Awarded Grant - Acute Care
Phone Intervention for Hazardous Ethanol Use in Emergency Department (ED) Motor Vehicle Crash Patients
FOA Number: CE03-023 - Grants for Acute Care, Rehabilitation and Disability ResearchProject Period: 09/01/03–08/31/06
Application/Grant Number: 1-R49-CE123228-01
Principal Investigator: Michael J. Mello, MD, MPH
Rhode Island Hospital
Injury Prevention Center
Room 334 593 Eddy Street
Providence, RI 02903
Injury is the leading cause of death into the third decade of life, and alcohol is an enormous risk factor for injury. Alcohol is involved in 40% of fatal motor vehicle crashes (MVC). The long-term goal of this research program is to reduce alcohol-related injuries and other negative alcohol-related consequences among patients injured in a MVC who present for treatment in a hospital ED. An ED visit provides an ideal teachable moment in which to intervene for an alcohol-use problem. A prior study by researchers at this institution has shown that a brief motivational intervention administered in the ED, followed by a booster session, reduces alcohol-related injuries and other negative consequences at a 12-month follow-up for sub-critically injured, harmful/hazardous drinkers. The researchers will study whether such an intervention given by telephone will be effective. Contrary to the generally held notion that counseling requires face-to-face interaction, research finds that telephone counseling and intervention can effectively treat a range of health and mental health conditions. Telephone intervention is also likely to be more cost-effective.
The study’s primary aim is to test whether a brief motivational intervention given by telephone to harmful/hazardous drinkers injured in a MVC will reduce alcohol-related injuries and other negative alcohol-related consequences. Researchers will randomly assign 286 hazardous drinkers injured in a MVC and treated in the ED to telephone brief motivational intervention or standard care. Re-assessment will be at 3 and 12 months to measure changes in reducing alcohol-related injuries and other alcohol-related negative consequences. A secondary aim is to test for patient characteristics that may moderate effectiveness of the intervention. The study will examine if effect is dependent on the extent of hazardous drinking; or on attribution of injury to alcohol; or on the subject's self assessment of the pros and cons of alcohol use at the time of their injury.
- Page last reviewed: March 9, 2010
- Page last updated: March 9, 2010
- Content source:
- Content source: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control