The Teachable Moment: Screening and Brief Intervention for Admitted Trauma Patients

NCT ID: NCT00865774

Last Updated: 2018-08-09

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

COMPLETED

Clinical Phase

NA

Total Enrollment

333 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-31

Study Completion Date

2011-12-31

Brief Summary

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The American College of Surgeons now requires screening for alcohol use in trauma centers. The purpose of this research study is to provide information about the best screening and treatment methods. The investigators hope the findings will provide information that will improve healthcare by reducing problems related to risky alcohol use. The trauma team is conducting a comparison of two different ways of talking about alcohol use. Participants will be randomized into one of the two study groups.

Detailed Description

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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:

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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Alcoholism

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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1

Arm number 1 focuses on the traditional quantity frequency model.

Group Type EXPERIMENTAL

Quantity Frequency Model

Intervention Type BEHAVIORAL

The quantitative intervention involves emphasis on tracking and measuring the number of drinks on a weekly basis.

2

Arm number 2 targets subjective drunkenness.

Group Type EXPERIMENTAL

Targets Subjective Drunkenness

Intervention Type BEHAVIORAL

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.

Intervention Type BEHAVIORAL

Targets Subjective Drunkenness

Explores factors leading to drunkenness and alternative coping strategies for healthier function.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Inpatient on trauma service
* 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 unable or unwilling to provide informed consent
* 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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Robert Wood Johnson Foundation

OTHER

Sponsor Role collaborator

Wake Forest University Health Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

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

Site Status

Countries

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United States

References

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Reference Type BACKGROUND

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Other Identifiers

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IRB00006734

Identifier Type: -

Identifier Source: org_study_id

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