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首页> 外文期刊>BMC Emergency Medicine >The Social Health Intervention Project (SHIP): Protocol for a randomized controlled clinical trial assessing the effectiveness of a brief motivational intervention for problem drinking and intimate partner violence in an urban emergency department
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The Social Health Intervention Project (SHIP): Protocol for a randomized controlled clinical trial assessing the effectiveness of a brief motivational intervention for problem drinking and intimate partner violence in an urban emergency department

机译：社会健康干预项目（SHIP）：一项针对随机对照临床试验的协议，该协议评估了在城市急诊室中针对问题饮酒和亲密伴侣暴力的简短动机干预措施的有效性

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Background There is a strong reciprocal association between two highly prevalent public health problems: intimate partner violence and heavy drinking, both of which remain major sources of morbidity and mortality. Brief interventions in the Emergency Department setting have been found to be effective in reducing alcohol-related injury but neither classic intimate partner violence nor substance abuse interventions have adequately integrated assessment and treatment for these co-occurring conditions. The overall goal of this study is to determine whether a motivational intervention delivered at the time of an Emergency Department visit will reduce heavy drinking and improve the safety of women experiencing intimate partner violence. Methods and design We are completing data collection for a randomized controlled trial enrolling 600 female patients, age 18–64, presenting to one of two urban Emergency Departments, who self-disclose both problem drinking and intimate partner violence. Eligible patients are randomized to a brief manual-guided motivational intervention, and a phone booster at 10 days. The intervention, which is delivered by masters-level therapists during the Emergency Department visit, is recorded and monitored for fidelity. Primary outcomes are episodes of heavy drinking and incidents of intimate partner violence, assessed weekly by Interactive Voice Response System for 12 weeks and at 3, 6 and 12 months by interviewers blinded to group assignment. To identify the impact of assessment alone, we included a no-contact control group assessed only once at 3 months. Secondary outcomes include violence severity, changes in the Composite Abuse Scale and alcohol quantity/frequency, along with other health-related behaviors. The analysis will also explore the impact of likely mediators and moderators of the intervention. Discussion While screening and intervention for intimate partner violence is now recommended for women of child bearing age in health care settings, there is a need for rigorous evaluations of what works for whom. Upon completion, we will have high-quality evidence regarding the effectiveness of a low-intensity, brief motivational intervention, delivered by social workers in the Emergency Department setting, for decreasing episodes of heavy drinking and intimate partner violence. Ultimately, this is a model could be generalizable to other acute health care settings. Trial Registration ClinicalTrials.gov Registration Number: NCT01207258
机译：背景技术两个高度流行的公共卫生问题之间存在密切的相互联系：亲密伴侣暴力和酗酒，这两种疾病仍然是发病率和死亡率的主要来源。已发现在急诊室中进行简短干预可有效减少与酒精有关的伤害，但经典的亲密伴侣暴力行为或药物滥用干预措施均未对这些共同发生的状况进行充分的综合评估和治疗。这项研究的总体目标是确定在急诊室就诊时进行的动机干预是否会减少酗酒并提高遭受亲密伴侣暴力的妇女的安全性。方法和设计我们正在完成一项随机对照试验的数据收集工作，该试验招募了600名18-64岁的女性患者，并向两个城市急诊部门之一提供了信息，这些急诊部门会自我披露问题饮酒和亲密伴侣的暴力行为。符合条件的患者随机接受简短的手动引导性动机干预，并在10天时进行电话辅助治疗。在急诊部就诊期间，由大师级治疗师提供的干预措施将被记录并进行保真监控。主要结果是严重饮酒发作和伴侣之间的亲密暴力事件，由互动语音响应系统每周进行评估，为期12周，在不知情的情况下，由访调员在3、6、12个月进行评估。为了确定评估的影响，我们纳入了一个非接触式对照组，每三个月评估一次。次要结果包括暴力严重程度，综合虐待量表和酒精含量/频率的变化，以及其他与健康相关的行为。该分析还将探讨可能的干预者和干预者的影响。讨论虽然现在建议在医疗机构中对育龄妇女进行亲密伴侣暴力的筛查和干预，但仍需要对适用于谁的药物进行严格评估。完成后，我们将获得高质量的证据，说明急诊室环境中的社会工作者进行的低强度，简短的动机干预的有效性，可以减少酗酒和伴侣之间的亲密暴力。最终，该模型可以推广到其他急性医疗机构。试用注册ClinicalTrials.gov注册号：NCT01207258

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