INTERNATIONAL COLLABORATIVE ALCOHOL & INJURY RESEARCH TRAINING PROGRAM IN POLAND
C Frederic, Senior Associate Research Professor
University Of Michigan At Ann Arborcity: Ann Arbor country: United States (us)
Grant 5D43TW007569-05 from Fogarty International Center
Abstract: Reducing death and disability caused by alcohol-related intentional and non-intentional injuries is a major world-wide health goal for the World Health Organization. Alcohol use has been linked with a substantial proportion of injuries and deaths from motor vehicle crashes, falls, and fires. In Poland and other Eastern European countries that have been experiencing rapid social and cultural changes, problems related to extremely high per capita alcohol consumption and the rising rate of alcohol-related injury have become critically important national concerns. Injury and trauma constitute the third leading cause of death in Poland, with a preponderance of alcohol-related mortality. Developing an infrastructure to expand the capacity for injury and alcohol research and prevention in Poland will address an escalating public health problem that has the potential for devastating health and economic consequences to this region over the next decades. To accomplish this goal, a multi-tiered research training program will be established through collaboration among researchers at the University of Michigan (UM) and Wroclaw Medical University (WMU) and several other academic medical settings in Poland. This builds on a successful training and research collaboration between UM and Polish scientists at the Institute of Neurology and Psychiatry, and the Medical College of Warsaw focused on substance use disorders. This new specific injury and alcohol collaboration brings together expertise in alcohol-related injury prevention, EMS/Trauma services, psychiatry, public health, and transportation research at UM with a developing expertise in injury and trauma medicine and public health at WMU in order to increase training and research capacity in Poland. A consortium at Wroclaw Medical University and academic medical and public health locations throughout Poland will be fostered through this collaborative effort. The program will train visiting Polish scientists at the UM in alcohol and injury research methodology, and develop mentored programs of research that address current issues in alcohol and injury prevention, treatment, and evaluation in Poland. The Polish research infrastructure for addressing substance abuse-related injuries will be improved by the provision of an essential core of clinician scientists capable of conducting independent research projects and developing new programming to address this critical issue in emergency medicine and public health. The high levels of per capita alcohol consumption and alcohol-related injuries, combined with a limited research infrastructure to address these issues, present significant public health challenges to Poland and other former Soviet-bloc countries. This proposed training program will develop the capacity for high quality injury and trauma research in Poland that can serve as the core of a region-wide consortium to address a growing, critical health care burden in these developing countries
Keywords: Address; Alcohol consumption; Alcohol Drinking; alcohol ingestion; alcohol intake; Alcohol or Other Drug Related death rate; Alcohol or Other Drug Related mortality; alcohol product use; alcohol related mortality; alcohol research; alcohol use; alcoholic beverage consumption; alcoholic drink intake; Alcohols; AODR death rate; AODR mortality; Automobile collision; Automobile crash; Car collision; Car crash; care burden; Care, Health; Cause of Death; Cessation of life; Chemical Class, Alcohol; Collaborations; Country; Country of Poland; Death; Developing Countries; Developing Nations; disability; Emergency Medicine; ethanol consumption; ethanol drinking; ethanol ingestion; ethanol intake; ethanol product use; ethanol research; ethanol use; EtOH drinking; etoh use; European; experience; falls; Fire - disasters; Fires; Fostering; Goals; Health; health economics; Healthcare; improved; Infrastructure; Injury; injury prevention; Institutes; Intentional injury; International; Investigators; Less-Developed Countries; Less-Developed Nations; Link; Location; Medical; medical schools; Medicine; Mentors; Methodology, Research; Michigan; Motor vehicle collision; Motor vehicle crash; Neurology; Poland; Polishes; Polishes (substance); Prevention; Prevention and Treatment