Objectives: The goal of this research was to determine the efficacy of an on-site brief counseling intervention for alcohol problems among young adults (18 - 39) in a rural, university-based ED. Methods: Project staff used the Alcohol Use Disorders Identification Test (AUDIT) to screen consenting patients for alcohol problems. Patients at elevated risk (AUDIT ³ 6) were randomized to treatment (brief counseling using motivational interviewing techniques and referral to offsite treatment as needed) or control (received screening results and referred to offsite sources for further help) groups. Both groups were re-interviewed at 3 months for drinking-related outcomes. Preliminary Results: 96% (1295/1352) of age-eligible drinkers consented to participate and 44% (557/1270) were at elevated risk (mean AUDIT=11.8). College students were more likely to be at elevated risk than others, 55% vs 37% (p<.01) Fraternity/sorority members were more likely to be at risk than other students, 72% vs 51% (p<.01) By January 2000, 541 patients were randomized for the trial and 119 patients completed follow-up interviews. Outcome results are embargoed until September 2000 because study enrollment continues. Therefore, trial results will be presented at the APHA annual meeting. Conclusions: The high prevalence of at-risk drinking among young adults who visit the ED makes it a promising venue for screening and brief, on-site counseling for alcohol problems. The high rates of informed consent and completion of counseling indicate that patients find this service acceptable.
Learning Objectives: At the conclusion of the session, participants will be able to evaluate the efficacy of an emergency deparment-based program to screen and help patients with with alcohol problems
Keywords: Alcohol, Clinical Trails
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.