Automated Bilingual Computerized Alcohol Screening and Intervention in Latinos (AB-CASI)

Yale University

Status

Completed

Conditions

Alcohol Dependence

Treatments

Behavioral: Brief Negotiated Interview

Behavioral: Computerized Alcohol Screening

Study type

Interventional

Funder types

Other

NIH

Identifiers

NCT02247388

1211011052

R01AA022083-01A1 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

To study the efficacy of AB-CASI against standard of care in a randomized controlled trial in the Emergency Department.

Full description

The research team will rigorously test the efficacy of AB-CASI, against a standard condition (SC) in a first-of-a-kind ED randomized controlled trial. Studying an urban adult (≥ 18 y/o) Latino ED population, the objectives are to demonstrate the superiority of AB-CASI compared to SC in: 1) reduction of alcohol consumption (Aims 1), 2) reduction of negative health behaviors and consequences (Aim 2), and 3) increasing 30-day treatment engagement (Aim 3). The investigators will also explore variation of the AB-CASI intervention on alcohol consumption, alcohol-related negative health behaviors and consequences, and 30-day treatment engagement by Latino subpopulations (Puerto-Rican, Mexican-American, Cuban-American, South/Central American) as well as other potential modifiers (age, birthplace, gender, preferred language, reason for ED visit, and smoking status). English and Spanish speaking Latino adults presenting to the Bridgeport Hospital ED will be screened using the study inclusion and exclusion criteria.

In March 2020, the primary and secondary outcomes were corrected to reflect the protocol as it was written initially. The citations section of this study registration also includes the citation for the published protocol manuscript.

Enrollment

840 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

English and Spanish speaking adult
≥ 18 y/o
Latino patients who present to the Bridgeport Hospital's ED
Drink over the NIAAA low-risk limits.

Exclusion criteria

Primary language other than English or Spanish
Current enrollment in an alcohol or substance abuse treatment program
Current ED visit for acute psychosis
Condition that precludes interview or AB-CASI use i.e., life threatening injury/illness
In police custody
Inability to provide two contact numbers for follow-up