The Teachable Moment: Screening and Brief Intervention for Admitted Trauma Patients
NCT ID: NCT00865774
Last Updated: 2018-08-09
Study Results
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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COMPLETED
NA
333 participants
INTERVENTIONAL
2009-01-31
2011-12-31
Brief Summary
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Detailed Description
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The Specific Aims will be accomplished by:
1. Screening patients who are admitted to the Trauma Center, and conducting BIs for all who screen positive;
2. Collecting formative qualitative data regarding participants' perceptions of benefits of drunken states, their individual risks, and perceived healthier alternatives;
3. 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;
4. Collecting follow-up data by telephone on self-reported alcohol use and trauma recidivism, using an interviewer-administered assessment;
5. Collecting data on trauma recidivism from ED data, publicly available records, and patient self-report at 6-month telephone follow-up;
6. Surveying trauma staff and physicians at three intervals regarding the process of implementing the new ACS policy, any perceived difficulties, and the perceived impact
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
SINGLE
Study Groups
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1
Arm number 1 focuses on the traditional quantity frequency model.
Quantity Frequency Model
The quantitative intervention involves emphasis on tracking and measuring the number of drinks on a weekly basis.
2
Arm number 2 targets subjective drunkenness.
Targets Subjective Drunkenness
Explores factors leading to drunkenness and alternative coping strategies for healthier function.
Interventions
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Quantity Frequency Model
The quantitative intervention involves emphasis on tracking and measuring the number of drinks on a weekly basis.
Targets Subjective Drunkenness
Explores factors leading to drunkenness and alternative coping strategies for healthier function.
Eligibility Criteria
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Inclusion Criteria
* 18 years or older
* Speaks either English or Spanish
One or more of the following:
* Patient answered yes to either admission screening question
* Patient has a positive BAL of less than or equal to 79 and also has a positive Audit score (men greater than or equal to 8; women greater than or equal to 4)
* Patient has a BAL of 80 or higher
* patient has no record of a BAL on file and they have a positive Audit score
Exclusion Criteria
* Patient refusal contact at six months
* Patient has a positive BAL of less than or equal to 79 and negative AUDIT score
* Patient deemed unable to complete a BI
18 Years
ALL
No
Sponsors
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Robert Wood Johnson Foundation
OTHER
Wake Forest University Health Sciences
OTHER
Responsible Party
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Principal Investigators
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Mary Claire O'Brien, MD
Role: PRINCIPAL_INVESTIGATOR
Wake Forest University Health Sciences
Locations
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Wake Forest University Baptist Medical Center
Winston-Salem, North Carolina, United States
Countries
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References
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Cunningham RM, Maio RF, Hill EM, Zink BJ. The effects of alcohol on head injury in the motor vehicle crash victim. Alcohol Alcohol. 2002 May-Jun;37(3):236-40. doi: 10.1093/alcalc/37.3.236.
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Crawford MJ, Patton R, Touquet R, Drummond C, Byford S, Barrett B, Reece B, Brown A, Henry JA. Screening and referral for brief intervention of alcohol-misusing patients in an emergency department: a pragmatic randomised controlled trial. Lancet. 2004 Oct 9-15;364(9442):1334-9. doi: 10.1016/S0140-6736(04)17190-0.
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Anderson JA, Coscia RL, Cryer HG, et al. Injury does not occur by accident. Resources for the optimal care of the injured patient 2006. Chicago, IL: 2006. p. 115-20.
McDonald AJ 3rd, Wang N, Camargo CA Jr. US emergency department visits for alcohol-related diseases and injuries between 1992 and 2000. Arch Intern Med. 2004 Mar 8;164(5):531-7. doi: 10.1001/archinte.164.5.531.
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Sims DW, Bivins BA, Obeid FN, Horst HM, Sorensen VJ, Fath JJ. Urban trauma: a chronic recurrent disease. J Trauma. 1989 Jul;29(7):940-6; discussion 946-7.
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Other Identifiers
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IRB00006734
Identifier Type: -
Identifier Source: org_study_id
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