Effectiveness of the YourCall™ text message intervention to reduce harmful drinking in patients discharged from trauma wards: protocol for a randomised controlled trial

BMC Public Health

Study Protocol

Ian Civil¹  Vanessa Thornton²  Robyn Whittaker³  Matthew Walker⁴  Shanthi Ameratunga⁵  Arier Lee⁵  Bridget Kool⁵  Sarah Sharpe⁵  Papaarangi Reid⁶  Gordon Smith⁷ 

[1] Department of Surgery, Auckland City Hospital, 2 Park Road, Grafton, 1023, Auckland, New Zealand;Middlemore Hospital, Private Bag 93311, Otahuhu, 1640, Auckland, New Zealand;National Institute for Health Innovation, School of Population Health, University of Auckland, Private Bag 92019, Auckland Mail Centre 1142, Auckland, New Zealand;North Shore Hospital, Shakespeare Road, Takapuna, 0622, Auckland, New Zealand;Section of Epidemiology & Biostatistics, School of Population Health, University of Auckland, Private Bag 92019, Auckland Mail Centre 1142, Auckland, New Zealand;Te Kupenga Hauora Māori, Faculty of Medical & Health Sciences, University of Auckland, Private Bag 92019, Auckland Mail Centre 1142, Auckland, New Zealand;West Virginia University School of Public Health, PO Box 9190, 1 Medical Center Drive, 26506-9190, Morgantown, WV, USA;

关键词: Alcohol use;    Text messaging;    Wounds and injuries;    Brief intervention;    Motivational interviewing;    Trauma centers;    Mobile health;   

DOI  :  10.1186/s12889-016-3967-z

 received in 2016-12-06, accepted in 2016-12-20,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundBehavioural brief interventions (BI) can support people to reduce harmful drinking but multiple barriers impede the delivery and equitable access to these. To address this challenge, we developed YourCall™, a novel short message service (SMS) text message intervention incorporating BI principles. This protocol describes a trial evaluating the effectiveness of YourCall™ (compared to usual care) in reducing hazardous drinking and alcohol related harm among injured adults who received in-patient care.Methods/designParticipants recruited to this single-blind randomised controlled trial comprised patients aged 16-69 years in three trauma-admitting hospitals in Auckland, New Zealand. Those who screened positive for moderately hazardous drinking were randomly assigned by computer to usual care (control group) or the intervention. The latter comprised 16 informational and motivational text messages delivered using an automated system over the four weeks following discharge. The primary outcome is the difference in mean AUDIT-C score between the intervention and control groups at 3 months, with the maintenance of the effect examined at 6 and 12 months follow-up. Secondary outcomes comprised the health and social impacts of heavy drinking ascertained through a web-survey at 12 months, and further injuries identified through probabilistic linkage to national databases on accident insurance, hospital discharges, and mortality. Research staff evaluating outcomes were blinded to allocation. Intention-to-treat analyses will include assessment of interactions based on ethnicity (Māori compared with non-Māori).DiscussionIf found to be effective, this mobile health strategy has the potential to overcome current barriers to implementing equitably accessible interventions that can reduce harmful drinking.Trial registrationUniversal Trial Number (UTN) U1111-1134-0028. ACTRN12612001220853. Submitted 8 November 2012 (date of enrolment of first participant); Version 1 registration confirmed 19 November 2012. Retrospectively registered.

【 授权许可】

CC BY   
© The Author(s). 2017