Alcohol Use Disorder Clinical Trial
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
This project focuses on patients in AED. Objectives of this project are:
1. To examine the factors associated with alcohol drinking and alcohol use disorder
2. To examine the effect of face-to-face alcohol brief intervention on drinking reduction
3. To examine the effect of a continuous interactive chat-based intervention via "WhatsApp"
on drinking reduction
4. To explore the perception of face-to-face alcohol brief intervention
5. To explore the perception of continuous interactive chat-based intervention via instant
messaging mobile application "WhatsApp"
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.
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