Clinical trial NCT00183183: 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
Overall status: COMPLETED
Phase: PHASE3
Conditions: Alcohol Abuse
Keywords: Alcohol Abuse
Harm Reduction
Motivational Interviewing
Emergency Department
Risky Drinking
Prevention
Lead sponsor: UConn Health
Sponsor class: OTHER
Collaborators: name: National Institute on Alcohol Abuse and Alcoholism (NIAAA)
First posted: 2005-09-16
Enrollment: 1137
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

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.

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

Primary outcomes:
measure: Quantity of drinks per day
measure: Frequency of drinking days per week
Secondary outcomes:
measure: Completing alcohol related treatment
measure: Reporting negative alcohol related events
Other outcomes:
Locations:
city: Los Angeles
country: United States
facility: Charles R. Drew University of Medicine and Science/Matrin Luther King Hospital
state: California
city: Los Angeles
country: United States
facility: University of Southern California Keck School of Medicine / Los Angeles County+University of Southern California Medical Center
state: California
city: San Diego
country: United States
facility: University of California San Diego Medical Center - Hillcrest
state: California
city: Denver
country: United States
facility: University of Denver/Denver Health Medical Center
state: Colorado
city: Farmington
country: United States
facility: University of Connecticut Health Center
state: Connecticut
city: New Haven
country: United States
facility: Section of Emergency Medicine/Yale University School of Medicine
state: Connecticut
city: Washington
country: United States
facility: Howard University/College of Medicine/Department of Pharmacology and Emergency Medicine
state: District of Columbia
city: Atlanta
country: United States
facility: Department of Emergency Medicine Emory University School of Medicine / Emergency Care Center of the Grady Memorial Hospital
state: Georgia
city: Boston
country: United States
facility: Boston University Medical Center
state: Massachusetts
city: Boston
country: United States
facility: Tufts-New England Medical Center Hospital/Tufts University
state: Massachusetts
city: Ann Arbor
country: United States
facility: University of Michigan Hospital and Health System / Department of Emergency Medicine
state: Michigan
city: Camden
country: United States
facility: Cooper Health/Department of Emergency Medicine at UMNDJ-RWJMS
state: New Jersey
city: Albuquerque
country: United States
facility: The University of New Mexico Hospital/Health Sciences Center
state: New Mexico
city: Providence
country: United States
facility: Rhode Island Hospital / Brown University / Department of EM and Injury Prevention Center
state: Rhode Island
city: Charlottesville
country: United States
facility: University of Virginia Health System, University Hospital
state: Virginia
Study officials:
affiliation: Boston University
name: Edward Bernstein, MD
role: PRINCIPAL_INVESTIGATOR
References: