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

This study has been completed.
Sponsor:
Collaborator:
Information provided by:
University of Connecticut Health Center
ClinicalTrials.gov Identifier:
NCT00183183
First received: September 12, 2005
Last updated: May 21, 2010
Last verified: May 2010
  Purpose

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.


Condition Intervention Phase
Alcohol Abuse
Behavioral: Screening and Brief Intervention
Phase 3

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Single Blind (Investigator)
Primary Purpose: Treatment
Official Title: Alcohol Screening and Brief Intervention in the Emergency Department

Further study details as provided by University of Connecticut Health Center:

Primary Outcome Measures:
  • Quantity of drinks per day
  • Frequency of drinking days per week

Secondary Outcome Measures:
  • Completing alcohol related treatment
  • Reporting negative alcohol related events

Enrollment: 1137
Study Start Date: April 2004
Study Completion Date: December 2005
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

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
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
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00183183

Locations
United States, California
University of Southern California Keck School of Medicine / Los Angeles County+University of Southern California Medical Center
Los Angeles, California, United States
Charles R. Drew University of Medicine and Science/Matrin Luther King Hospital
Los Angeles, California, United States
University of California San Diego Medical Center - Hillcrest
San Diego, California, United States, 92103
United States, Colorado
University of Denver/Denver Health Medical Center
Denver, Colorado, United States
United States, Connecticut
University of Connecticut Health Center
Farmington, Connecticut, United States, 06030
Section of Emergency Medicine/Yale University School of Medicine
New Haven, Connecticut, United States
United States, District of Columbia
Howard University/College of Medicine/Department of Pharmacology and Emergency Medicine
Washington, District of Columbia, United States
United States, Georgia
Department of Emergency Medicine Emory University School of Medicine / Emergency Care Center of the Grady Memorial Hospital
Atlanta, Georgia, United States
United States, Massachusetts
Boston University Medical Center
Boston, Massachusetts, United States
Tufts-New England Medical Center Hospital/Tufts University
Boston, Massachusetts, United States
United States, Michigan
University of Michigan Hospital and Health System / Department of Emergency Medicine
Ann Arbor, Michigan, United States, 48109
United States, New Jersey
Cooper Health/Department of Emergency Medicine at UMNDJ-RWJMS
Camden, New Jersey, United States
United States, New Mexico
The University of New Mexico Hospital/Health Sciences Center
Albuquerque, New Mexico, United States
United States, Rhode Island
Rhode Island Hospital / Brown University / Department of EM and Injury Prevention Center
Providence, Rhode Island, United States
United States, Virginia
University of Virginia Health System, University Hospital
Charlottesville, Virginia, United States
Sponsors and Collaborators
University of Connecticut Health Center
Investigators
Principal Investigator: Edward Bernstein, MD Boston University
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT00183183     History of Changes
Other Study ID Numbers: NIAAAASE15123, R21AA015123, NIH 5R21AA15123-02
Study First Received: September 12, 2005
Last Updated: May 21, 2010
Health Authority: United States: Federal Government

Keywords provided by University of Connecticut Health Center:
Alcohol Abuse
Harm Reduction
Motivational Interviewing
Emergency Department
Risky Drinking
Prevention

Additional relevant MeSH terms:
Emergencies
Alcoholism
Disease Attributes
Pathologic Processes
Alcohol-Related Disorders
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders

ClinicalTrials.gov processed this record on August 20, 2014