Trial Outcomes & Findings for Disseminating Organizational SBI Services at Trauma Centers (NCT NCT00607620)

NCT ID: NCT00607620

Last Updated: 2018-03-07

Results Overview

The investigators will use the Alcohol Use Disorders Identification Test (AUDIT) as a dichotomous measure. AUDIT Scores of ≥8 for men and ≥5 for women indicate hazardous drinking.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

878 participants

Primary outcome timeframe

The investigators will assess at baseline, 6-month and 12-month.

Results posted on

2018-03-07

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention
Providers receive training in alcohol screening and brief interventions from study staff in compliance with American College of Surgeons' Alcohol Screening and Brief Intervention Mandate Brief Intervention: Training in brief interventions for alcohol use disorders, with a focus on motivational interviewing
Usual Care
Usual care for alcohol use problems after American College of Surgeons' Alcohol Screening and Brief Intervention Mandate
Overall Study
STARTED
409
469
Overall Study
COMPLETED
409
469
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Disseminating Organizational SBI Services at Trauma Centers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention
n=409 Participants
Providers receive training in alcohol screening and brief interventions from study staff in compliance with American College of Surgeons' Alcohol Screening and Brief Intervention Mandate Brief Intervention: Training in brief interventions for alcohol use disorders, with a focus on motivational interviewing
Usual Care
n=469 Participants
Usual care for alcohol use problems after American College of Surgeons' Alcohol Screening and Brief Intervention Mandate
Total
n=878 Participants
Total of all reporting groups
Age, Continuous
37.4 years
STANDARD_DEVIATION 14.7 • n=5 Participants
36.4 years
STANDARD_DEVIATION 14.0 • n=7 Participants
36.9 years
STANDARD_DEVIATION 14.3 • n=5 Participants
Sex: Female, Male
Female
105 Participants
n=5 Participants
103 Participants
n=7 Participants
208 Participants
n=5 Participants
Sex: Female, Male
Male
304 Participants
n=5 Participants
366 Participants
n=7 Participants
670 Participants
n=5 Participants
Race/Ethnicity, Customized
Baseline · White
253 Participants
n=5 Participants
292 Participants
n=7 Participants
545 Participants
n=5 Participants
Race/Ethnicity, Customized
Baseline · Black or African American
62 Participants
n=5 Participants
63 Participants
n=7 Participants
125 Participants
n=5 Participants
Race/Ethnicity, Customized
Baseline · American Indian or Alaska Native
25 Participants
n=5 Participants
13 Participants
n=7 Participants
38 Participants
n=5 Participants
Race/Ethnicity, Customized
Baseline · Asian
8 Participants
n=5 Participants
6 Participants
n=7 Participants
14 Participants
n=5 Participants
Race/Ethnicity, Customized
Baseline · Hispanic
61 Participants
n=5 Participants
95 Participants
n=7 Participants
156 Participants
n=5 Participants

PRIMARY outcome

Timeframe: The investigators will assess at baseline, 6-month and 12-month.

Population: Overall number of participants analyzed differs from the number of participants analyzed in Month 6 and Month 12 due to lost to follow-up

The investigators will use the Alcohol Use Disorders Identification Test (AUDIT) as a dichotomous measure. AUDIT Scores of ≥8 for men and ≥5 for women indicate hazardous drinking.

Outcome measures

Outcome measures
Measure
Intervention
n=409 Participants
Providers receive training in alcohol screening and brief interventions from study staff in compliance with American College of Surgeons' Alcohol Screening and Brief Intervention Mandate Brief Intervention: Training in brief interventions for alcohol use disorders, with a focus on motivational interviewing
Usual Care
n=469 Participants
Usual care for alcohol use problems after American College of Surgeons' Alcohol Screening and Brief Intervention Mandate
Number of Participants With Hazardous Drinking
Baseline
292 Participants
309 Participants
Number of Participants With Hazardous Drinking
Month 6
201 Participants
223 Participants
Number of Participants With Hazardous Drinking
Month 12
166 Participants
198 Participants

PRIMARY outcome

Timeframe: The investigators will assess at baseline, 6-month and 12-month.

Population: Overall number of participants analyzed differs from the number of participants analyzed in Month 6 and Month 12 due to lost to follow-up

The investigators will use the Alcohol Use Disorders Identification Test (AUDIT) as a continuous measure. The 10-item scale score ranges from 0-40, with higher values indicating a worse outcome.

Outcome measures

Outcome measures
Measure
Intervention
n=409 Participants
Providers receive training in alcohol screening and brief interventions from study staff in compliance with American College of Surgeons' Alcohol Screening and Brief Intervention Mandate Brief Intervention: Training in brief interventions for alcohol use disorders, with a focus on motivational interviewing
Usual Care
n=469 Participants
Usual care for alcohol use problems after American College of Surgeons' Alcohol Screening and Brief Intervention Mandate
Alcohol Use Problems
Baseline
10.5 units on a scale
Standard Deviation 5.1
9.7 units on a scale
Standard Deviation 4.9
Alcohol Use Problems
Month 6
8.8 units on a scale
Standard Deviation 6.3
8.5 units on a scale
Standard Deviation 6.5
Alcohol Use Problems
Month 12
8.2 units on a scale
Standard Deviation 6.1
8.5 units on a scale
Standard Deviation 6.3

SECONDARY outcome

Timeframe: The investigators will assess at 6- and 12-month.

