The research focuses on three primary questions concerning injured patients with hazardous drinking who are treated in a hospital emergency department setting: (1) which, if any, of two brief interventions will decrease subsequent alcohol-related negative consequences compared to standard clinical practice? (2) are certain kinds of interventions more effective for certain kinds of patients (i.e., is there an interaction between type of intervention and prognostic variable)? and (3) what are the active ingredients of a successful interaction, and how do they interact with aspects of the injury event which brings the patient to the ED? To address these questions, 740 patients presenting for treatment and discharged from the emergency department of Rhode Island Hospital, Rhode Island's Level 1 Trauma Center, will be recruited for study who are alcohol positive by self-report or BAC, and/or have a self-reported history of hazardous drinking. They will be randomly assigned to one of three intervention conditions: (1) standard clinical care, (2) an immediate intervention at the time of the Emergency Room visit; (3) immediate intervention followed by a comprehensive intervention session subsequent to the Emergency Room. Patients will be interviewed at three and 18 months to assess the effectiveness of the interventions, as reflected in reported changes in hazardous drinking, alcohol-related and negative consequences, injury reoccurrence. Analysis will test for a main effect of intervention type (Primary Question 1) and an interaction between intervention type and prognostic factors (Primary Question 2). Additionally, analyses of intervention, injury event and prognostic effects are to be conducted in order to identify relationships of potential significance which have not yet emerged from theory.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA009835-04
Application #
2769151
Study Section
Clinical and Treatment Subcommittee (ALCP)
Project Start
1995-09-01
Project End
2000-12-31
Budget Start
1998-09-01
Budget End
2000-12-31
Support Year
4
Fiscal Year
1998
Total Cost
Indirect Cost
Name
Brown University
Department
Miscellaneous
Type
Schools of Medicine
DUNS #
001785542
City
Providence
State
RI
Country
United States
Zip Code
02912
Choo, Esther K; McGregor, Alyson J; Mello, Michael J et al. (2013) Gender, violence and brief interventions for alcohol in the emergency department. Drug Alcohol Depend 127:115-21
Field, Craig A; Baird, Janette; Saitz, Richard et al. (2010) The mixed evidence for brief intervention in emergency departments, trauma care centers, and inpatient hospital settings: what should we do? Alcohol Clin Exp Res 34:2004-10
Lee, Christina S; Baird, Janette; Longabaugh, Richard et al. (2010) Change plan as an active ingredient of brief motivational interventions for reducing negative consequences of drinking in hazardous drinking emergency-department patients. J Stud Alcohol Drugs 71:726-33
Stein, L A R; Minugh, P Allison; Longabaugh, Richard et al. (2009) Readiness to change as a mediator of the effect of a brief motivational intervention on posttreatment alcohol-related consequences of injured emergency department hazardous drinkers. Psychol Addict Behav 23:185-95
Lee, Christina S; Longabaugh, Richard; Baird, Janette et al. (2007) Do patient intervention ratings predict alcohol-related consequences? Addict Behav 32:3136-41
Baird, Janette; Longabaugh, Richard; Lee, Christina S et al. (2007) Treatment completion in a brief motivational intervention in the emergency department: the effect of multiple interventions and therapists'behavior. Alcohol Clin Exp Res 31:71s-75s
Mello, Michael J; Nirenberg, Ted D; Longabaugh, Richard et al. (2005) Emergency department brief motivational interventions for alcohol with motor vehicle crash patients. Ann Emerg Med 45:620-5
Kenna, George A; Longabaugh, Richard; Gogineni, Aruna et al. (2005) Can the short index of problems (SIP) be improved? Validity and reliability of the three-month SIP in an emergency department sample. J Stud Alcohol 66:433-7
Gogineni, Aruna; Longabaugh, R; Clifford, P R et al. (2004) Alcohol-related expectancies and assaults among injured drinkers in the emergency department setting. Subst Abus 25:5-13
Longabaugh, R; Woolard, R E; Nirenberg, T D et al. (2001) Evaluating the effects of a brief motivational intervention for injured drinkers in the emergency department. J Stud Alcohol 62:806-16

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