Nat'l Alcohol Screening Day Emergency Department Study

全国酒精筛查日急诊室研究

• 批准号: 6813317
• 负责人: Ronald Maio
• 金额: $ 3.83万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-03-22 至 2005-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6813317
• 关键词: alcoholic beverage consumption; alcoholism /alcohol abuse education; alcoholism /alcohol abuse prevention; behavioral /social science research tag; biomedical facility; clinical research; 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

DESCRIPTION (provided by applicant): Among U.S. adults, there are approximately 10 million dependent drinkers and 40 million at-risk drinkers. As many as 30% of the 100 million patient-visits to Emergency Departments (EDs) each year present with alcohol-related problems [20, 21]. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) has designated April 10, 2004 as National Alcohol Screening Day (NASD), with the goal of NASD being to empower participants to reassess and change their drinking patterns to safeguard their health, and to get further evaluation and treatment. This proposal seeks to determine if the adoption of screening, brief intervention and referral to treatment for alcohol abuse (SBIRT) among ED providers will decrease at-risk drinking behavior at three and six month follow-ups. Coupled with the NASD ED Alcohol Education proposal (R25) for training ED physicians in the use of SBIRT, a before/after design will be used to determine the effectiveness of physician/nurse/physician assistant brief intervention for alcohol problems among ED patients. Using NIAAA quantity, frequency and maximum use (binge) criteria, we propose to screen at least 500 ED patients during two consecutive two-week periods. Patients screening positive (based on the NIAAA quantity, frequency and maximum use (binge) drinking criteria) will be asked to participate in follow-up. During the control period prior to NASD, ED patients screening positive will receive no intervention, only a printed handout of alcohol treatment resources. In the second or intervention period, ED patients screening positive will receive a list of alcohol treatment resources, a brief motivational intervention to reduce hazardous or dependent drinking and a referral to alcohol treatment resources. All patients will be followed and re-assessed at three and six months using a centrally managed interactive telephone interview. The main outcome measure will be self-reported alcohol using the NIAAA quantity, frequency and maximum use (binge) drinking criteria. Data analysis will be performed at the data-coordinating center. This proposal is designed to complement a proposal for NASD ED Alcohol Education, which will provide training resources for this project. This project is designed to increase provider awareness of NASD and increase the use of SBIRT within the ED. This proposal is designed to complement a proposal for NASD ED Alcohol Education, which will provide training resources for this project. This project is designed to increase provider awareness of NASD and increase the use of SBIRT.

描述（由申请人提供）：在美国成年人中，大约有 1000 万依赖饮酒者和 4000 万高危饮酒者。每年急诊科 (ED) 就诊的 1 亿名患者中，多达 30% 存在与酒精相关的问题 [20, 21]。美国国家酒精滥用和酒精中毒研究所 (NIAAA) 指定 2004 年 4 月 10 日为国家酒精筛查日 (NASD)，NASD 的目标是让参与者能够重新评估和改变他们的饮酒模式，以保护他们的健康，并获得进一步评估和治疗。该提案旨在确定 ED 提供者采用筛查、简短干预和转诊酒精滥用治疗 (SBIRT) 是否会在三个月和六个月的随访中减少危险饮酒行为。结合用于培训 ED 医生使用 SBIRT 的 NASD ED 酒精教育提案 (R25)，将使用前后设计来确定医生/护士/医生助理对 ED 患者酒精问题进行简短干预的有效性。使用 NIAAA 数量、频率和最大使用（暴食）标准，我们建议在连续两周的时间内对至少 500 名 ED 患者进行筛查。筛查呈阳性的患者（基于 NIAAA 数量、频率和最大使用量（暴饮）饮酒标准）将被要求参与随访。 在 NASD 之前的控制期内，筛查呈阳性的 ED 患者将不会接受任何干预，只接受酒精治疗资源的印刷版讲义。在第二阶段或干预阶段，筛查呈阳性的 ED 患者将收到一份酒精治疗资源清单、一项旨在减少危险或依赖性饮酒的简短动机干预以及转介至酒精治疗资源。所有患者都将通过集中管理的交互式电话访谈在三个月和六个月后进行跟踪和重新评估。主要结果指标是使用 NIAAA 数量、频率和最大饮酒量（暴饮暴食）标准自我报告的饮酒情况。数据分析将在数据协调中心进行。该提案旨在补充 NASD ED 酒精教育提案，该提案将为该项目提供培训资源。该项目旨在提高提供商对 NASD 的认识并增加 SBIRT 在 ED 中的使用。该提案旨在补充 NASD ED 酒精教育提案，该提案将为该项目提供培训资源。该项目旨在提高提供商对 NASD 的认识并增加 SBIRT 的使用。