Substance Use (Drugs, Alcohol)
Conditions
Keywords
substance use
Brief summary
The purpose of this research study is to learn if an emergency department screening and telehealth intervention reduces substance use among individuals receiving emergency department treatment at The Ohio State University Wexner Medical Center.
Interventions
BEHAVIORALED-SMART intervention
The ED-SMART intervention will include: (i) a brief (approximately 15 minutes) counseling session in the emergency department and (ii) five, monthly brief counseling sessions (approximately 15 to 30 minutes) delivered by telehealth. These sessions will focus on creating individualized strategies to help participants reach their alcohol and substance use reduction goals
BEHAVIORALSubstance use information
The substance use information condition will receive printed health information covering information about substance use (e.g., definitions, hazards, potential for addiction, injury, and other consequences). Research staff will also discuss ways to utilize primary care or establish care with a primary care provider to provide ongoing follow-up.
Sponsors
Purdue University
Centers for Disease Control and Prevention
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult at least 18 years of age * Capacity and willingness to participate (including reliable phone or internet access for counseling session) * Lower or Moderate Risk score on one or more substance use types on National Institute on Drug Abuse (NIDA)-Modified Alcohol, Smoking, and Substance Use Involvement Test (ASSIST). Participants may also endorse alcohol use in conjunction with substance use as indicated by an Alcohol Use Disorder Identification Test-Concise (AUDIT-C) score of Moderate Risk.
Exclusion criteria
* A priori participant request for participation * Previously enrolled in this or other study of substance use disorder prevention * Language other than English * Expected/actual ED disposition of hospitalization or non-independent status * Prisoner at time of enrollment * Known to be pregnant at time of enrollment * Past substance use disorder or substance use treatment * High risk score for one or more substances on the NIDA-Modified ASSIST or problematic alcohol use alone
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self-reported substance use | From baseline to the sixth month follow-up assessment | Self-reported substance use frequency |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-reported substance use quantity | From baseline to the six month follow-up | Self-reported substance use quantity for each substance |
| Incidence of positive substance use disorder screen | From baseline to the six month follow-up | Incidence of positive substance use disorder screen as measured by the NIDA Modified ASSIST or AUDIT |
| Toxicology assays for substance use | From baseline to the six month follow-up assessment | Proportion with positive toxicology assay for substance use |
| Self-reported healthcare utilization | Baseline to the six month follow-up assessment | Self-reported healthcare utilization |
| Fatal and non-fatal overdose | Baseline to the six month follow-up assessment | Frequency of fatal and non-fatal overdose |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORJennifer L. Brown, PhD
Purdue University
Outcome results
None listed