Population: Overall number of participants analyzed differs from the number of participants analyzed in Month 6 and Month 12 due to lost to follow-up

The investigators will use the Form 90 to assess the number of days within the last 90 days in which a patient did not consume alcohol.

Outcome measures

Outcome measures
Measure
Intervention
n=409 Participants
Providers receive training in alcohol screening and brief interventions from study staff in compliance with American College of Surgeons' Alcohol Screening and Brief Intervention Mandate Brief Intervention: Training in brief interventions for alcohol use disorders, with a focus on motivational interviewing
Usual Care
n=469 Participants
Usual care for alcohol use problems after American College of Surgeons' Alcohol Screening and Brief Intervention Mandate
Number of Abstinent Days
Month 6
74.2 days
Standard Error 1.35
73.4 days
Standard Error 1.25
Number of Abstinent Days
Month 12
75.5 days
Standard Error 1.37
71.3 days
Standard Error 1.27

SECONDARY outcome

Timeframe: The investigators will assess at 6-month and 12-month.

Population: Overall number of participants analyzed differs from the number of participants analyzed in Month 6 and Month 12 due to lost to follow-up

The investigators will use the Form 90 to assess the number of days in which a male participants consumed ≥5 alcoholic drinks and female participants consumed ≥4 alcoholic drinks

Outcome measures

Outcome measures
Measure
Intervention
n=409 Participants
Providers receive training in alcohol screening and brief interventions from study staff in compliance with American College of Surgeons' Alcohol Screening and Brief Intervention Mandate Brief Intervention: Training in brief interventions for alcohol use disorders, with a focus on motivational interviewing
Usual Care
n=469 Participants
Usual care for alcohol use problems after American College of Surgeons' Alcohol Screening and Brief Intervention Mandate
Number of Binge Drinking Days
Month 6
9.4 days
Standard Error 1.14
10.6 days
Standard Error 1.13
Number of Binge Drinking Days
Month 12
9.4 days
Standard Error 1.16
11.4 days
Standard Error 1.10

SECONDARY outcome

Timeframe: The investigators will assess at 6-month and 12-month.

Population: Overall number of participants analyzed differs from the number of participants analyzed in Month 6 and Month 12 due to lost to follow-up

The investigators will use the Short Inventory of Problems (SIP) as a continuous measure. The 16-item scale score ranges from 0-48 with higher scores indicating worse outcomes.

Outcome measures

Outcome measures
Measure
Intervention
n=409 Participants
Providers receive training in alcohol screening and brief interventions from study staff in compliance with American College of Surgeons' Alcohol Screening and Brief Intervention Mandate Brief Intervention: Training in brief interventions for alcohol use disorders, with a focus on motivational interviewing
Usual Care
n=469 Participants
Usual care for alcohol use problems after American College of Surgeons' Alcohol Screening and Brief Intervention Mandate
Alcohol Use Problems
Month 6
3.3 units on a scale
Standard Error 0.42
3.38 units on a scale
Standard Error 0.39
Alcohol Use Problems
Month 12
2.99 units on a scale
Standard Error 0.43
3.08 units on a scale
Standard Error 0.41

Adverse Events

Intervention

Serious events: 1 serious events
Other events: 62 other events
Deaths: 10 deaths

Usual Care

Serious events: 1 serious events
Other events: 65 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
Intervention
n=409 participants at risk
Providers receive training in alcohol screening and brief interventions from study staff in compliance with American College of Surgeons' Alcohol Screening and Brief Intervention Mandate Brief Intervention: Training in brief interventions for alcohol use disorders, with a focus on motivational interviewing
Usual Care
n=469 participants at risk
Usual care for alcohol use problems after American College of Surgeons' Alcohol Screening and Brief Intervention Mandate
Psychiatric disorders
Suicide Attempt
0.24%
1/409 • 1 year
0.21%
1/469 • 1 year

Other adverse events

Other adverse events
Measure
Intervention
n=409 participants at risk
Providers receive training in alcohol screening and brief interventions from study staff in compliance with American College of Surgeons' Alcohol Screening and Brief Intervention Mandate Brief Intervention: Training in brief interventions for alcohol use disorders, with a focus on motivational interviewing
Usual Care
n=469 participants at risk
Usual care for alcohol use problems after American College of Surgeons' Alcohol Screening and Brief Intervention Mandate
Psychiatric disorders
Patient Health Questionnaire (PHQ-9) Score of >0
15.2%
62/409 • 1 year
13.9%
65/469 • 1 year

Additional Information

Douglas Zatzick, MD

University of Washington

Phone: 206-744-6701

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place