AODD and AODR Disorder
Conditions
Keywords
Accident Prevention, Alcohol Drinking, Substance-Related Disorders, Motivational Interviewing, Adult, Humans, Intervention Studies, Recurrence, Risk Factors, Trauma Centers, Wounds and Injuries/epidemiology, Wounds and Injuries/etiology*, Wounds and Injuries/prevention & control*
Brief summary
The purpose of this study is to determine whether the Brief Motivational Interview will produce a significantly reduction in risk behavior than usual treatment 3 months after discharge from hospital in people who have survived a traumatism.
Detailed description
Objectives: 1. To determine the efficacy of Brief Motivational Interview against an usual hospital treatment (no psychological treatment) in patients who have suffered an accident under the influence of drugs (1) to reduce risk behaviors and drug consumption and (2) to increase motivation to change behavior and risk perception. 2. To investigate the mediating role of impulsive personality and decision making in the impact of Brief Motivational Interview on reduction of risk driving. 3. To assess the economic viability of the results of Brief Motivational Interview through a cost-utility analysis.
Interventions
BEHAVIORALBrief Motivational Interview
The Brief Motivational Interview implies an empathic interviewing style which (i) recognizes, examines and tries to resolve the patient´s ambivalence to facilitate behavioral change, (ii) promotes self-efficacy, (iii) allows flexibility in strategies, including short-term aims to reduce consumption and decrease damage linked to this consumption (like road accidents), (iv) works to reduce the patient's resistances, and (v) provides individualized feedback, if deemed appropriate, to promote recognition of the problem and cognitive restructuring.
Sponsors
Universidad de Granada
Andaluz Health Service
Fundación Pública Andaluza para la Investigación Biomédica Andalucía Oriental
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* Trauma patients who have had: 1) A road crash, 2) A sport injury, 3) Occupational accident. * Tested positive on alcohol and/or other abuse drugs tests.
Exclusion criteria
* Cognitive or brain-damage that prevent assessment and Brief Motivational Interview * Psychopathological disorders * Residence status that prevents follow-up (residence outside of Spain, homeless).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Risk behavior | Baseline, month 3. | Measure with Short Driver Behaviour Questionnaire (SDBQ) and Domain-Specific Risk-Taking (DOSPERT) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Alcohol and Other Drug consumption | Baseline, month 3. | Measure with Timeline Followback (TLFB), Interview for Research on Addictive Behavior (IRAB) and Audit Test. |
| Motivation to change | Baseline, post-intervention, month 3 | Measure with SOCRATES-8 |
| Risk perception | Baseline, post-intervention, month 3. | Risk perception questionnaire, perceived risk of alcohol and drug (EDADES). |
| General Health | Baseline, month 3. | Measure with SF6D |
Other
| Measure | Time frame | Description |
|---|---|---|
| Risk Taking and Impulsive Behavior | Baseline, month 3. | Measure with Impulsive Behavior Scale (UPPS-P) and Self-efficacy questionnaire |
| Real-life decision making | Baseline, month 3. | Iowa Gambling Task (IGT) |
Countries
Spain
Outcome results
None listed