Brief Intervention for Problem Drinking and Partner Violence

NCT01207258 | Completed Phase 2 DMC

• 1 other identifier: R01AA018705-01A1
• Study Type: interventional
• Target: 600
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a randomized controlled trial of a brief intervention for women Emergency Department patients with involvement in both Intimate Partner Violence (IPV) and problem drinking (defined as the full spectrum of hazardous, harmful, or dependent drinking). The study is designed to explore the effectiveness of a low-intensity, gender-sensitive brief motivational intervention, delivered by social workers in the Emergency Department setting, in decreasing IPV and episodes of heavy drinking and increasing rates of follow-up with resources. Social work graduate students and/or staff will be trained to provide brief motivational enhancement therapy (MET) intervention for decreasing heavy drinking and IPV-related injury in women Emergency Department patients.

Conditions

Domestic Violence; Alcohol Abuse

Keywords

Motivational Interviewing; Brief Intervention; Intimate Partner Violence; Domestic Violence; Alcohol Abuse

Outcome Measures

Primary Outcomes (1)

• Effectiveness of brief intervention for decreasing problem drinking and partner violence

  Weekly for 3 months; then 6 and 12 months

Secondary Outcomes (1)

• Assess impact of brief motivational intervention on IPV severity, alcohol quantity/frequency, self-rated health, health behaviors, quality of life, and relationship satisfaction

  3, 6, and 12 months.

Study Arms (3)

Brief Intervention Group

EXPERIMENTAL

Participants randomly assigned to this group receive a brief motivational enhancement therapy intervention group and are assessed at baseline, weekly for 12 weeks, and at 3, 6 and 12 months.

Behavioral: Motivational Enhancement Therapy

Assessed Control Group

NO INTERVENTION

This group does not receive the intervention and is assessed at baseline, weekly for 12 weeks, and at 3, 6 and 12 months.

No Contact Control Group

NO INTERVENTION

This group does not receive the intervention and is assessed only at 3 months.

Interventions

Motivational Enhancement Therapy BEHAVIORAL

20 minute manual-driven, optionally audio-recorded Motivational Enhancement Training intervention by a MI-trained therapist during their ED visit and a 10-15 minute phone booster at 7 to 10 days.

Brief Intervention Group

Eligibility Criteria

• Age: 18 Years - 64 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Registered as an ED patient.
• Able to participate verbally in an English language interview.
• Able to participate cognitively in an English language interview.
• Heavy drinking as assessed by the AUDIT.
• Positive screen for Intimate Partner Violence in the past 3 months.

You may not qualify if:

• Intoxication at the time of screening.
• Cognitive impairment or psychosis identified on physical exam or chart review.
• Serious current medical illness or injury, defined as respiratory distress, hemodynamic instability, active vomiting, bleeding, labor, severe pain, or acute need for hospital admission.
• Suicidal or homicidal ideation by chart review or on the Danger Assessment Scale for all assessed patients.
• No identifiable residence or contact phone number.
• Under arrest at the time of ED visit.
• Non-English speaking.
• Previously enrolled in the study.

Sponsors & Collaborators

• University of Pennsylvania: lead

Study Sites (1)

Emergency Department, Hospital of the University of PA

Philadelphia, Pennsylvania, 19104, United States

Location

Related Publications (3)

• Rhodes KV, Rodgers M, Sommers M, Hanlon A, Crits-Christoph P. The Social Health Intervention Project (SHIP): protocol for a randomized controlled clinical trial assessing the effectiveness of a brief motivational intervention for problem drinking and intimate partner violence in an urban emergency department. BMC Emerg Med. 2014 Apr 18;14:10. doi: 10.1186/1471-227X-14-10.

  PMID: 24742322 BACKGROUND

• Hameed M, O'Doherty L, Gilchrist G, Tirado-Munoz J, Taft A, Chondros P, Feder G, Tan M, Hegarty K. Psychological therapies for women who experience intimate partner violence. Cochrane Database Syst Rev. 2020 Jul 1;7(7):CD013017. doi: 10.1002/14651858.CD013017.pub2.

  PMID: 32608505 DERIVED

• Rhodes KV, Rodgers M, Sommers M, Hanlon A, Chittams J, Doyle A, Datner E, Crits-Christoph P. Brief Motivational Intervention for Intimate Partner Violence and Heavy Drinking in the Emergency Department: A Randomized Clinical Trial. JAMA. 2015 Aug 4;314(5):466-477. doi: 10.1001/jama.2015.8369.

  PMID: 26241598 DERIVED

MeSH Terms

Conditions

Alcoholism

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

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

Study Officials

• Karin V Rhodes, MD

  University of Pennsylvania

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 21, 2010
• First Posted: September 22, 2010
• Study Start: September 1, 2010
• Primary Completion: October 1, 2015
• Study Completion: October 1, 2015
• Last Updated: August 22, 2016

Record last verified: 2016-08

Locations

US (1)