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

Alcohol Abuse Clinical Trial

Official title:

Alcohol Screening and Brief Intervention in the Emergency Department

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00183183
• Other study ID #: NIAAAASE15123
• Secondary ID: R21AA015123NIH 5
• Status: Completed
• Phase: Phase 3
• First received: September 12, 2005
• Last updated: May 21, 2010
• Start date: April 2004
• Est. completion date: December 2005

Study information

• Verified date: May 2010
• Source: University of Connecticut Health Center
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Federal Government
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1137
• Est. completion date: December 2005
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years and older

Eligibility

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

Study Design

Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Investigator), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Alcohol Abuse
• Emergencies

Intervention

Behavioral:
• Screening and Brief Intervention

Locations

Country	Name	City	State
United States	The University of New Mexico Hospital/Health Sciences Center	Albuquerque	New Mexico
United States	University of Michigan Hospital and Health System / Department of Emergency Medicine	Ann Arbor	Michigan
United States	Department of Emergency Medicine Emory University School of Medicine / Emergency Care Center of the Grady Memorial Hospital	Atlanta	Georgia
United States	Boston University Medical Center	Boston	Massachusetts
United States	Tufts-New England Medical Center Hospital/Tufts University	Boston	Massachusetts
United States	Cooper Health/Department of Emergency Medicine at UMNDJ-RWJMS	Camden	New Jersey
United States	University of Virginia Health System, University Hospital	Charlottesville	Virginia
United States	University of Denver/Denver Health Medical Center	Denver	Colorado
United States	University of Connecticut Health Center	Farmington	Connecticut
United States	Charles R. Drew University of Medicine and Science/Matrin Luther King Hospital	Los Angeles	California
United States	University of Southern California Keck School of Medicine / Los Angeles County+University of Southern California Medical Center	Los Angeles	California
United States	Section of Emergency Medicine/Yale University School of Medicine	New Haven	Connecticut
United States	Rhode Island Hospital / Brown University / Department of EM and Injury Prevention Center	Providence	Rhode Island
United States	University of California San Diego Medical Center - Hillcrest	San Diego	California
United States	Howard University/College of Medicine/Department of Pharmacology and Emergency Medicine	Washington	District of Columbia

Sponsors (2)

Lead Sponsor	Collaborator
University of Connecticut Health Center	National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Quantity of drinks per day
Primary	Frequency of drinking days per week
Secondary	Completing alcohol related treatment
Secondary	Reporting negative alcohol related events