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Brief Intervention for Alcohol Use Among Injured Patients

The recruitment status of this study is unknown because the information has not been verified recently.
Verified October 2012 by University of California, Davis.
Recruitment status was  Active, not recruiting
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

January 13, 2006
October 26, 2012
March 2006
June 2013   (final data collection date for primary outcome measure)
Hospital re-admissions [ Time Frame: 2 years ] [ Designated as safety issue: No ]
Hospital re-admissions
Complete list of historical versions of study NCT00278785 on ClinicalTrials.gov Archive Site
  • 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 ]
  • 12 month AUDIT Results
  • Moving violations/DUI
  • Self referral for counselling/treatment
Not Provided
Not Provided
 
Brief Intervention for Alcohol Use Among Injured Patients
Brief Intervention for Alcohol Use Among Injured Patients: A Prospective, Randomized Trial

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

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.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Prevention
  • Alcohol Drinking
  • Wounds and Injuries
Behavioral: Brief Motivational Interview
10-20 minute brief motivational interview
Other Names:
  • Brief intervention
  • Motivational interview
  • 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
    Intervention: Behavioral: Brief Motivational Interview

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Active, not recruiting
830
June 2013
June 2013   (final data collection date for primary outcome measure)

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
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00278785
200513815-1, Office of Traffic Safety, Grant Number AL0584
No
Garth Utter, University of California, Davis
University of California, Davis
California Office of Traffic Safety
Principal Investigator: Garth H. Utter, MD, MSc University of California, Davis
University of California, Davis
October 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP