NASD Academic ED Collaborative - UC San Diego

NASD 学术 ED 合作 - 加州大学圣地亚哥分校

• 批准号: 6813800
• 负责人: THEODORE C CHAN
• 金额: $ 3.15万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-04-01 至 2005-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6813800
• 关键词: Internet; alcoholic beverage consumption; alcoholism /alcohol abuse education; alcoholism /alcohol abuse prevention; behavioral /social science research tag; biomedical facility; clinical research; computer assisted instruction; cooperative study; counseling; education evaluation /planning; emergency health services; health care personnel education; health care referral /consultation; health science research support; health services research tag; hospital personnel; human subject; interview; mass screening; questionnaires; telemedicine; videotape /videodisc; workshop

DESCRIPTION (provided by applicant): The goal of this project is to translate motivational alcohol drinking interventions successful in the primary care setting to the Emergency Department (ED) environment by implementing screening, brief intervention, and referral to treatment (SBIRT) services by ED clinicians to reduce at-risk drinking among ED patients. The specific objectives of this proposal is to fund the University of California, San Diego (UCSD) medical center's ED participation as a local site for (1) the National Alcohol Screening Day (NASD) ED alcohol education project (R-25); and (2) the NASD ED multi-center study testing the effectiveness of SBIRT as practiced by ED clinical staff as a part of regular care (R-25 and R-21). This local site proposal will be coordinated and linked with the R-25 and R-21 proposals developed as a part of the NASD Academic ED Collaboration. As a local site, UCSD ED clinicians will participate in staff education on SBIRT including a local educational workshop, internet web-based training, video conferencing, and other activities associated with NASD; as well as conduct provider surveys assessing adoption of SBIRT in conjunction with the R-25 project. As a part of the multi-center trial, the UCSD ED will screen 500 patients for alcohol at-risk or dependent drinking during two 2-week time periods: a control period conducted prior to NASD; and an intervention period conducted during NASD. Patients who screen for at-risk or dependent drinking will be enrolled in the study after informed consent. Control period patients will receive a written referral to alcohol services; intervention period patients will receive the written referral as well as a brief face-to-face intervention by clinical staff based on the NASD training. Follow-up patient surveys will be conducted at 3 and 6 months after the ED visit using an interactive voice response (IVR) system developed by the R-21 site to contact enrolled patients. UCSD ED investigators will be responsible for following up on difficult to reach) patients. Local data and survey results will be submitted to the R-25 and R-21 sites for analysis.

描述（由申请人提供）：该项目的目的是通过实施ED临床医生的筛查，简短的干预和转诊（SBIRT）服务来将激励性饮酒干预措施成功地转化为急诊科环境（ED）环境，以减少ED患者的高危饮酒。 该提案的具体目标是为加利福尼亚大学圣地亚哥分校（UCSD）医学中心的ED参与提供资金，作为（1）国家酒精筛查日（NASD）ED酒精教育项目（R-25）的本地地点； （2）NASD多中心研究测试ED临床人员作为常规护理的一部分（R-25和R-21）实践的SBIRT的有效性。该本地站点建议将与R-25和R-21提案进行协调，并作为NASD Academic Ed合作的一部分开发。作为本地网站，UCSD ED临床医生将参加SBIRT的员工教育，包括本地教育研讨会，基于Internet的基于网络的培训，视频会议以及与NASD相关的其他活动；以及与R-25项目一起评估采用SBIRT的行为提供商调查。作为多中心试验的一部分，UCSD ED将在两个2周的时间段内筛查500例酒精或依赖饮酒患者：NASD之前进行的控制期；以及在NASD期间进行的干预期。在知情同意后，将参加筛查高危或依赖饮酒的患者。控制期患者将获得对酒精服务的书面转诊；干预期患者将根据NASD培训接受书面转诊以及临床人员的简短面对面干预。随访患者调查将在ED访问后3和6个月进行，使用R-21站点开发的交互式语音响应（IVR）系统，以与入学的患者联系。 UCSD ED调查人员将负责跟进难以到达的患者。本地数据和调查结果将提交给R-25和R-21站点进行分析。