Official Title: Enhanced MI With Alcohol Positive Trauma Patients
Status: UNKNOWN
Status Verified Date: 2010-06
Last Known Status: ACTIVE_NOT_RECRUITING
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: The primary goal of this study is to test the efficacy of a brief intervention that includes the patient and a significant other relative to an intervention including the patient only for reducing alcohol use and alcohol-related problems among trauma patients
Detailed Description: Alcohol-positive trauma patients are more likely to be readmitted to a trauma center or subsequently die from an injury than are alcohol-negative patients Empirically supported treatments to reduce alcohol use and alcohol-related problems eg injuries drinking and driving in this high-risk population are needed but few exist This randomized controlled clinical trial assesses the efficacy of a brief intervention that includes the patient and a significant other relative to an intervention including the patient only for reducing alcohol use and alcohol-related problems among trauma patients
Motivational Interviewing MI a brief directive non-confrontational intervention has demonstrated some promise in this setting Further inclusion of a significant other SO in prolonged intensive alcohol treatment appears to improve treatment retention and efficacy Although inclusion of an SO in MI has been suggested there are few data to support this endorsement
Accordingly this study will address whether motivational interviewing including both the trauma patient and an SO can more effectively decrease and maintain reductions in alcohol use and alcohol-related problems 6 and 12 months following discharge from the trauma unit than MI with the individual patient or an assessment-only condition
The 2 MI groups will each receive 2 intervention sessions timed to occur in the hospital and 1 booster session occurring 1 month following discharge
In the assessment-only condition patients will receive only assessment of their drinking at baseline This proposal will allow us to address the next phase of our program of research designed to develop easily disseminable treatments for these high-risk populations in medical settings This study will also address potential mediators motivation to change alcohol use self-efficacy alcohol treatment attendance and social support for abstinence and moderators of MI effects The cost-effectiveness of the intervention will also be addressed
Thus this study will address both a significant public health problem and provide important information about MI mechanisms that may be relevant to the broader addiction treatment community