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Feasibility of a computer-assisted alcohol SBIRT program in an urban emergency department patient and research staff perspectives.doc

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Feasibility of a computer-assisted alcohol SBIRT program in an urban emergency department patient and research staff perspectives

Murphyetal.AddictionScienceClinicalPractice2013,8:2 /content/8/1/2 RESEARCH OpenAccess Feasibilityofacomputer-assistedalcoholSBIRT programinanurbanemergencydepartment: patientandresearchstaffperspectives MaryKMurphy1*,PollyEBijur2,DavidRosenbloom3,StevenLBernstein1andEJohnGallagher2 Abstract Objectives:Thestudyobjectivewastoassessthefeasibilityofacomputerizedalcohol-screeninginterview(CASI) programtoidentifyat-riskalcoholusersamongadultemergencydepartment(ED)patients.Thestudyaimedto evaluatethefeasibilityofimplementingacomputerizedscreening,briefintervention,andreferraltotreatment (SBIRT)programwithinabusyurbanEDsetting,toreportonaccuratedeploymentofalcoholscreeningresults,and toassesscomprehensionandsatisfactionwithCASIfrombothpatientandresearchstaffperspectives. Methods:Researchassistants(RAs)screenedaconveniencesampleofmedicallystableEDpatients.TheRAs broughtCASItopatients’bedsides,andpatientsenteredtheirownalcoholconsumptiondata.TheCASI interventionconsistedofanalcoholusescreeningidentificationtest,apersonalizednormativefeedbackprofile, NIAAAlow-riskdrinkingeducationalmaterials,andtreatmentreferrals(whenindicated). Results:Fivehundredseventeenpatientswereenrolled.Themedianageofparticipantswas37years(range, 21-85years);37%weremen,62%wereHispanic,7%wereCaucasian,30%wereAfricanAmerican,and2%were multiracial.Eightypercentreportedregularuseofcomputersathome.Eightypercentofpatientsapproached consentedtoparticipate,and99%ofthosewhostartedCASIwereabletocompleteit.Twopercentofinterviews wereinterruptedformedicaltestsandprocedures,however,nopatientsrequiredbreaksfromusingCASIfornot feelingwell.TheCASIprogramaccuratelyprovidedalcoholriskeducationtopatients100%ofthetime.Thirty-two percentofpatientsinthesamplescreenedpositiveforat-riskdrinking.SixtypercentofpatientsreportedthatCASI increasedtheirknowledgeofsafedrinkinglimits,39%reportedsomelikelinesstochangetheiralcoholuse,and 28%reportedsomeintentiontoconsultahealthcareprofessionalabouttheiralcoholuseasaresultoftheir scre