The Teachable Moment: Screening and Brief Intervention for Admitted Trauma Patients (TM)
|Alcoholism||Behavioral: Quantity Frequency Model Behavioral: Targets Subjective Drunkenness|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Primary Purpose: Prevention
|Official Title:||The Teachable Moment: Screening and Brief Intervention for Admitted Trauma Patients|
- Trauma recidivism after discharge as measured by a review of computerized ED records,NC Trauma database,the Forsyth County EMS registry,NC EMS registry and self-reports at a 6-month telephone follow-up of alcohol-related injuries and changes in alcohol [ Time Frame: 6 months ]
- Patient satisfaction ratings of the BI,the response to the BI as rated by the interviewer,reported citations for driving under the influence(to be obtained from the NC State Department of Motor Vehicles) and 3 surveys of trauma service staff [ Time Frame: 6 months ]
|Study Start Date:||January 2009|
|Study Completion Date:||December 2011|
|Primary Completion Date:||June 2011 (Final data collection date for primary outcome measure)|
Arm number 1 focuses on the traditional quantity frequency model.
Behavioral: Quantity Frequency Model
The quantitative intervention involves emphasis on tracking and measuring the number of drinks on a weekly basis.
Arm number 2 targets subjective drunkenness.
Behavioral: Targets Subjective Drunkenness
Explores factors leading to drunkenness and alternative coping strategies for healthier function.
The goal of this study is to guide further policy development regarding effective alcohol screening by: (a) comparing the effectiveness of two new, shorter screening tools for risky drinking patterns with the longer screening tool in current use; (b) assessing the outcomes of two different brief counseling interventions (BIs) with trauma patients screened to have risky drinking behaviors; and (c) examining the impact of the implementation of this new policy in a Level I Trauma Center.
The Specific Aims will be accomplished by:
- Screening patients who are admitted to the Trauma Center, and conducting BIs for all who screen positive;
- Collecting formative qualitative data regarding participants' perceptions of benefits of drunken states, their individual risks, and perceived healthier alternatives;
- Collecting quantitative data (injury severity score and hospital length of stay) and correlating these data with patient demographics and responses on the different screening methods;
- Collecting follow-up data by telephone on self-reported alcohol use and trauma recidivism, using an interviewer-administered assessment;
- Collecting data on trauma recidivism from ED data, publicly available records, and patient self-report at 6-month telephone follow-up;
- Surveying trauma staff and physicians at three intervals regarding the process of implementing the new ACS policy, any perceived difficulties, and the perceived impact
Please refer to this study by its ClinicalTrials.gov identifier: NCT00865774
|United States, North Carolina|
|Wake Forest University Baptist Medical Center|
|Winston Salem, North Carolina, United States, 27157|
|Principal Investigator:||Mary Claire O'Brien, MD||Wake Forest University Health Sciences|