ReDIAL: A Telephone Brief Intervention for Injured Emergency Department Patients

ReDIAL：针对急诊科受伤患者的电话简短干预

• 批准号: 8230786
• 负责人: Michael J Mello
• 金额: $ 70.37万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-03-01 至 2015-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8230786
• 关键词: Accident and Emergency department; Accounting; Address; Adoption; Affect; Alcohol abuse; Alcohol consumption; Alcohols; Appointment; Area; Attenuated; Automobile Driving; Back; Behavior; Behavior Therapy; Centers for Disease Control and Prevention (U.S.); Communities; Consent; Control Groups; Coupled; Data; Data Analyses; Distal; Education; Educational Intervention; Effect Modifiers (Epidemiology); Effectiveness; Effectiveness of Interventions; Elements; Emergency Medicine; Equation; Evaluation; Event; Face; Frequencies; Funding; Future; Goals; Guidelines; Health; Health Services Accessibility; Home environment; Hospitals; Impulsivity; Individual; Injury; Intervention; Life; Link; Measurement; Measures; Mediating; Mediation; Mediator of activation protein; Modeling; National Institute on Alcohol Abuse and Alcoholism; Nature; Outcome; Participant; Pathway interactions; Patient Self-Report; Patients; Population; Populations at Risk; Predisposition; Prevalence; Probability; Proxy; Questionnaires; Randomized; Readiness; Recruitment Activity; Relative (related person); Research; Research Design; Resources; Risk; Safety; Screening procedure; Series; Services; Severities; Site; Strategic Planning; Structural Models; System; Target Populations; Telephone; Testing; Time; Treatment Factor; Treatment outcome; Vehicle crash; Visit; Work; active method; alcohol abuse therapy; alcohol intervention; behavior change; brief alcohol intervention; brief intervention; clinical care; cost; cost effective; cost effectiveness; design; direct application; dosage; drinking; driving behavior; experience; high risk drinking; impaired driving performance; improved; injured; intervention effect; longitudinal analysis; motivational enhancement therapy; novel; prevent; programs; psychosocial; screening and brief intervention; success; theories; therapy development; tool; treatment as usual; treatment effect

DESCRIPTION (provided by applicant): The long-term goal of the present program of research is to reduce impaired driving, risky drinking and alcohol- related injuries among injured patients who present in a hospital emergency department (ED). The current proposed project, ReDIAL, will conceptually replicate, strengthen and seek to understand the findings of DIAL (recently completed CDC-funded RCT), which established the acceptability and effectiveness of telephone- delivered brief intervention (TBI) in reducing impaired driving and decreasing the frequency of alcohol-related injuries among injured ED patients with risky alcohol use. ReDIAL primary aims are to: examine the effects of a more intensive telephone BI (added booster session of TBI) on 1) risky alcohol use and alcohol related injuries; 2) impaired driving and other driving related negative consequences; 3) estimate the cost effectiveness of screening plus TBI 4) identify mechanisms of change and the active ingredients of treatment that explain the effect of TBI on proximal and distal outcomes; and 5) identify and assess the effect that patient predispositions have on the relationship between TBI and changes in risky driving and alcohol injuries. This study will recruit injured ED patients who screen positive for risky alcohol use (i.e. exceed NIAAA quanity/frequency guidelines). Eligible patients will be consented in the ED and will receive an appointment for an initial contact call within 1 week. At the initial telephone call the research participant will receive an assessment and then will be randomized into one of two conditions: 1) TBI or 2) a comparison control group with a home safety educational program. Both will be provided over three telephone sessions: the initial call (immediately following randomization) and two booster calls at 2 weeks and 6 weeks after randomization. Participants are assessed for levels of risky alcohol use, alcohol-related injuries, impaired driving, and other driving related negative consequences at 4, 8, and 12 months post-randomization. ReDIAL addresses a focus area in the NIAAA 2008-2013 strategic plan in identifying strategies to enhance screening, brief interventions, and appropriate referrals to additional services and PA-07-066 research objectives: identification and evaluation of mechanisms underlying the actions of behavioral therapies and the development of effective strategies aimed at assisting systems to identify and implement appropriate empirically-supported interventions. With 30 million yearly US ED visits for injuries and the prevalence of risky alcohol use between 20-30% in ED patients, ReDIAL's success in achieving its aims has the potential for TBI to become an accepted part of routine ED clinical care and prevent future injury occurrence.

描述（由申请人提供）：目前的研究计划的长期目标是减少驾驶受损，危险的饮酒和与酒精有关的受伤患者的受伤患者（ED）。当前拟议的项目，Redial，将在概念上重复，加强并寻求了解DIAL的发现（最近完成的CDC资助的RCT），该发现确立了电话交付的短暂干预（TBI）在减少受伤的ED患者中与饮酒风险饮酒的受伤患者中与酒精相关的受伤患者的频率的可接受性和有效性。 REDIAIL主要目的是：检查更密集的电话BI（添加了TBI的助推器会议）对1）风险饮酒和与酒精有关的伤害的影响； 2）驾驶和其他相关的负面后果受损； 3）估计筛查的成本效益加上TBI 4）确定变化的机制以及解释TBI对近端和远端结果的影响的主动成分； 5）确定并评估患者倾向对TBI与风险驾驶和酒精损伤变化之间关系的影响。这项研究将招募受伤的ED患者，这些患者因使用危险的饮酒阳性（即超过NIAAA Quanity/频率指南）。符合条件的患者将在ED中同意，并将在1周内预约初次联系电话。在初始电话中，研究参与者将获得评估，然后将其随机分为两个条件之一：1）TBI或2）与家庭安全教育计划的比较对照组。两者都将在三个电话会议上提供：在随机分组后2周零6周时，初始呼叫（随机进行后立即进行）和两个助推器呼叫。在随机化后4、8和12个月时，评估了参与者的饮酒危险水平，与酒精相关的伤害，驾驶受损以及其他相关的负面后果。 REDIAIL解决了NIAAA 2008-2013中的重点领域，以确定增强筛查，简短的干预措施以及对其他服务的适当推荐以及PA-07-066研究目标的策略计划：识别和评估行为疗法的机制和评估行为疗法的机制，从而在有效的策略中旨在确定和实施适当的系统。每年有3000万美国ED访问受伤的访问以及ED患者20-30％之间的风险饮酒率，Redial在实现其目标方面的成功有可能成为TBI成为常规ED临床护理的公认部分，并防止未来的伤害发生。