Secondary Prevention and Recidivism Reduction in Trauma Patients

Study Overview
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Brief Summary
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The consumption of alcohol and other drugs is one of the main risk factors for traumatism. In addition, patients who have suffered an accident in relation to the consumption of these substances present a high risk of recidivism. In the case of alcohol, its relationship with traumatisms has been known for many years now and is still one of the main risk factors. Secondary prevention is an important area of action and improvement in the treatment of this type of patient by considering actions, such as a brief motivational intervention, in order to avoid recidivism. The objective of motivational intervention is to make the patient aware of the relationship between the consumption of these substances and the accident, and induce them to carry out a change in habits. The objective of the present investigation project is to determine the efficacy of secondary prevention in reducing recurrence of traumatisms. In order to this, a multicenter randomised controlled trial has been designed in which the intervention group with patients admitted for sever traumatism with positive screening for alcohol or other drugs, will be submitted to a brief motivational intervention. The main outcome will be trauma recurrence within a three year follow-up.

Official Title
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Secondary Prevention and Recidivism Reduction in Trauma Patients

Conditions
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Trauma, Alcohol Use, Unspecified, Drug Use

Intervention / Treatment
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* Behavioral: Brief Motivational Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Sever trauma patients defined as the need of assistance in a critical unit. Positive screening for alcohol o other drugs (cannabis, cocaine, methamphetamine). Exclusion Criteria: Patients in treatment for abuse of alcohol and other drugs. Death during hospitalization. Non Catalonia residents. Not Spanish or Catalan spoken.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br> | Behavioral: Brief Motivational Intervention<br>* The objective of motivational intervention is to make the patient aware of the relationship between the consumption of alcohol and other drugs and the accident, and induce them to carry out a change in habits.<br>|
| No Intervention: Control<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Recurrence of traumatisms | Any medical assistance related to a traumatism | Follow-up of 3 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Alcohol prevalence | Alcohol prevalence among trauma patients | Trough study completion, an average of 2 years | 
| Other drugs prevalence (cannabis, cocaine, methamphetamine) | Other drugs prevalence among trauma patients | Trough study completion, an average of 2 years | 
| Time to a recurrence | Time since discharge until the first new trauma or withdrawal from follow-up. | Trough study completion, an average of 2 years |