Combination SBIRT for Emergency Department Patients Who Drink and Smoke

NCT01595178 | Completed Early Phase 1

• 1 other identifier: 1205010294
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Smoking and drinking are two of the three leading causes of preventable deaths in the United States today. Using both alcohol and tobacco significantly multiplies the risk of disease and death from myocardial infarction, COPD, and multiple cancers. Combined use of these substances is extremely common; people who drink are three times more likely than the general population to smoke, and tobacco dependent individuals are four times more likely than the general population to be alcohol-dependent. Research has shown that there is a high prevalence of unmet substance abuse treatment need among adult Emergency Department (ED) patients. The current project aims to conduct a pilot feasibility study with 50 adult ED patients to develop a brief counseling intervention that is feasible and acceptable to patients who are both smokers and at-risk drinkers to help them reduce these behaviors. The overarching aim of this line of research is to find the best treatment for ED patients who are combo smokers and at-risk drinkers. The study will focus on the development of an intervention that will be tested in a future larger scale randomized clinical trial.

Conditions

Smoking; Drinking

Keywords

smoking; drinking; SBIRT; BNI; counseling intervention; emergency department; adults

Outcome Measures

Primary Outcomes (3)

• Areas in need of help

  Descriptive summary of patient reports of areas in need of help as reported during assessments

  3 months

• Barriers and facilitators to accessing care

  Descriptive summary of patient reports of barriers and facilitators encountered in trying to access needed alcohol and smoking cessation treatments

  3 months

• Counseling satisfaction

  Patient reports of satisfaction with counseling modules delivered

  3 months

Secondary Outcomes (3)

• Treatment utilization

  3 months

• Reduction of consumption

  3 months

• Quit attempts

  3 months

Interventions

Combined BNI BEHAVIORAL

Combination brief negotiated interview (BNI) for patients who smoke and drink

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adults = or \> 18 years old
• English speaking
• Willing and able to give informed consent
• Current daily smoker
• Smokes 5 or more cigarettes daily
• Alcohol screening score =/\> than 8 and =\< 19

You may not qualify if:

• Too ill to consent
• Not interested in quitting drinking and smoking
• Current use of smoking / alcohol use cessation medications / products
• Current involvement in alcohol or smoking treatment program
• Doe not have locator information

Sponsors & Collaborators

• Yale University: lead

Study Sites (1)

Yale New Haven Hospital Emergency Department

New Haven, Connecticut, 06519, United States

Location

MeSH Terms

Conditions

Smoking; Emergencies

Condition Hierarchy (Ancestors)

Behavior; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Mary K Murphy, PhD

  Yale University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: early phase 1
• Allocation: NA
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 7, 2012
• First Posted: May 9, 2012
• Study Start: June 1, 2012
• Primary Completion: May 8, 2014
• Study Completion: May 8, 2014
• Last Updated: June 26, 2020

Record last verified: 2020-06

Locations

US (1)