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）：该项目的目标是通过 ED 实施筛查、简短干预和转诊治疗 (SBIRT) 服务，将初级保健环境中成功的激励性饮酒干预措施转化为急诊科 (ED) 环境临床医生减少 ED 患者的危险饮酒。 该提案的具体目标是资助加州大学圣地亚哥分校 (UCSD) 医疗中心 ED 作为当地站点参与 (1) 全国酒精筛查日 (NASD) ED 酒精教育项目 (R-25)； (2) NASD ED 多中心研究测试了 ED 临床工作人员作为常规护理一部分实施的 SBIRT 的有效性（R-25 和 R-21）。该本地站点提案将与作为 NASD 学术 ED 合作一部分​​而制定的 R-25 和 R-21 提案进行协调和链接。作为本地站点，UCSD 急诊室临床医生将参与 SBIRT 的员工教育，包括本地教育研讨会、基于互联网的培训、视频会议以及与 NASD 相关的其他活动；以及开展提供商调查，评估 SBIRT 与 R-25 项目的采用情况。作为多中心试验的一部分，UCSD ED 将在两个为期两周的时间段内对 500 名患者进行酒精风险或依赖饮酒筛查：在 NASD 之前进行的对照期；在 NASD 之前进行的对照期；以及在 NASD 期间进行的干预期。筛查有饮酒风险或依赖饮酒的患者将在知情同意后参加该研究。控制期患者将收到酒精服务机构的书面转介；干预期患者将收到书面转诊以及临床工作人员根据 NASD 培训进行的简短的面对面干预。后续患者调查将在急诊就诊后 3 个月和 6 个月进行，使用 R-21 站点开发的交互式语音应答 (IVR) 系统来联系登记的患者。加州大学圣地亚哥分校急诊室调查人员将负责对难以接触到的患者进行随访。当地数据和调查结果将提交给 R-25 和 R-21 站点进行分析。