Evaluation; programs; Programs (PT); Programs [Publication Type]; Psychiatry; Public Health; public health medicine (field); public health relevance; R01 Mechanism; R01 Program; Research; Research Grants; Research Infrastructure; Research Methodology; Research Methods; Research Personnel; Research Project Grants; Research Projects; Research Projects, R-Series; Research Training; Researchers; RPG; Science of Medicine; Scientist; Services; social; Substance Use Disorder; Third-World Countries; Third-World Nations; Training; Training Programs; Transportation; Trauma; Trauma Research; Under-Developed Countries; Under-Developed Nations; Universities; Vehicle crash; Vehicular collision; Vehicular crash; Visit; WHO; World Health Organization
Project start date: 2006-04-01
Project end date: 2011-02-28
Budget start date: 1-MAR-2010
Budget end date: 28-FEB-2011
PFA/PA: PAR-04-083
5D43TW007569-05 (2010): $143463
Sponsored Links Excellgen http://Excellgen.com
Grants awarded to C Frederic
OPTIMIZING SBIRT FOR DRUG-USING PATIENTS IN AN INNER-CITY EMERGENCY DEPARTMENT
C Frederic, Senior Associate Research Professor
University Of Michigan At Ann Arborcity: Ann Arbor country: United States (us)
Grant 5R01DA026029-03 from National Institute On Drug Abuse
Abstract: Screening, brief interventions, and referral to treatment (SBIRT) for drug use/abuse offers opportunities for early detection, brief intervention/treatment, and substance use treatment referrals for patients in medical settings. Although SBIRT components, particularly screening and brief interventions, have been shown to be effective strategies for addressing alcohol misuse in primary care, data are limited on using all of the components of SBIRT for drug-using patients, particularly in the Emergency Department (ED). Further, because of the often chaotic environment of EDs, many logistical and practical impediments exist for the adoption of the entire SBIRT model in this setting. Therefore, the proposed study will use computerized screening using touch screen computer tablets with audio (~4,900 patients) and will test intervention strategies in a two-factorial design (3x2). Specifically, 900 patients aged 18-60 in an inner-city ED who screen positive for drug use in the past 3 months will be randomized to the combinations of three ED-based conditions (computer brief intervention-CBI; intervener brief intervention-IBI ; enhanced usual care-EUC), and two follow-up conditions (adapted motivational enhancement therapy-AMET; enhanced usual care-EUC) that will take place 2 months post-ED. All individuals who meet criteria for a drug use disorder will additionally receive the "referral to treatment" or "RT" component of SBIRT. Stratified random assignment [by gender and diagnosis of a drug use disorder (yes/no)] will take place at baseline for all ED- based and follow-up conditions. All participants will receive written information including substance abuse and other community resources, and HIV prevention materials. Recognizing that brief interventions are important, but not necessarily sufficient, for change in all patients who use drugs, the primary specific aims of the proposed study will determine the independent effectiveness of immediate "on-the-spot" ED-based brief intervention conditions, 2-month follow- up brief treatment conditions, and combinations of conditions, for decreasing drug use and improving health-related outcomes (including physical and mental health, and HIV risk behavior) at 6 and 12 months. The use of state-of-the-art computer technology for screening and brief interventions has the potential to reach greater numbers of ED patients than is possible with in- person screening and brief intervention. Developing methods to efficiently and effectively optimize SBIRT components has wide-ranging and powerful public health implications for improving outcomes for patients who use drugs. The Emergency Department (ED) setting is a unique point of access for individuals (especially the poor and underserved) who otherwise would not be identified or provided with any assistance regarding their drug use. Developing methods to efficiently and effectively improve outcomes for patients who use drugs can have wide-ranging and powerful public health implications. The use of state-of-the-art computer technology for screening and brief interventions has the potential to reach greater numbers of ED patients than is possible with in-person screening and brief intervention
Keywords: Accident and Emergency department; Address; Adoption; Adult; African American; Age; aged; AIDS prevention; Alcohol abuse; alcohol misuse; Alcohol or Other Drugs use; Attention; base; brief intervention; Caring; Communities; computerized; Computers; cost; Data; Dependence; design; Diagnosis; Disadvantaged; Drug abuse; Drug Addiction; Drug usage; Drug Use Disorder; Drug user; DSM-IV; Early Diagnosis; Effectiveness; Effectiveness of Interventions; Emergency Situation; Ensure; Environment; Ethnicity aspects; experience; follow-up; Gender; Health; Health behavior; Health Personnel; Healthcare; HIV; Illicit Drugs; improved; Individual; Injury; inner city; innovation; Intervention; intervention effect; Knowledge; laptop; Lead; Location; longitudinal design; Mediation; Mediator of activation protein; Medical; meetings; Mental Health; Methods; Modeling; Monitor; Motivation; motivational enhancement therapy; Outcome; Participant; Patients; Pattern; Persons; physical conditioning; Population; Primary Health Care; Process; public health medicine (field); Race; Randomized; Randomized Controlled Trials; Recommendation; Relative (related person); Reporting; Research; research study; Resources; Risk Behaviors; Sampling; Sampling Studies; screening and brief intervention; Screening procedure; screening, brief intervention, referral, and treatment; Self Efficacy; Severities; sex; Site; Spottings; Subgroup; Substance abuse problem; Substance Use Disorder; Surveys; System; Tablets; technological innovation; Technology; Testing; Time; touchscreen; Training; trauma centers; treatment as usual; treatment strategy; United States; United States Substance Abuse and Mental Health Services Administration; Visit; Writing
Relevance: The Emergency Department (ED) setting is a unique point of access for individuals (especially the poor and underserved) who otherwise would not be identified or provided with any assistance regarding their drug use. Developing methods to efficiently and effectively improve outcomes for patients who use drugs can have wide-ranging and powerful public health implications. The use of state-of-the-art computer technology for screening and brief interventions has the potential to reach greater numbers of ED patients than is possible with in-person screening and brief intervention
Project start date: 2009-08-15
Project end date: 2014-05-31
Budget start date: 1-JUN-2011
Budget end date: 31-MAY-2012
PFA/PA: RFA-DA-08-021
5R01DA026029-03 (2011): $663569
TAILORED YOUTH DRUG INTERVENTION IN PRIMARY CARE
C Frederic, Senior Associate Research Professor
University Of Michigan At Ann Arborcity: Ann Arbor country: United States (us)
Grant 5R01DA020075-05 from National Institute On Drug Abuse
Abstract: Preventing the initiation, and reducing the escalation of marijuana use among adolescents can have a major impact on the development of problem behaviors and health consequences in adulthood. The varying factors associated with initiation and escalation of marijuana use among adolescents (age 12-18) speaks to the importance of tailoring preventive approaches based on individual risk factors. Brief motivational interventions (BMI) have been demonstrated to be effective in reducing drug use (i.e., marijuana, alcohol, and tobacco) among adolescents and young adults. Typically, BMIs are delivered by a clinician; however, more recently, computers have been used successfully to deliver BMI in an interactive, graphically engaging format. The primary care setting represents an underutilized venue for prevention interventions addressing drug use/abuse among youth. This study will take place in three HRSA-funded Bureau of Primary Health Care community health clinics located in Flint, Michigan, a city with a diverse and medically under-served population. The purpose of this five-year study is to (1) develop and refine promising, empirically-derived, BMI prevention/intervention modules delivered by a clinician or a computer to target marijuana use, and (2) test the effectiveness of BMI in preventing initiation/escalation of marijuana use among youth in community health clinics. The proposed BMI prevention/interventions are innovative because a) they incorporate tailoring technology based on assessment of the adolescents´ behaviors; and b) they incorporate prevention messages for those who have not initiated use, and intervention messages for those who are current users. This randomized controlled trial will screen 1,710 adolescents in primary care clinics over 30 months. A random sample of the approximately 70% who screen negative for past year marijuana use will be selected to participate in the study (n=450); all subjects who screen positive for past year use will be enrolled in the study (n=450). These 900 subjects will be stratified by gender, age, and past year marijuana use and randomized to one of three conditions 1) computer-delivered brief motivational approach (BMI-C) (n=300; 150 non-users prevention, 150 users intervention); 2) therapist-delivered brief motivational approach (BMI-T) (n=300; 150 non-users, 150 users); or 3) a NIDA drug education booklet (DPB) (n=300; 150 non-users, 150 users). Primary outcomes will be evaluated at 3-, 6- and 12-months and include marijuana, alcohol, tobacco and other drug use. Key moderators of effectiveness will be examined, including behavioral intentions, self-efficacy, stage of change, school involvement, susceptibility to peer pressure, and potential health consequences (e.g., STD/HIV risk behaviors). This project will provide the critical first step toward the implementation of tailored marijuana prevention and intervention in primary care clinics
Keywords: 12-20 years old; Address; Adolescence; adolescence (12-20); Adolescent; Adolescent Behavior; adolescent substance use; Adolescent Youth; adult youth; Age; age group; Age Group Unspecified; alcohol misuse; Alcohols; Arts; at risk behavior; Attention Deficit Disorder; base; Behavior; Behavioral; behavioral problem; Booklets; brief intervention; brief motivational intervention; brief prevention intervention; Brochures; care seeking; Care, Health; Chemical Class, Alcohol; Cities; Clinic; Collaborations; Community Health; compare effectiveness; computerized; Computers; Conduct Disorder; Conflict; Conflict (Psychology); depressive; depressive symptoms; design; designing; Development; deviancy; deviant; Drops; Drug usage; drug use; drug/agent; Drugs; Drugs, Illicit; Education; Educational aspects; Effectiveness; Elements; Emotional Depression; enroll; Enrollment; ethanol misuse; Family; Funding; Gender; Health; Health Care Costs; Health Costs; Healthcare; Healthcare Costs; History; HIV/STD; Illicit Drugs; improved; Individual; innovate; innovation; innovative; interest; Intervention; Intervention Strategies; interventional strategy; Investigators; juvenile; juvenile human; Life; Low income; Manuals; Marihuana; marijuana prevention; Marijuana Smoking; marijuana user; Medication; Mentors; Methods; Methods and Techniques; Methods, Other; Michigan; Modality; Modeling; motivational enhancement therapy; motivational interview; National Institute of Drug Abuse; Nature; NIDA; Outcome; Pamphlets; Parents; Patient Self-Report; peer; Peer Pressure; Pharmaceutic Preparations; Pharmaceutical Preparations; Population; Predisposition; pressure; Pressure; Pressure- physical agent; prevent; preventing; Prevention; Prevention program; prevention service; preventional intervention strategy; Preventive; Preventive Intervention; Primary Care; primary care setting; Primary Health Care; Primary Healthcare; primary outcome; Privacy; Problem behavior; Process; programs; Programs (PT); Programs [Publication Type]; Qualifying; Race; Racial Group; randomisation; randomization; Randomized; randomized controlled study; Randomized Controlled Trials; randomly assigned; Recording of previous events; Research; Research Personnel; Researchers; Risk; Risk Behaviors; Risk Factors; Risky Behavior; Sampling; Schools; screening; Screening procedure; screenings; secondary outcome; selected prevention; selective prevention; selective preventive intervention; selective preventive measure; Self Efficacy; Self-Report; Staging; Stocks, Racial; success; Susceptibility; Symptoms of depression; Techniques; Technology; Teen; teen years; teenage; Teenagers; Teens; Testing; Tobacco; treatment as usual; trial comparing; under served population; underserved people; Underserved Population; Uninsured; universal interventions; universal prevention; universal preventive interventions; universal preventive measure; young adult; Youth; Youth 10-21; youth substance use
Project start date: 2005-09-05
Project end date: 2011-06-30
Budget start date: 1-JUL-2009
Budget end date: 30-JUN-2011
5R01DA020075-05 (2009): $590210
AGE-RELATED SERVICES & OUTCOMES AFTER DUI INTERVENTIONS
C Frederic, Senior Associate Research Professor
University Of Michigan At Ann Arborcity: Ann Arbor country: United States (us)
Grant 5R01AA015154-05 from National Institute On Alcohol Abuse And Alcoholism
Abstract: Court-mandated DUI programs may prove to be key entry points into the treatment system for individuals who often are not identified in any other setting. There is a growing proportion of individuals in the U.S. who are near or in retirement, and a larger cohort of ´Baby Boomers´ who will reach late life in the coming , decades; these cohorts may drink at higher levels than previously reported and may experience greater alcohol-related consequences including DUI arrests. Given this lack of knowledge regarding the relationship between age, alcohol use outcomes, and service use among adults experiencing legal consequences of their alcohol use (e.g., court-mandated DUI programs), and the increasing numbers of middle-aged and older adults in the U.S., the proposed prospective observational study will recruit and interview (at baseline) a consecutive cohort (n=200) of aging adults (age 55 and older) and gender and ethnicity/race matched cohorts of adults at mid-life (age 40-54; n=200) and younger ages (age 18-39; n=200) participating in a model DUI program. The Wright State University Weekend Intervention Program (WIP) is a 3-day psychosocial program that is an alternative to incarceration. The specific aims of the proposed study are to 1) determine the age-related variations in predisposing, enabling, and need characteristics (e.g. demographics, current and past alcohol use and consequences, health services use, history of treatment, and barriers to seeking treatment, history of previous DUIs, and criminal justice determination following (the Index DUI intervention) of the three age groups of court-mandated clients participating in a nationally-recognized DUI driver intervention program; 2) examine age-related variations in referral, linkage and engagement in formal and informal substance abuse treatment in the 18-months following participation in a DUI intervention program, and to identify the key characteristics associated with types of service use; and 3) measure the differences by age group in the longitudinal course of drinking, changes in alcohol-related behaviors, and physical/psychosocial status. In order to understand both proximal and more distal outcomes, follow-up assessments will be conducted at 6-, 12-, and 18-months. This study will provide critical new knowledge regarding the age-related similarities and differences of adults in younger- to mid- to later-life at one of the important junctures in the intervention and treatment engagement process
Keywords: 21+ years old; 2nd World War; abuse of drugs; abuse of substances; abuses drugs; Access to Care; Access to Health Care; Access to Healthcare; access to services; access to treatment; Accessibility of health care; Accident and Emergency department; Active Follow-up; Address; Admission; Admission activity; Adopted; Adult; adult human (21+); adult youth; advanced age; Age; age dependent; age difference; age group; Age Group Unspecified; age related; aged; Aged 65 and Over; Aging; Alcohol abuse; alcohol abuse therapy; alcohol abuse treatment; alcohol and other drug; alcohol behavior; Alcohol consumption; Alcohol Drinking; alcohol effect; alcohol induced behavior; alcohol influenced driving; alcohol ingestion; alcohol intake; alcohol intervention; alcohol misuse; alcohol problem; alcohol product use; alcohol related behavior; alcohol related consequences; alcohol related problem; alcohol treatment; alcohol use; alcohol use disorder; Alcoholic; alcoholic beverage consumption; alcoholic drink intake; alcoholism treatment; Alcohols; American; Americas; Analysis, Data; Automobile Driving; Availability of Health Services; availability of services; Baby Booms; base; Behavior; Boozer; brief alcohol intervention; Care, Health; Caring; Characteristics; Chemical Class, Alcohol; Client; Clinical; cohort; Communicating Junction; Community Surveys; Comorbidity; Consumption; convict; Counseling; court; Criminal Justice; criminal offender; Data; Data Analyses; Data Set; Dataset; demographics; Dependent drinker; Diagnosis; Distal; drinking; drinking behavior; driving; driving under influence; Drivings, Automobile; Drug abuse; Drug usage; drug use; drug/agent; Drugs; Drunk driving; drunken driving; Education; Educational aspects; Elderly; Elderly, over 65; elders; Elements; Emergency Department; Emergency room; Enabling Factors; ethanol abuse; ethanol behavior; ethanol consumption; ethanol drinking; ethanol effect; ethanol induced behavior; ethanol influenced driving; ethanol ingestion; ethanol intake; ethanol misuse; ethanol product use; ethanol related behavior; ethanol use; ethanol use disorder; Ethnic Origin; Ethnicity; Ethnicity aspects; EtOH drinking; etoh use; experience; Female; follow up assessment; follow-up; Funding; Future; Gap Junctions; Gender; Generations; geriatric; hazardous alcohol use; Health; health care availability; health care personnel; Health Care Providers; health care service; health care service access; health care service availability; health care worker; Health Personnel; health provider; Health Services; Health Services Accessibility; health services availability; Health Services Needs; Health Status; Healthcare; healthcare access availability; healthcare personnel; Healthcare Providers; healthcare service access; healthcare service availability; Healthcare worker; heavy metal lead; heavy metal Pb; History; Hour; Human, Adult; Impairment; Imprisonment; improved; incarceration; indexing; Individual; Injury; innovate; innovation; innovative; Insurance; Intervention; intervention program; Intervention Strategies; Intervention Studies; interventional strategy; Interview; Investigators; Knowledge; late life; later life; Lead; Legal; Length of Life; Level of Health; Life; life span; lifespan; Link; Longevity; longitudinal course; Low-resistance Junction; male; Measurement; Measures; Medical; medical complication; medical personnel; Medication; Mental Health; Mental Hygiene; Methods; mid life; mid-life; middle age; middle aged; midlife; Modeling; Mortality; Mortality Vital Statistics; Motor Vehicles; National Institute on Alcohol Abuse and Alcoholism; Nexus; Nexus Junction; NIAAA; Observational Study; offender; older adult; older person; older women; Outcome; Participant; pathway; Pathway interactions; Patients; Pattern; Pb element; Perception; Pharmaceutic Preparations; Pharmaceutical Preparations; Physiologic; Physiological; Policies; Population; probation; problem drinker; problem drinking; Process; programs; Programs (PT); Programs [Publication Type]; prospective; psychological distress; Psychological Health; psychosocial; Psychotherapy; Race; Racial Group; Recommendation; Recording of previous events; recruit; Recruitment Activity; Reporting; Research; Research Personnel; Researchers; Respondent; Retirement; Risk; screening; Screening procedure; screenings; Second World War; Senescence; senescent; senior citizen; service utilization; Services; Severities; skills; Socioeconomic Factors; Source; Stereotyping; Stocks, Racial; Structure; substance abuse; Substance abuse problem; Sum; Survey Instrument; Surveys; System; System, LOINC Axis 4; Time; treatment program; treatment provider; trend; Universities; Variant; Variation; Visit; Vulnerable Populations; Work; World War II; World War, 1939-1945; young adult
Project start date: 2005-07-01
Project end date: 2011-04-30
Budget start date: 1-MAY-2009
Budget end date: 30-APR-2011
5R01AA015154-05 (2009): $430075
OPTIMIZING ALCOHOL BRIEF INTERVENTIONS IN THE ED: COMPUTER VS. CLINICIAN DELIVERY
C Frederic, Senior Associate Research Professor
University Of Michigan At Ann Arborcity: Ann Arbor country: United States (us)
Grant 5R01AA018659-02 from National Institute On Alcohol Abuse And Alcoholism
Abstract: Although a high proportion of patients seen in Emergency Departments (EDs) have at-risk or problem alcohol use, few are screened and receive services such as brief interventions (BI) designed to help them cut-back or stop drinking. EDs do not routinely provide BIs, perhaps due to feasibility challenges such as training of staff, monitoring fidelity, and maintaining a system to ensure longer-term implementation. Alcohol BIs have been found to be efficacious and effective in a variety of health care settings. However, the evidence for their use in the ED has been mixed. There is a pressing need to develop efficacious strategies to screen and optimally deliver alcohol BIs in this fast-paced and widely-used setting. Existing clinician-delivered BI strategies need to be modified so that they can be standardized and administered with high fidelity and minimal demands on ED staff time and resources. Computer-delivered BIs are one method to address the challenges inherent in delivering interventions in this and other healthcare settings. The proposed study will use computerized screening via touch-screen computer tablets with audio to recruit 750 inner-city ED patients screening positive for at-risk or problem alcohol use. Participants age 18-60 will be randomized to one of three conditions 1) Computer-delivered brief intervention (C-BI; n=250); 2) Therapist-delivered brief intervention (T-BI; n=250); or 