PMID- 23566363
OWN - NLM
STAT- MEDLINE
DCOM- 20150512
LR  - 20240505
IS  - 1940-0640 (Electronic)
IS  - 1940-0632 (Print)
IS  - 1940-0632 (Linking)
VI  - 8
IP  - 1
DP  - 2013 Apr 8
TI  - Randomized controlled trial to evaluate screening and brief intervention for 
      drug-using multiethnic emergency and trauma department patients.
PG  - 8
LID - 10.1186/1940-0640-8-8 [doi]
AB  - BACKGROUND: Screening and brief intervention (SBI) is a comprehensive, integrated 
      public health approach to identify and deliver a spectrum of early detection and 
      intervention services for substance use in general medical care settings. 
      Although the SBI approach has shown promise for alcohol use, relatively little is 
      known about its effectiveness for illicit drug use. We are evaluating the SBI 
      approach for drug use using a rigorous randomized controlled trial. The purpose 
      of the report is to describe the overall trial and its programmatic and 
      methodological strengths with a focus on health educator (HE) selection and 
      training. In addition, the baseline characteristics of the recently enrolled 
      multiethnic cohort are described. METHODS/DESIGN: A randomized two-group repeated 
      measures design is being used in which drug-related outcomes of an intervention 
      group will be compared with those of an attention-placebo control group. 
      Selection of bicultural paraprofessional HEs-their training in research concepts, 
      comorbid mental health issues, special treatment of marijuana use, and 
      nonscripted enhanced motivational interviewing as well as their ongoing 
      monitoring and evaluation-are among the features described. The HEs enrolled, 
      consented, and conducted an intervention among 700 illicit drug users in two 
      large hospital emergency departments/trauma units. To be eligible, a participant 
      needed to be an adult (age >/=18 years), an English or Spanish speaker, awake and 
      able to give consent, and reachable by telephone to schedule a six-month 
      follow-up interview. DISCUSSION: A comprehensive HE training protocol combined 
      with rigorous, ongoing process measurement resulted in skill mastery in many 
      areas and a successful participant recruitment period. Strengths and limitations 
      of the study protocol are discussed as well as the characteristics of those 
      recruited. This trial will be among the first to provide information about the 
      effectiveness of SBI for illicit drug use. Outcome analysis has not yet been 
      completed, but demonstrated programming and design successes have implications 
      for future research and service delivery. TRIAL REGISTRATION: http://NCT01683227.
FAU - Eisenberg, Kimberly
AU  - Eisenberg K
FAU - Woodruff, Susan I
AU  - Woodruff SI
LA  - eng
SI  - ClinicalTrials.gov/NCT01683227
GR  - 1RC1DA028031-01/DA/NIDA NIH HHS/United States
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, American Recovery and Reinvestment Act
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20130408
PL  - England
TA  - Addict Sci Clin Pract
JT  - Addiction science & clinical practice
JID - 101316917
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Cultural Competency
MH  - Emergency Service, Hospital/*organization & administration
MH  - Ethnicity
MH  - Female
MH  - Health Educators/education/*organization & administration
MH  - Hospitals, Urban/organization & administration
MH  - Humans
MH  - Male
MH  - Mental Health
MH  - Middle Aged
MH  - Motivational Interviewing/*organization & administration
MH  - *Research Design
MH  - Risk Factors
MH  - Substance-Related Disorders/diagnosis/*ethnology/*therapy
MH  - Trauma Centers
MH  - Young Adult
PMC - PMC3642029
EDAT- 2013/04/10 06:00
MHDA- 2015/05/13 06:00
PMCR- 2013/01/01
CRDT- 2013/04/10 06:00
PHST- 2012/09/13 00:00 [received]
PHST- 2013/03/17 00:00 [accepted]
PHST- 2013/04/10 06:00 [entrez]
PHST- 2013/04/10 06:00 [pubmed]
PHST- 2015/05/13 06:00 [medline]
PHST- 2013/01/01 00:00 [pmc-release]
AID - 1940-0640-8-8 [pii]
AID - 10.1186/1940-0640-8-8 [doi]
PST - epublish
SO  - Addict Sci Clin Pract. 2013 Apr 8;8(1):8. doi: 10.1186/1940-0640-8-8.