Alcohol Screening, Brief Intervention, and Referral to Treatment in a Military Treatment Facility

NCT02228967 | Completed Results

• 2 other identifiers: W81XWH-14-2-001412019006
• Study Type: interventional
• Target: 791
• Locations: 1 country
• Sites: 1

Brief Summary

An alcohol Screening, Brief Intervention and Referral to Treatment (SBIRT) approach will be adapted for use in a large military hospital setting, and then pilot tested in a military emergency department (ED) to assess its potential for effectiveness and for further testing in a large-scale trial. SBIRT is an "opportunistic" approach whereby all adult patients in the ED are screened by Health Educators for their alcohol use, and then, taking advantage of a "teachable moment," are delivered a brief, motivational intervention matched to their level of risk. The feasibility/formative research activities in the first phase (Phase I) of the study are not summative research, and therefore, do not lend themselves to testable hypotheses. Hypotheses with regard to the pilot randomized trial in Phase II are as follows:

1. 1.Participants in the SBIRT intervention will show relatively greater reductions over a six month period (or less increase) than the brochure/usual care control group in the prevalence of past-month heavy drinking, frequency of heavy drinking, past week number of drinks, and the AUDIT-based drinkers' index.
2. 2.Alcohol use-related motivation/readiness to change and controlled drinking self-efficacy will show greater change in the SBIRT intervention group relative to the brochure/usual care control group.
3. 3.Sociodemographic/military variables (e.g., age, race/ethnicity, gender, branch of service, officer/enlisted status, PTS) and social-psychological factors (e.g., baseline readiness to change, self efficacy) will mediate or moderate changes in alcohol misuse.

Conditions

Alcohol Dependency

Keywords

Alcohol Use; SBIRT; Military; Health Behavior; Emergency Room; Health Promotion; Formative Research; Randomized Trial

Outcome Measures

Primary Outcomes (1)

• Alcohol Use Disorders Identification Test (AUDIT) Total

  The primary outcome measure will come from the participant's total score on the AUDIT. Scores on the AUDIT range from 0 to 40 with higher numbers indicating greater problematic alcohol use. Mean AUDIT scores at follow-up will be compared between arms.

  Baseline, Follow-up (Up to 7 months)

Secondary Outcomes (3)

• AUDIT-C or Drinkers Index

  Baseline, Follow-up (Up to 7 months)

• Controlled Drinking Self-Efficacy Scale (CDSES)

  Baseline, Follow-up (Up to 7 months)

• Readiness to Change Scale

  Baseline, Follow-up (Up to 7 months)

Study Arms (2)

Usual Care

NO INTERVENTION

Those participants assigned to the usual care control group will be given a brochure on safe drinking limits, will be reminded of the 6-month follow-up, and thanked for their time.

SBIRT

ACTIVE COMPARATOR

Those assigned to the SBIRT intervention group will receive 1 of 3 tracks: 1. Brief Intervention (BI) for At Risk Individuals (scores lower than 15) - Brief motivational intervention with feedback related to their use and change strategies. 2. Brief Treatment (BT) for High Risk Individuals (scores of 16-19) - Brief Intervention on site and be offered 6 individual confidential sessions with a civilian Brief Treatment Counselor over the phone. 3. Referral to Treatment (RT) for Severe Risk Individuals (scores of 20-40) - Brief Intervention on site and will be given a list of services where they may self-refer for further assessment and support.

Behavioral: SBIRT

Interventions

SBIRT BEHAVIORAL

SBIRT is an "opportunistic" approach whereby patients are screened by Health Educators for their alcohol use, and then, taking advantage of a "teachable moment," are delivered a brief, motivational intervention matched to their level of risk.

Also known as: Screening, Brief Intervention, Brief Treatment, Referral to Treatment, Motivational Interviewing

SBIRT

Eligibility Criteria

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

You may qualify if:

• or Older
• Active Duty
• Off Duty
• Telephone Number for Follow-up
• Healthy Enough to Participate
• Positive Screen for Risky Drinking

You may not qualify if:

• Under 18
• Non-Military
• On Duty
• Low Level Drinking

Sponsors & Collaborators

• San Diego State University: lead
• United States Naval Medical Center, San Diego: collaborator

Study Sites (1)

Naval Medical Center San Diego

San Diego, California, 92134, United States

Location

MeSH Terms

Conditions

Alcoholism; Alcohol Drinking; Health Behavior; Emergencies

Interventions

Mass Screening; Crisis Intervention; Motivational Interviewing

Condition Hierarchy (Ancestors)

Alcohol-Related Disorders; Substance-Related Disorders; Chemically-Induced Disorders; Mental Disorders; Drinking Behavior; Behavior; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Diagnostic Techniques and Procedures; Diagnosis; Health Surveys; Surveys and Questionnaires; Data Collection; Epidemiologic Methods; Investigative Techniques; Diagnostic Services; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health; Public Health Practice; Psychotherapy; Behavioral Disciplines and Activities; Directive Counseling; Counseling; Mental Health Services

Results Point of Contact

• Title: Mark B. Reed/Professor and Interim Associate Dean
• Organization: San Diego State University Research Foundation

mreed@sdsu.edu

619-594-6664

Study Officials

• Mark Reed, PhD

  SDSURF - Center for Alcohol & Drug Studies & Services

  PRINCIPAL INVESTIGATOR

• Gerard DeMers, DO

  United States Naval Medical Center, San Diego

  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, INVESTIGATOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director

Study Record Dates

• First Submitted: August 26, 2014
• First Posted: August 29, 2014
• Study Start: August 1, 2015
• Primary Completion: October 1, 2016
• Study Completion: August 1, 2018
• Last Updated: September 9, 2020
• Results First Posted: July 25, 2019

Record last verified: 2020-08

Locations

US (1)