Disseminating Organizational SBI Services at Trauma Centers

NCT00607620 | Completed Results DMC

• 2 other identifiers: 306601R01AA016102-01
• Study Type: interventional
• Target: 878
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of the Disseminating Organizational Screening and Brief Interventions Services (DO-SBIS) investigation is to capitalize on the unique opportunity afforded by the American College of Surgeons' mandate by taking early steps to insure high quality, evidence-based SBI services are implemented and outcomes are assessed. In the first phase of the investigation, SBI services will be assessed for all 190 level I trauma centers in the United States. In the second phase of the investigation, 20 level I trauma centers will be selected for randomization to intervention or control conditions.

Conditions

Alcohol Abuse; Alcohol Dependence

Keywords

Alcohol Abuse; Alcohol Dependence; Alcohol Use Disorder; Screening; Brief Intervention; Motivational Interviewing

Outcome Measures

Primary Outcomes (2)

• Number of Participants With Hazardous Drinking

  The investigators will use the Alcohol Use Disorders Identification Test (AUDIT) as a dichotomous measure. AUDIT Scores of ≥8 for men and ≥5 for women indicate hazardous drinking.

  The investigators will assess at baseline, 6-month and 12-month.

• Alcohol Use Problems

  The investigators will use the Alcohol Use Disorders Identification Test (AUDIT) as a continuous measure. The 10-item scale score ranges from 0-40, with higher values indicating a worse outcome.

  The investigators will assess at baseline, 6-month and 12-month.

Secondary Outcomes (3)

• Number of Abstinent Days

  The investigators will assess at 6- and 12-month.

• Number of Binge Drinking Days

  The investigators will assess at 6-month and 12-month.

• Alcohol Use Problems

  The investigators will assess at 6-month and 12-month.

Study Arms (2)

Intervention

EXPERIMENTAL

Providers receive training in alcohol screening and brief interventions from study staff in compliance with American College of Surgeons' Alcohol Screening and Brief Intervention Mandate

Behavioral: Brief Intervention

Usual Care

NO INTERVENTION

Usual care for alcohol use problems after American College of Surgeons' Alcohol Screening and Brief Intervention Mandate

Interventions

Brief Intervention BEHAVIORAL

Training in brief interventions for alcohol use disorders, with a focus on motivational interviewing

Also known as: Motivational Interviewing

Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• For provider subjects: staff at trauma centers selected by study
• For patient subjects: admitted to trauma centers selected by study, positive blood alcohol levels, able to provide two follow-up contacts

You may not qualify if:

• For Providers: Once a trauma center is selected for participation, providers will be selected from existing hospital staff.
• For Patients: Patients so severely injured that they cannot participate in study procedures will be excluded;
• Patients who are admitted after self-inflicted injury, or are psychotic and therefore require more intensive acute interventions, will not be included in the study;
• Injured hospitalized prisoners are excluded.
• Children under the age of 18 are excluded.

Sponsors & Collaborators

• University of Washington: lead
• Harborview Injury Prevention and Research Center: collaborator
• National Institute on Alcohol Abuse and Alcoholism (NIAAA): collaborator

Study Sites (1)

University of Washington

Seattle, Washington, 98104, United States

Location

Related Publications (2)

• Zatzick D, Donovan DM, Jurkovich G, Gentilello L, Dunn C, Russo J, Wang J, Zatzick CD, Love J, McFadden C, Rivara FP. Disseminating alcohol screening and brief intervention at trauma centers: a policy-relevant cluster randomized effectiveness trial. Addiction. 2014 May;109(5):754-65. doi: 10.1111/add.12492. Epub 2014 Feb 28.

  PMID: 24450612 RESULT

• Zatzick D, Palinkas L, Chambers DA, Whiteside L, Moloney K, Engstrom A, Prater L, Russo J, Wang J, Abu K, Iles-Shih M, Bulger E. Integrating pragmatic and implementation science randomized clinical trial approaches: a PRagmatic Explanatory Continuum Indicator Summary-2 (PRECIS-2) analysis. Trials. 2023 Apr 21;24(1):288. doi: 10.1186/s13063-023-07313-0.

  PMID: 37085877 DERIVED

MeSH Terms

Conditions

Alcoholism

Interventions

Crisis Intervention; Motivational Interviewing

Condition Hierarchy (Ancestors)

Alcohol-Related Disorders; Substance-Related Disorders; Chemically-Induced Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Psychotherapy; Behavioral Disciplines and Activities; Directive Counseling; Counseling; Mental Health Services; Health Services; Health Care Facilities Workforce and Services

Results Point of Contact

• Title: Douglas Zatzick, MD
• Organization: University of Washington

dzatzick@uw.edu

206-744-6701

Study Officials

• Douglas F Zatzick, MD

  University of Washington

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor, Psychiatry & Behavioral Sciences

Study Record Dates

• First Submitted: January 29, 2008
• First Posted: February 6, 2008
• Study Start: September 1, 2008
• Primary Completion: September 1, 2012
• Study Completion: September 1, 2013
• Last Updated: March 7, 2018
• Results First Posted: March 7, 2018

Record last verified: 2018-03

Locations

US (1)