ED NASD Alcohol Education Project

ED NASD 酒精教育项目

• 批准号: 6769136
• 负责人: Edward Bernstein Bernstein
• 金额: $ 25.67万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-02-13 至 2006-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6769136
• 关键词: Internet; alcoholism /alcohol abuse; alcoholism /alcohol abuse education; alcoholism /alcohol abuse therapy; allied health personnel; behavior modification; behavioral /social science research tag; computer assisted instruction; computer human interaction; curriculum; education evaluation /planning; educational resource design /development; emergency care; health care personnel; health care personnel education; health care policy; health care referral /consultation; health care service utilization; health services research tag; human subject; managed care; outcomes research; videotape /videodisc; workshop

DESCRIPTION (provided by applicant): Among Americans aged 18 and older, around 5% or 10 million are dependent drinkers, 20% or 40 million are at-risk drinkers, and more than 107,000 alcohol related deaths are reported yearly. Emergency Departments (EDs) offer a concentrated opportunity or "teachable moment" to screen, perform a brief intervention and refer to treatment (SBIRT). A recent controlled trial of ED resident education in SBIRT provides good evidence that ED physicians, with training and institutional support, can use brief motivational intervention with at-risk or dependent drinking. Yet nationwide, ED physicians miss many opportunities for SBIRT. In an ED study using the saliva alcohol test and CAGE to identify patients who would benefit from SBIRT, only one of five patients who screened positive for at risk or dependent drinking was counseled or referred. Factors that contribute to low levels of screening by ED physicians and nurses may include: 1) lack of a knowledge base in addiction (the rationale for treatment); 2) lack of exposure to standardized clinical screening instruments; 3) lack of exposure to and skill in motivational interviewing; and 4) lack of familiarity with referral resources. This ED National Alcohol Screening Day (NASD) Alcohol Education Project is designed to promote the adoption of SBIRT among ED clinicians in accordance with the Healthy People 2010 Objective 26-22, which recommends that ED providers identify and refer patients with alcohol problems. During a one year period from November 2003 to October 2004, we intend to develop a SBIRT curriculum for the ED setting, and use innovative, interactive methods, including video-streaming, to deliver this curriculum and a self-assessment tool to ED providers nationwide via links to the websites for the major professional organizations in Emergency Medicine (the Society for Academic Emergency Medicine, the American College of Emergency Physicians, and the Emergency Nurses Association) and their 47,000 members. In addition, at 13 local sites across the country, we will conduct workshops and a follow-up video-conference in preparation for ED practitioner participation in NASD 2004. In these 13 sites we will recruit and enroll 390 ED physicians, nurses, and physicians' assistants, survey them prior to training about alcohol knowledge, beliefs and practices, train them intensively in SBIRT using ED based case studies, exercises and didactic materials, record their participation in interventions over a two week period beginning with NASD, and then at three months post-NASD re-survey them to assess changes in perceived barriers to SBIRT, and evaluate the impact of education for and participation in NASD events on ED providers' satisfaction with and adoption of SBIRT.

描述（由申请人提供）：在18岁及以上的美国人中，约有5％或1000万是依赖的饮酒者，20％或4000万是危险的饮酒者，每年报告超过107,000次与酒精有关的死亡。急诊科（EDS）提供了集中的机会或“可教的时刻”来筛选，进行简短的干预并参考治疗（SBIRT）。 ED居民在SBIRT中的最新对照试验提供了充分的证据，表明，通过培训和机构支持，ED医生可以使用危险或依赖饮酒的简短动机干预。然而，在全国范围内，ED医生错过了许多SBIRT机会。在一项使用唾液酒精测试和CAGE的ED研究中，咨询或提及了五个因处于危险或依赖饮酒的阳性的患者中，只有一名患者被咨询或提及。导致ED医生和护士筛查较低水平的因素可能包括：1）缺乏成瘾的知识基础（治疗基本原理）； 2）缺乏接触标准化的临床筛查工具； 3）缺乏接触和动机面试的技能； 4）缺乏对推荐资源的熟悉程度。这个ED国家酒精筛查日（NASD）酒精教育项目旨在根据《健康人2010年目标》 26-22促进ED临床医生的采用，该目标建议ED提供者识别和推荐患有酒精问题的患者。在从2003年11月到2004年10月的一年期间，我们打算为ED设置开发一项SBIRT课程，并使用创新的，互动的方法（包括视频流动）（包括视频流动）来提供该课程，并通过在全国范围内通过链接到紧急医学的社会和社会的社会，为社会链接，美国社会的链接，为社会链接，美国社会的链接，为社会链接，美国急诊室，美国急诊室，该学院的链接成员。 In addition, at 13 local sites across the country, we will conduct workshops and a follow-up video-conference in preparation for ED practitioner participation in NASD 2004. In these 13 sites we will recruit and enroll 390 ED physicians, nurses, and physicians' assistants, survey them prior to training about alcohol knowledge, beliefs and practices, train them intensively in SBIRT using ED based case studies, exercises and didactic materials, record their participation in从NASD开始的两周内的干预措施，然后在纳斯德后三个月重新调查，以评估感知的SBIRT障碍的变化，并评估教育对NASD事件对ED提供者对SBIRT的满意和采用的影响。