Enhanced Motivational Interviewing With Alcohol Positive Trauma Patients

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-05-31

Study Completion Date

2011-04-30

Brief Summary

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The primary goal of this study is to test the efficacy of a brief intervention that includes the patient and a significant other, relative to an intervention including the patient only, for reducing alcohol use and alcohol-related problems among trauma patients.

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Detailed Description

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Alcohol-positive trauma patients are more likely to be readmitted to a trauma center or subsequently die from an injury than are alcohol-negative patients. Empirically supported treatments to reduce alcohol use and alcohol-related problems (e.g., injuries, drinking and driving) in this high-risk population are needed, but few exist. This randomized controlled clinical trial assesses the efficacy of a brief intervention that includes the patient and a significant other, relative to an intervention including the patient only, for reducing alcohol use and alcohol-related problems among trauma patients.

Motivational Interviewing (MI), a brief, directive, non-confrontational intervention, has demonstrated some promise in this setting. Further, inclusion of a significant other (SO) in prolonged, intensive alcohol treatment appears to improve treatment retention and efficacy. Although inclusion of an SO in MI has been suggested, there are few data to support this endorsement.

Accordingly, this study will address whether motivational interviewing including both the trauma patient and an SO can more effectively decrease and maintain reductions in alcohol use and alcohol-related problems 6 and 12 months following discharge from the trauma unit than MI with the individual patient or an assessment-only condition.

The 2 MI groups will each receive 2 intervention sessions timed to occur in the hospital, and 1 booster session, occurring 1 month following discharge.

In the assessment-only condition, patients will receive only assessment of their drinking at baseline. This proposal will allow us to address the next phase of our program of research designed to develop easily disseminable treatments for these high-risk populations in medical settings. This study will also address potential mediators (motivation to change alcohol use, self-efficacy, alcohol treatment attendance, and social support for abstinence) and moderators of MI effects. The cost-effectiveness of the intervention will also be addressed.

Thus, this study will address both a significant public health problem and provide important information about MI mechanisms that may be relevant to the broader addiction treatment community.

Conditions

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Alcohol Abuse Alcohol Dependence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1) MI with SO

Motivational Interviewing (MI), a brief, directive, non-confrontational intervention, with inclusion of a significant other (SO) in prolonged, intensive alcohol treatment.

Group Type ACTIVE_COMPARATOR

Motivational Interview

Intervention Type BEHAVIORAL

Two intervention sessions timed to occur in the hospital, and 1 booster session, occurring 1 month following discharge.

2) MI with patient only

Motivational Interviewing (MI), a brief, directive, non-confrontational intervention, with the individual patient

Group Type ACTIVE_COMPARATOR

Motivational Interview

Intervention Type BEHAVIORAL

Two intervention sessions timed to occur in the hospital, and 1 booster session, occurring 1 month following discharge.

3) Assessment only

In the assessment-only condition, patients will receive only assessment of their drinking at baseline.

Group Type ACTIVE_COMPARATOR

Assessment

Intervention Type BEHAVIORAL

In the assessment-only condition, patients will receive only assessment of their drinking at baseline.

Interventions

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Motivational Interview

Two intervention sessions timed to occur in the hospital, and 1 booster session, occurring 1 month following discharge.

Intervention Type BEHAVIORAL

Assessment

In the assessment-only condition, patients will receive only assessment of their drinking at baseline.

Intervention Type BEHAVIORAL

Motivational Interview

Two intervention sessions timed to occur in the hospital, and 1 booster session, occurring 1 month following discharge.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* admitted to trauma unit
* greater than 18 years old
* had a blood alcohol concentration (BAC) greater than .01% according to a biochemical test OR self-reported drinking alcohol in the 6 hours prior to the event that caused their hospital visit OR scored 8 or higher on the Alcohol Use Disorders Identification Test (AUDIT)
* identify at least one eligible significant other