Acute Alcohol Intoxication Clinical Trial
Official title:
Evaluation of a Personalized Normative Feedback Repeatedly Delivered Via a Mobile Application After a Brief Therapeutic Intervention on Alcohol-related Risks: a Multi Center Randomized Open Study in Young Adults Admitted to Emergency Room for Acute Alcohol Intoxication (AAI).
BTI (Brief Therapeutic Intervention) motivates individuals admitted to ED (Emergency Department) for acute intoxication to take actions to prevent further alcohol-related issues. The present project aims at underpinning this intervention by actively involving patients in the monitoring of their alcohol-related risk following discharge. While several web-based preventive interventions towards alcohol already exist, the repeated delivering of PNF (Personalized Normative Feedback) using mobile technology after a BTI constitutes a novel approach to reduce alcohol-related harms. Investigators propose to test the effect of a mobile PNF following a BTI delivered by a psychologist during an ED visit for alcohol intoxication. The mobile PNF will be additionally delivered once a month in the 6-months period after discharge, and once every two months in the following 6-month period, via a smartphone application connected to a central server. The study will include 18-26 years old adults, as this population includes most active students and is often lost to follow-up after ED visits; and aims the reduction of heavy drinking occasions, as this issue account for most of alcohol-related ED visits in this population.
The study will begin simultaneously in all the centers, in September, at the beginning of the
university year. When patients will be admitted in the ED for alcohol intoxication, they will
first meet the entry nurse, who will make the orientation as usual. Participants will be
marked as eligible for the study, and a breath test or a blood alcohol test will be
performed. On the following morning, a psychologist will evaluate all potential patients, and
check the inclusion criteria. In case of eligibility, the study procedure will be explained
and the patient and a medical doctor present in the ED will sign an informed consent. The
patient will be included and a baseline assessment will be performed using a web-based
questionnaire implemented on a digital tablet. These inputs will automatically generate an
identification number and a personal dashboard on a centralized server. Individual codes will
be also given to each patient for accessing their personal dashboard on the server from a
home computer. The patient will then be randomized, with stratification on center, sex, and
absence or presence of a daily consumption of cannabis, between the intervention and the
control groups. The psychologist will then perform a brief therapeutic intervention for both
groups. Investigators plan to train all psychologists all together to the brief intervention.
Then a smartphone application will be installed on the patient's smartphone. Follow-up
assessments will be conducted 6 and 12 months after baseline using the same questionnaire,
through the smartphone application or on the server website. The application will recall the
patient by the means of automatic notifications at 6 and 12 months. Data will be push to the
server with the identification number, without any other nominal information. In case
patients do not perform the evaluation one week after the expected date, they will be
contacted by any means (telephone, postal mail, email or SMS with a link to the software) by
a research assistant to recall them to do the evaluation. Participants will be compensated
using gift vouchers for the time lost for the interview.
Experimental group :
A personalized normative feedback using a tablet application will be performed after the BTI
at ED. The application installed on the patient's smartphone will automatically repeat the
PNF, using a local algorithm, once a month over a 6-months period after discharge, and once
every two months in the following 6-month period. It will be also possible to perform the PNF
on the server website.
Control group :
Patients in the control group will receive the BTI at the ED. The application installed on
this group will only realize the evaluation questionnaire.
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