Impact of a Brief Motivational Interview on Drinking Behaviors of At Risk Drinkers Screened in the Emergency Room

UConn Health

Status and phase

Completed

Phase 3

Conditions

Alcohol Abuse

Treatments

Behavioral: Screening and Brief Intervention

Study type

Interventional

Funder types

Other

NIH

Identifiers

NCT00183183

NIH 5R21AA15123-02

NIAAAASE15123

R21AA015123 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

Alcohol abuse is associated with injury, chronic illness, absenteeism from work, and social costs to families and communities. The goal of this project is to translate motivational interventions successful in the primary care setting to the Emergency Department (ED) environment by implementing screening, brief intervention and referral to treatment (SBIRT) in order to reduce at-risk drinking among ED patients.

Full description

To evaluate the effectiveness of SBIRT in the emergency room setting, ED patients meeting NIAAA criteria for high risk drinking were recruited from 14 sites nationwide (control group-Spring, 2004; intervention group-Summer, 2004). 26% of screened ED patients met inclusion criteria. All enrollees received a list of local referral resources. Intervention group patients also participated in a 15 minute negotiated interview and ED staff referred them directly for treatment if indicated. Enrollees completed 3-month follow-up surveys with a telephone Interactive Voice Response (IVR) system. A total of 1137 patients were enrolled across 14 sites (561 intervention, 576 control), with 62% male, 37% Black, and 38% White, and a mean age of 37. At baseline intervention-i and control-c groups were similar in demographic characteristics and number of drinks on a typical day (mean-i 5.00, mean-c 5.12) and maximum drinks on a given day in the past month (mean-i 7.51, mean-c 7.33). The 3 month follow-up rate was 62% (n=687); the 6 month follow-up rate was 52% (n=567). The 12 month follow up is currently underway.

Enrollment

1,137 patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Age 18+
Communication in English or Spanish
Met NIAAA criteria for "at-risk drinking":
- for Men: 15 or more drinks/week, or 5 or more drinks on a single occasion
- for Women: 8 or more drinks/week, or 4 or more drinks on a single occasion
- Age 65 or over: 8 or more drinks/week or more than 1 drink per day