Brief Intervention for Alcohol Use Among Injured Patients

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00278785
Recruitment Status : Active, not recruiting
First Posted : January 18, 2006
Last Update Posted : February 13, 2018
California Office of Traffic Safety
Information provided by (Responsible Party):
University of California, Davis

Brief Summary:

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 or disease Intervention/treatment Phase
Alcohol Drinking Wounds and Injuries Behavioral: Brief Motivational Interview Not Applicable

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.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 830 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Brief Intervention for Alcohol Use Among Injured Patients: A Prospective, Randomized Trial
Study Start Date : March 2006
Estimated Primary Completion Date : January 24, 2027
Estimated Study Completion Date : January 24, 2027

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Alcohol

Arm Intervention/treatment
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

Primary Outcome Measures :
  1. Hospital re-admissions [ Time Frame: 2 years ]
    number of hospital re-admissions

Secondary Outcome Measures :
  1. 12 month AUDIT Results [ Time Frame: 12 months ]
    Score on self administered questionnaire

  2. Moving violations/DUI [ Time Frame: 2 years ]
    number of moving violations/DUI

  3. Self referral for counselling/treatment [ Time Frame: 12 months ]
    number of self referrals for counseling/treatment

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00278785

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
Principal Investigator: Garth H. Utter, MD, MSc University of California, Davis


Responsible Party: University of California, Davis Identifier: NCT00278785     History of Changes
Other Study ID Numbers: 237217
Office of Traffic Safety ( Other Identifier: UC Davis )
Grant Number AL0584 ( Other Grant/Funding Number: UC Davis )
First Posted: January 18, 2006    Key Record Dates
Last Update Posted: February 13, 2018
Last Verified: February 2018

Keywords provided by University of California, Davis:
brief intervention
intervention studies

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