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，大约 5%（即 1000 万）是依赖饮酒者，20%（即 4000 万）是高危饮酒者，每年报告的与酒精相关的死亡人数超过 107,000 例。急诊科 (ED) 提供集中的机会或“教学时刻”来进行筛查、进行简短的干预并转介治疗 (SBIRT)。最近 SBIRT 中的一项急诊住院医师教育对照试验提供了充分的证据，表明急诊医生在接受培训和机构支持的情况下，可以对高危饮酒或依赖饮酒进行简短的动机干预。然而在全国范围内，急诊科医生错过了许多 SBIRT 的机会。在一项使用唾液酒精测试和 CAGE 来确定可从 SBIRT 中受益的患者的 ED 研究中，只有 5 名筛查出饮酒风险或依赖性饮酒呈阳性的患者中只有 1 人接受了咨询或转诊。导致急诊医生和护士筛查水平低的因素可能包括：1）缺乏成瘾知识基础（治疗的理由）； 2）缺乏标准化的临床筛查仪器； 3）缺乏动机性访谈的接触和技巧； 4) 对转介资源不熟悉。该 ED 全国酒精筛查日 (NASD) 酒精教育项目旨在根据健康人群 2010 年目标 26-22 促进 ED 临床医生采用 SBIRT，该目标建议 ED 提供者识别并转诊有酒精问题的患者。在 2003 年 11 月至 2004 年 10 月的一年时间内，我们打算为 ED 环境开发 SBIRT 课程，并使用创新的交互式方法（包括视频流）向全国的 ED 提供者提供该课程和自我评估工具通过链接到急诊医学主要专业组织（学术急诊医学学会、美国急诊医师学院和急诊护士协会）及其 47,000 名会员的网站。此外，我们将在全国 13 个地方举办研讨会和后续视频会议，为 2004 年 NASD 的 ED 从业人员参加做准备。在这 13 个地点，我们将招募和注册 390 名 ED 医生、护士和医师” 助理，在有关酒精知识、信仰和实践的培训之前对他们进行调查，使用基于 ED 的案例研究、练习和教学材料对他们进行 SBIRT 强化培训，记录他们的参与情况从 NASD 开始为期两周的干预措施，然后在 NASD 后三个月重新调查，以评估 SBIRT 感知障碍的变化，并评估教育和参与 NASD 活动对 ED 提供者满意度的影响采用 SBIRT。