3) Enhanced usual care (EUC; n=250). All participants will receive written information regarding community resources; individuals who meet alcohol abuse/dependence criteria will also receive alcohol treatment referrals. Stratified random assignment [by gender; meeting criteria for an alcohol use disorder - yes/no] will take place at baseline for all conditions. The aims of the study are to develop and refine tailored motivational brief interventions that are parallel in structure but have varied delivery modalities (computer vs. therapist) for patients with at-risk or problematic alcohol use, and to conduct a randomized controlled trial comparing the efficacy of these BI approaches (C-BI, T-BI, control) on subsequent alcohol consumption and alcohol consequences, including alcohol-related injury, mental and physical-health functioning, and HIV risk behaviors at 3-, 6-, and 12-months post-ED visit. The rigorous examination of the efficacy of therapist- vs. computer- delivered BIs, including potential moderators and mediators, will address the key limitations raised by previous trials and will determine the optimal modality for wide implementation of brief alcohol interventions in this venue. Because the ED is such an important portal for entry into the medical care system, particularly for inner-city patients, the delivery of efficacious alcohol BIs that emphasize key motivational interviewing components and minimize staff resources could have a major public health impact. Few people who misuse alcohol and who might benefit from brief motivational interventions actually receive them. The inner city Emergency Department (ED) is an ideal location in which to implement screening, brief interventions, and referral to treatment, where needed, for alcohol misuse because of the heterogeneous proportion of patients in these settings who misuse alcohol
Keywords: Accident and Emergency department; Address; Adoption; African American; Age; AIDS prevention; Alcohol abuse; alcohol abuse therapy; alcohol consequences; Alcohol consumption; alcohol misuse; alcohol related consequences; alcohol related problem; alcohol screening and brief intervention; alcohol use disorder; Alcoholic beverage heavy drinker; Alcohols; Back; base; brief alcohol intervention; brief intervention; brief motivational intervention; care systems; Caring; Clinical; clinical practice; Code; Communities; comparative efficacy; computer generated; computerized; Computers; Data; Dependence; design; Detection; Development; Diagnosis; drinking; DSM-IV; Effectiveness; Elements; Enrollment; Ensure; Equilibrium; Ethnicity aspects; evidence base; Exercise; experience; Feedback; Frequencies (time pattern); Gender; Goals; Habits; Health Personnel; Healthcare; HIV; improved; Individual; Injury; inner city; innovation; Inpatients; Intervention; intervention effect; Intervention Studies; Intervention Trial; laptop; Location; longitudinal design; low socioeconomic status; Mediation; Mediator of activation protein; Medical; Medicare/Medicaid; meetings; Meta-Analysis; Methods; Modality; Modeling; Monitor; Motivation; motivational enhancement therapy; Negative Finding; Outcome; Participant; Patients; Pattern; physical conditioning; prevent; Primary Health Care; programs; Psyche structure; public health medicine (field); public health relevance; Race; Randomized; Randomized Controlled Trials; Recommendation; Recruitment Activity; reduced alcohol use; Regulation; Reporting; Research; Research Personnel; research study; Resources; Risk; Risk Behaviors; Sampling Studies; Screening procedure; screening, brief intervention, referral, and treatment; Self Efficacy; Services; Severities; sex; Site; skills; Structure; Subgroup; substance abuse treatment; System; Tablets; technological innovation; Technology; Testing; therapy design; Time; touchscreen; Training; Translating; Trauma; trauma centers; treatment as usual; trial comparing; underage drinker; United States; Visit; Writing
Relevance: Few people who misuse alcohol and who might benefit from brief motivational interventions actually receive them. The inner city Emergency Department (ED) is an ideal location in which to implement screening, brief interventions, and referral to treatment, where needed, for alcohol misuse because of the heterogeneous proportion of patients in these settings who misuse alcohol
Project start date: 2010-07-20
Project end date: 2015-06-30
Budget start date: 1-JUL-2011
Budget end date: 30-JUN-2012
PFA/PA: PA-08-263
5R01AA018659-02 (2011): $716077