Brief Intervention for Alcohol Use Among Injured Patients

This study is ongoing, but not recruiting participants.
Sponsor:
Collaborator:
California Office of Traffic Safety
Information provided by (Responsible Party):
Garth Utter, University of California, Davis
ClinicalTrials.gov Identifier:
NCT00278785
First received: January 13, 2006
Last updated: October 26, 2012
Last verified: October 2012
  Purpose

The underlying hypothesis that providing brief interventions to individuals who engage in potentially harmful patterns of alcohol use will alter their drinking behavior and therefore avoid negative consequences. Specifically, this study aims to determine if brief interventions will:

  1. Reduce the number of re-admissions and deaths due to injuries associated with alcohol consumption
  2. Reduce the number of driving under the influence (DUI) arrests
  3. Reduce harmful drinking behavior

Condition Intervention
Alcohol Drinking
Wounds and Injuries
Behavioral: Brief Motivational Interview

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Brief Intervention for Alcohol Use Among Injured Patients: A Prospective, Randomized Trial

Resource links provided by NLM:


Further study details as provided by University of California, Davis:

Primary Outcome Measures:
  • Hospital re-admissions [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • 12 month AUDIT Results [ Time Frame: 12 months ] [ Designated as safety issue: No ]
  • Moving violations/DUI [ Time Frame: 2 years ] [ Designated as safety issue: No ]
  • Self referral for counselling/treatment [ Time Frame: 12 months ] [ Designated as safety issue: No ]

Enrollment: 830
Study Start Date: March 2006
Estimated Study Completion Date: June 2013
Estimated Primary Completion Date: June 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: 1
Control group to receive informational pamphlet on alcohol use and list of self referral agencies
Experimental: 2
Intervention group receives pamphlet on alcohol and self referral information in addition to brief motivational interview
Behavioral: Brief Motivational Interview
10-20 minute brief motivational interview
Other Names:
  • Brief intervention
  • Motivational interview

Detailed Description:

Alcohol use is the most common underlying cause of injuries in the United States. There is a growing body of literature suggesting that brief interventions (BI), in the form of a short (10-60 minute) counseling session, may decrease alcohol consumption and its harmful consequences. In contrast to the abundant literature on the effectiveness of BI in the outpatient setting, only 3 randomized controlled trials have been performed an adults specifically in the setting of acute trauma, and have had inconclusive results. All three studies used highly trained persons to perform the BI, and all were greater than 30 minutes in duration, a situation that may not necessarily reflect the practicalities of routine medical care. This raises the question of whether the benefits seen in these studies reflect the expertise of a small number of individuals or whether the effects correlate with the amount of time spent with the patient. Highly trained personnel and time are valuable commodities in a busy trauma center and may not be feasible given the competing clinical demands. We propose to investigate whether BI are effective in a setting that is more likely to reflect "real world" of clinical medicine rather than an idealized setting, utilizing trauma nurse practitioners to perform brief (5-10 minute) interviews.

We will identify all patients admitted with trauma who test positive on a blood alcohol test. These patients will be consented and randomized to either a brief intervention group, or a standard medical care group. All patients will receive an AUDIT questionnaire to identify patterns of drinking behavior and an alcohol information pamphlet. After discharge, patients will be telephoned at 1,6, and 12 months. The first 2 contacts will be to see how the patient is doing and to verify the contact information. The AUDIT questionnaire will be re-administered during the 12 month interview.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • >=18 yrs old
  • English or Spanish Speaking
  • Mentally and physically able to provide consent and participate in the intervention
  • Admission to the trauma ward or ICU

Exclusion Criteria:

  • <18 yrs old
  • Non-English or Non-Spanish Speaking
  • Severe Psychiatric illness
  • incarcerated
  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: NCT00278785

Locations
United States, California
University of California, Davis, Medical Center
Sacramento, California, United States, 95817
Sponsors and Collaborators
University of California, Davis
California Office of Traffic Safety
Investigators
Principal Investigator: Garth H. Utter, MD, MSc University of California, Davis
  More Information

Publications:

Responsible Party: Garth Utter, Associate Professor, University of California, Davis
ClinicalTrials.gov Identifier: NCT00278785     History of Changes
Other Study ID Numbers: 200513815-1, Office of Traffic Safety, Grant Number AL0584
Study First Received: January 13, 2006
Last Updated: October 26, 2012
Health Authority: United States: Institutional Review Board

Keywords provided by University of California, Davis:
interviews
brief intervention
drinking
alcohol
injuries
wounds
intervention studies

Additional relevant MeSH terms:
Alcohol Drinking
Wounds and Injuries
Drinking Behavior
Ethanol
Anti-Infective Agents, Local
Anti-Infective Agents
Therapeutic Uses
Pharmacologic Actions
Central Nervous System Depressants
Physiological Effects of Drugs
Central Nervous System Agents

ClinicalTrials.gov processed this record on September 16, 2014