The Efficacy of Brief Motivational Interviewing for Trauma Patients Related to Alcohol or Other Abuse Drugs.

Study Overview
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Brief Summary
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The purpose of this study is to determine whether the Brief Motivational Interview will produce a significantly reduction in risk behavior than usual treatment 3 months after discharge from hospital in people who have survived a traumatism.

Detailed Description
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Objectives: To determine the efficacy of Brief Motivational Interview against an usual hospital treatment (no psychological treatment) in patients who have suffered an accident under the influence of drugs (1) to reduce risk behaviors and drug consumption and (2) to increase motivation to change behavior and risk perception. To investigate the mediating role of impulsive personality and decision making in the impact of Brief Motivational Interview on reduction of risk driving. To assess the economic viability of the results of Brief Motivational Interview through a cost-utility analysis.

Official Title
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The Efficacy of Brief Motivational Interviewing for Trauma Patients Related to Alcohol or Other Abuse Drugs.

Conditions
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AODD and AODR Disorder

Intervention / Treatment
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* Behavioral: Brief Motivational Interview


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Trauma patients who have had: 1) A road crash, 2) A sport injury, 3) Occupational accident. Tested positive on alcohol and/or other abuse drugs tests. Exclusion Criteria: Cognitive or brain-damage that prevent assessment and Brief Motivational Interview Psychopathological disorders Residence status that prevents follow-up (residence outside of Spain, homeless).

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 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 |
| --- | --- |
| No Intervention: Usual Intervention<br>A standard intervention will be performed by nursing staff during hospital admission. Written information about the consequences of driving under the influence of alcohol and/or drugs will be provided. No psychological intervention. | |
| Experimental: Brief Motivational Interview<br>A Brief Motivational Interviewing will be performed during hospital admission by a psychologist experienced with this intervention. | Behavioral: Brief Motivational Interview<br>* The Brief Motivational Interview implies an empathic interviewing style which (i) recognizes, examines and tries to resolve the patient´s ambivalence to facilitate behavioral change, (ii) promotes self-efficacy, (iii) allows flexibility in strategies, including short-term aims to reduce consumption and decrease damage linked to this consumption (like road accidents), (iv) works to reduce the patient's resistances, and (v) provides individualized feedback, if deemed appropriate, to promote recognition of the problem and cognitive restructuring.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Risk behavior | Measure with Short Driver Behaviour Questionnaire (SDBQ) and Domain-Specific Risk-Taking (DOSPERT) | Baseline, month 3. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Alcohol and Other Drug consumption | Measure with Timeline Followback (TLFB), Interview for Research on Addictive Behavior (IRAB) and Audit Test. | Baseline, month 3. | 
| Motivation to change | Measure with SOCRATES-8 | Baseline, post-intervention, month 3 | 
| Risk perception | Risk perception questionnaire, perceived risk of alcohol and drug (EDADES). | Baseline, post-intervention, month 3. | 
| General Health | Measure with SF6D | Baseline, month 3. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Accident Prevention, Alcohol Drinking, Substance-Related Disorders, Motivational Interviewing, Adult, Humans, Intervention Studies, Recurrence, Risk Factors, Trauma Centers, Wounds and Injuries/epidemiology, Wounds and Injuries/etiology*, Wounds and Injuries/prevention & control*