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Trauma Center Intervention for Alcohol Disorders

An Evidence-Based Practice

Description

The Trauma Center Intervention for Alcohol disorders is a brief intervention regarding alcohol use for patients involved in motor vehicle collisions. Drivers and passengers who have been admitted to the hospital for more than 24 hours after an injury resulting from a motor vehicle collision are eligible for the program if they had an admission blood alcohol content of more than 80 mg/dL or an Alcohol Use Disorders Identification Test score of more than 8. The brief intervention consisted of a 30-minute discussion in the patient's room with a social worker or trauma surgeon. The conversation consists of a non-confrontational, patient-centered discussion to discuss how alcohol use has affected the patient's life. The intervention uses the participant's experiences to boost self-efficacy to make change.

Goal / Mission

The goal of the Trauma Center Intervention for Alcohol Disorders is to reduce driving under the influence.

Results / Accomplishments

A randomized controlled trial compared intervention participants with patients receiving the standard care, along with a list of telephone numbers for alcohol treatment organizations near their home. In the three years following hospital discharge, 14 of 64 patients (21.9%) in the standard care group had an arrest for DUI compared with only 7 of 62 patients (11.3%) in the intervention group. Multivariate analysis demonstrated that the intervention was the strongest protective factor against DUI arrest (odds ratio 0.32; 95% confidence interval 0.11-0.96). The absolute risk reduction indicates that one DUI arrest is prevented for every nine patients treated.

About this Promising Practice

Organization(s)
University of New Mexico Center on Alcoholism, Substance Abuse, and Addictions
Primary Contact
Theresa Moyers
Center on Alcoholism, Substance Abuse, and Addictions
University of New Mexico
2650 Yale SE
MSC11-6280
Albuquerque, NM 87106
(505) 925-2375
tmoyers@unm.edu
http://casaa.unm.edu/
Topics
Health / Alcohol & Drug Use
Community / Public Safety
Community / Transportation
Organization(s)
University of New Mexico Center on Alcoholism, Substance Abuse, and Addictions
Source
The Journal of Trauma
Date of publication
Jan 2006
Date of implementation
Aug 2001
Location
Albuquerque, NM
For more details
http://www.ncbi.nlm.nih.gov/pubmed/16456433?itool=...
Target Audience
Adults

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  6. CDC COMMUNITY GUIDE: Reducing Alcohol-Impaired Driving: 0.08% Blood Alcohol Concentration (BAC) Laws

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Related Content for: Trauma Center Intervention for Alcohol Disorders

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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