The Quik Fix study: a randomised controlled trial of brief interventions for young people with alcohol-related injuries and illnesses accessing emergency department and crisis support care

BMC Emergency Medicine

Study Protocol

Angela White¹  Jan J Barendregt¹  Jason P Connor¹  Mark Daglish²  Davina Sanders³  Ross McD Young³  Leanne Hides³  David J Kavanagh³  Susan Cotton⁴  Lance Mergard⁵ 

[1] Center for Youth Substance Abuse Research (CYSAR), Faculty of Health Sciences, The University of Queensland, Brisbane, Australia;Center for Youth Substance Abuse Research (CYSAR), Faculty of Health Sciences, The University of Queensland, Brisbane, Australia;Royal Brisbane and Women’s Hospital, Brisbane, Australia;Center for Youth Substance Abuse Research (CYSAR), School for Psychology & Counselling, Institute of Health & Biomedical Innovation (IHBI), Queensland University of Technology (QUT), 60 Musk Ave, 4059, Brisbane, Queensland, Australia;Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia;Orygen Youth Health Research Centre, Melbourne, Australia;ChaplainWatch Inc, Brisbane, Australia;

关键词: Alcohol;    Brief intervention;    Young people;    Substance use;    Telephone;    Motivation;    Personality;    Randomised controlled trial;   

DOI  :  10.1186/1471-227X-14-19

 received in 2014-07-14, accepted in 2014-07-23,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundAlcohol is a major preventable cause of injury, disability and death in young people. Large numbers of young people with alcohol-related injuries and medical conditions present to hospital emergency departments (EDs). Access to brief, efficacious, accessible and cost effective treatment is an international health priority within this age group. While there is growing evidence for the efficacy of brief motivational interviewing (MI) for reducing alcohol use in young people, there is significant scope to increase its impact, and determine if it is the most efficacious and cost effective type of brief intervention available. The efficacy of personality-targeted interventions (PIs) for alcohol misuse delivered individually to young people is yet to be determined or compared to MI, despite growing evidence for school-based PIs. This study protocol describes a randomized controlled trial comparing the efficacy and cost-effectiveness of telephone-delivered MI, PI and an Assessment Feedback/Information (AF/I) only control for reducing alcohol use and related harm in young people.Methods/designParticipants will be 390 young people aged 16 to 25 years presenting to a crisis support service or ED with alcohol-related injuries and illnesses (including severe alcohol intoxication). This single blinded superiority trial randomized young people to (i) 2 sessions of MI; (ii) 2 sessions of a new PI or (iii) a 1 session AF/I only control. Participants are reassessed at 1, 3, 6 and 12 months on the primary outcomes of alcohol use and related problems and secondary outcomes of mental health symptoms, functioning, severity of problematic alcohol use, alcohol injuries, alcohol-related knowledge, coping self-efficacy to resist using alcohol, and cost effectiveness.DiscussionThis study will identify the most efficacious and cost-effective telephone-delivered brief intervention for reducing alcohol misuse and related problems in young people presenting to crisis support services or EDs. We expect efficacy will be greatest for PI, followed by MI, and then AF/I at 1, 3, 6 and 12 months on the primary and secondary outcome variables. Telephone-delivered brief interventions could provide a youth-friendly, accessible, efficacious, cost-effective and easily disseminated treatment for addressing the significant public health issue of alcohol misuse and related harm in young people.Trial registrationThis trial is registered with the Australian and New Zealand Clinical Trials Registry ACTRN12613000108718.

【 授权许可】

CC BY   
© Hides et al.; licensee BioMed Central Ltd. 2014