
Last Updated
September 24, 2019
Sponsor
The University of Hong Kong
Collaborators
Queen Mary Hospital, Hong Kong
1. Study Identification
Unique Protocol Identification Number
NCT03823599
Brief Title
Alcohol Brief Intervention Plus Personalized Mobile Chat-based Intervention to Reduce Alcohol Misuse in an Emergency Department
Official Title
A Pilot Study on the Feasibility of Alcohol Brief Intervention Plus Personalized Mobile Chat-based Intervention to Reduce Alcohol Misuse in an Emergency Department in Hong Kong
Study Type
Interventional
2. Study Status
Record Verification Date
September 2019
Overall Recruitment Status
Completed
Study Start Date
February 1, 2019 (Actual)
Primary Completion Date
April 30, 2019 (Actual)
Study Completion Date
May 30, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
The University of Hong Kong
Collaborators
Queen Mary Hospital, Hong Kong
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This project focuses on patients in AED. Objectives of this project are:
To examine the factors associated with alcohol drinking and alcohol use disorder
To examine the effect of face-to-face alcohol brief intervention on drinking reduction
To examine the effect of a continuous interactive chat-based intervention via "WhatsApp" on drinking reduction
To explore the perception of face-to-face alcohol brief intervention
To explore the perception of continuous interactive chat-based intervention via instant messaging mobile application "WhatsApp"
Detailed Description
According to the Department of Health, a local epidemiological study was conducted in 2001 and showed that about one in ten of all motor vehicle deaths were associated with alcohol consumption. Also, the statistics from the Transportation department showed that 874 vehicle accidents resulting in personal injury were related to alcohol misuse, which included 24 fatal cases between the period of 2000 and 2010. With the aforementioned statistics supported, the hospital Accident and Emergency Department (AED) serves as the most important entrance and safeguard to the healthcare system for the public, since victims of traffic accidents or violence related to heavy drinking are frequently encountered in AED, this serves as an ideal place for provision of initial alcohol intervention and further stabilization related to alcohol problem of patients. Although AED is a hectic environment with very high patients turnover, substantial evidence had shown feasibility and efficacy of Alcohol Brief Intervention (ABI) in reducing patients' subsequent alcohol drinking. In oversea, multiple research had been done to show ABI were effective and feasible for reducing alcohol misuse, but the effect was not long lasting and lead to subsequent relapse. In addition to this, no further trial has been done to investigate the feasibility of implementing an RCT on evaluating the effect of ABI and continuous chat-based intervention on reducing alcohol consumption among patients in AED in Hong Kong.
According to the WHO, the standard ABI approach includes: giving feedback and information about the screening result and hazard of drinking; emphasizing the benefits of quit drinking and informing about alcohol problems; setting goal on reducing alcohol consumption; reviewing advice and ; giving encouragement. In this pilot study, a brief alcohol counselling using face-to-face ABI will be delivered together with continuous interactive chat-based intervention via instant messaging mobile application "WhatsApp" to those patients with AUDIT score ≥ 8, who are considered to have hazardous and harmful drinking problems according to the guideline.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alcohol Use Disorder
Keywords
chat-based intervention, alcohol brief intervention, Alcohol misuse, Accident & Emergency Department, AUDIT, instant messaging
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
20 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Intervention group
Arm Type
Experimental
Arm Description
Alcohol brief intervention+mobile chat-based instant messages
Arm Title
control group
Arm Type
Active Comparator
Arm Description
Alcohol brief intervention
Intervention Type
Behavioral
Intervention Name(s)
Mobile chat-based instant messages
Intervention Description
Subjects in the active arm study will receive 5-minute face-to-face ABI, alcohol leaflet from Department of Health (DH) plus continuous interactive chat-based intervention for 1 month as an extension of alcohol brief intervention at baseline
Intervention Type
Behavioral
Intervention Name(s)
Alcohol brief intervention
Intervention Description
The Control group will receive face-to-face ABI plus an alcohol leaflet from DH.
Primary Outcome Measure Information:
Title
change in unit of alcohol consumption in gram
Description
Assessed by unit in gram and compare the alcohol consumption between intervention and control group at 3-month after baseline.
Time Frame
at 3-month after baseline.
Secondary Outcome Measure Information:
Title
change in unit of alcohol consumption in gram
Description
Assessed by unit in gram and compare the alcohol consumption between intervention and control group at 1-month after phase I
Time Frame
at 1-month after phase I
Title
change in episode of binge drinking measured by asking "Never", "less than a month", "two to four times a month", " two to three times a week" and "almost everyday"
Description
Defined by 5 [male] or 4 [female] in a row for binge drinking and compare the episode of binge drinking between intervention group and control at baseline, 1 and 3-month follow-up questionnaires
Time Frame
at 1 and 3 months after phase I
Title
change in frequency of drinking by asking "Never", "less than a month", "two to four times a month", " two to three times a week" and "almost everyday"
Description
Compare the frequency of drinking between intervention group and control at baseline, 1 and 3-month follow-up questionnaires
Time Frame
at 1 and 3 months after phase I
Title
attempt to reduce drinking measured by asking whether they have tried to reduce drinking at past month (yes or no)
Description
Compare the attempt to reduce drinking between intervention group and control group at baseline, 1 and 3-month follow-up questionnaires
Time Frame
at 1 and 3 months after phase I
Title
change in confidence to reduce drinking measured by Likert scale (1-10)
Description
Score ranges from 0 to 10 with higher score indicates a high level. The score will be compared between intervention group and control group at baseline, 1 and 3-month follow-up questionnaires
Time Frame
at 1 and 3 months after phase I
Title
Alcohol Problems Scale at 1 and 3-month follow-up
Description
The 14-item measure of alcohol-related personal, social, sexual, and legal problems (eg, being physically aggressive toward someone while under the influence of alcohol).The score will be compared between intervention group and control group at baseline, 1 and 3-month follow-up questionnaires
Time Frame
at 1 and 3 months after phase I
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Hong Kong resident aged 18 to 65
scored ≥ 8 in the Alcohol Use Disorder Identification Test (AUDIT) in the past 12 months
able to communicate in Cantonese (including reading Chinese)
using a phone with instant messaging mobile application "WhatsApp" installed for communication.
Exclusion Criteria:
patients with communication barrier (either physically or cognitively)
currently participating in other alcohol treatment services or clinics
will be hospitalized immediate after A&E consultation
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Man Ping Wang, PhD
Organizational Affiliation
The University of Hong Kong
Official's Role
Principal Investigator
Facility Information:
Facility Name
School of Nursing, The University of Hong Kong
City
Hong Kong
ZIP/Postal Code
000000
Country
Hong Kong
12. IPD Sharing Statement
Plan to Share IPD
Undecided
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Alcohol Brief Intervention Plus Personalized Mobile Chat-based Intervention to Reduce Alcohol Misuse in an Emergency Department
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