Feasibility and Effectiveness of a Specialized Brief Intervention for Hazardous Drinkers in an Emergency Department.

NCT03273283 | Completed Results DMC

• 1 other identifier: PPAU
• Study Type: interventional
• Target: 200
• Locations: 0 countries
• Sites: N/A

Brief Summary

Alcohol use and its consequences represent an important public health problem. As well as alcohol dependence, hazardous drinking also contributes to a high burden in terms of morbidity and mortality. To improve these patients' prognosis and decrease associated social and health care costs, it is necessary to increase early detection, intervention and treatment for these problems. For these reasons, SBIRT programmes (Screening Brief Intervention and Referral to Treatment) have been developed, evaluated and shown to be effective, particularly in primary care and general practice. Nevertheless, effectiveness of SBIRT in emergency departments (ED) has not been clearly established. The investigators aimed to evaluate the feasibility and efficacy of an SBIRT programme in the ED of a tertiary hospital.

Conditions

Alcohol Drinking

Outcome Measures

Primary Outcomes (2)

• Proportion of Risky Drinkers Measured by AUDIT-C

  We assessed participants with AUDIT-C (a tool to assess alcohol consumption). Main outcome 1 is the proportion of patients who score more than 6 i men and 5 in women in this scale. AUDIT-C is the short version of the AUDIT scale (Alcohol use disorders identification test). Consists of a three items scale ( frequency of alcohol consumption, amount of alcohol units per day of consumption and frequency of binge drinking), and ranges from 0 (abstinence) to 12 (very high alcohol use). The higher the score is, the more important the alcohol use is, and more risk of presenting an alcohol use disorder.

  6 weeks

• Proportion of Patients Attending to Specialized Treatment

  Proportion of patients that initate specialized treatment to reduce alcohol use

  6 weeks

Study Arms (2)

Intervention

EXPERIMENTAL

Patients received a brief intervention on alcohol use. This brief intervention was a little chat based on motivational techniques to enhance motivation to reduce alcohol use or to initiate treatment. Patients were referred to specialized treatment when indicated.

Behavioral: Brief Intervention

Control

NO INTERVENTION

Informative leaflets regarding alcohol use

Interventions

Brief Intervention BEHAVIORAL

Patient's received a brief intervention on alcohol use based on motivational techniques, and a referral to treatment when indicated.

Also known as: Referral to treatment

Intervention

Eligibility Criteria

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

You may qualify if:

• All patients aged 18 or older attending to the emergency department were potentially eligible patients
• Patients with an AUDIT-C score higher than 6 points for men and 5 for woman were invited to participate

You may not qualify if:

• Cognitive impairment
• Medically unstable
• Patients explicitly demanding alcohol treatment

Sponsors & Collaborators

• Hospital Clinic of Barcelona: lead

Related Publications (1)

• Bruguera P, Barrio P, Manthey J, Oliveras C, Lopez-Pelayo H, Nuno L, Miquel L, Lopez-Lazcano A, Blithikioti C, Caballeria E, Matrai S, Rehm J, Vieta E, Gual A. Mid and long-term effects of a SBIRT program for at-risk drinkers attending to an emergency department. Follow-up results from a randomized controlled trial. Eur J Emerg Med. 2021 Oct 1;28(5):373-379. doi: 10.1097/MEJ.0000000000000810.

  PMID: 33709997 DERIVED

MeSH Terms

Conditions

Alcohol Drinking

Interventions

Crisis Intervention

Condition Hierarchy (Ancestors)

Drinking Behavior; Behavior

Intervention Hierarchy (Ancestors)

Psychotherapy; Behavioral Disciplines and Activities

Results Point of Contact

• Title: Pol Bruguera Soler
• Organization: Hospital Clínic de Barcelona

pbruguer@clinic.cat

628162567

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Head of the Addiction Unit

Study Record Dates

• First Submitted: August 31, 2017
• First Posted: September 6, 2017
• Study Start: June 1, 2016
• Primary Completion: February 28, 2018
• Study Completion: May 1, 2018
• Last Updated: May 15, 2020
• Results First Posted: May 15, 2020

Record last verified: 2020-05

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR
• Time Frame: Since de beginning and for 5 years
• Access Criteria: For scientific purposes