NCT02236494

Study of an Emergency Department-based Intervention to Reduce Alcohol Misuse in Older Adults

Pilot Trial of Emergency Department Intervention and Referral for Alcohol Misuse in Older Adults

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 222 (actual)
• Sponsor: University of North Carolina, Chapel Hill · Academic / Other
• Sex: All
• Age: 65 Years
• Healthy volunteers: Not accepted

Summary

This is a randomized trial to assess the value of an emergency department-based intervention to reduce hazardous alcohol use among older adults. We hypothesize that the intervention will result in a 25% reduction in the prevalence of hazardous alcohol use while the control group will only have a 5% reduction.

Detailed description

The goal of this project is to perform a pilot, randomized, controlled trial of a brief intervention and referral for treatment among older adults in the emergency department (ED) with alcohol misuse. The pilot data would then be used to design a larger study. The intervention for this trial will consist of a Brief Negotiation Interview (BNI) with a stratified referral for further treatment, compared with usual care. The BNI is a standardized, well-described intervention that has been implemented in a broad range of clinical settings but has not been specifically tested in older adults in the ED. Following the BNI, we will provide a referral for further care for the patient that is stratified by severity of alcohol misuse. Patients with hazardous or harmful alcohol use will follow-up with a primary care physician; patients with alcohol abuse or dependence will follow-up with an outpatient alcohol and substance abuse program; those at risk for complicated withdrawal will be recommended for inpatient treatment. In all cases we will contact the referral physician to help transition the patient's care, and ensure the patient receives a consistent message regarding their alcohol use across the different care settings.

Conditions

• Alcohol Abuse

Interventions

Type	Name	Description
BEHAVIORAL	Brief Negotiated Interview	As per arm
BEHAVIORAL	General Health Information	As per arm (this is the active comparator)

Timeline

• Start date: 2014-10-01
• Primary completion: 2017-07-10
• Completion: 2017-07-10
• First posted: 2014-09-10
• Last updated: 2017-07-12

Locations

1 site across 1 country: United States