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The primary purpose of the project entitled: Multidisciplinary Approach to Reduce Injury and Substance Abuse, which is funded by the National Institute on Drug Abuse (5R01DA026088-02), is to compare the effectiveness of brief intervention, brief intervention plus a booster, and brief advice for adult patients who abuse drugs and present to a trauma department for treatment of an injury.
Multidisciplinary Approach to Reduce Injury and Substance Abuse is a randomized clinical trial evaluating the effectiveness of brief advice (BA), brief motivational intervention with feedback (BMI), and brief motivational intervention with feedback and booster (BMI+B) in injured patients with drug problems.
The setting is UMC Brackenridge Hospital Trauma Department, which serves a large and diverse patient population. Injured patients are screened for eligibility in the project based on a positive tox screen or self reported drug use in the past 90 days. The primary outcome of interest will be patients' subsequent drug use. Other outcomes of interest include: HIV-related risk behaviors, improved health outcomes (including injury reduction), increased employment, decreased engagement in illegal behavior, increased substance abuse treatment utilization, and enhanced quality of life at three, six, and twelve month follow-ups.
This study will also examine the potential moderating and mediating effects of patient readiness to change, use of experiential and behavioral processes of change and decisional balance considerations. In addition, this project will examine implementation factors at the organizational level and the cost effectiveness of BA, BMI, and BMI+B.
Study participants and their related identifying information will be collected during the time they are admitted to the UMC Brackenridge Hospital Trauma Department. Study participants must be 18 years or older, speak English or Spanish, have been admitted to the UMC Brackenridge Hospital Trauma Department, and test positive for illegal drugs or admit to illegal drug use when verbally screened. Additional information will be collected from participants in appointments at UMC Brackenridge at three, six, and 12 month follow-up periods.
Allocation: Randomized, Control: Dose Comparison, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Prevention
Drug Abuse Among Patients Admitted to a Trauma Department.
Brief advice, Brief Intervention plus Booster Session (BMI+B), Brief Intervention
University Medical Center Brackenridge
Not yet recruiting
National Institute on Drug Abuse (NIDA)
Published on BioPortfolio: 2014-07-24T14:10:20-0400
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