Predictors of Hazardous Drinking Behavior in 1,340 Adult Trauma Patients: A Computerized Alcohol Screening and Intervention Study

Ewing, Tyler; Barrios, Cristobal; Lau, Cecilia; Patel, Madhukar S.; Cui, Eric; Garcia, Stephanie Diana; Kong, Allen; Lotfipour, Shahram; Lekawa, Michael; Malinoski, Darren

doi:10.1016/j.jamcollsurg.2012.05.010

Cited by 13 publications

(10 citation statements)

References 13 publications

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“…Specific tablet-based (not laptop or desktop computer) screening for harmful alcohol and drug use in the ED has been previously described, and these studies have some differences and similarities to our findings. A 2012 study of tablet Computerized Alcohol Screening and brief Intervention (CASI) of trauma patients using AUDIT was one of the first to describe the use of tablets in the ED to determine predictive factors for “hazardous drinking behavior” [ 37 ]. However, no mention was made of time to completion, proportion of patients who refused, or details of the tablet-based brief intervention.…”

Section: Discussionmentioning

confidence: 99%

Emergency Department Screening for Unhealthy Alcohol and Drug Use with a Brief Tablet-Based Questionnaire

Elder

Chenoweth

et al. 2020

Emergency Medicine International

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Background. Screening for unhealthy alcohol and drug use in the emergency department (ED) can be challenging due to crowding, lack of privacy, and overburdened staff. The objectives of this study were to determine the feasibility and utility of a brief tablet-based screening method in the ED and if patients would consider a face-to-face meeting with a certified alcohol and drug counselor (CADC) for more in-depth screening, brief intervention, and referral to treatment (SBIRT) helpful via this interface. Methods. A tablet-based questionnaire was offered to 500 patients. Inclusion criteria were age ≥18, Emergency Severity Index 2–5, and English comprehension. Subjects were excluded if they had evidence of acute intoxication and/or received sedating medication. Results. A total of 283 (57%) subjects were enrolled over a 4-week period, which represented an increase of 183% over the monthly average of patients referred for SBIRT by the CADC prior to the study. There were 131 (46%) who screened positive for unhealthy alcohol and drug use, with 51 (39%) and 37 (28%) who screened positive for solely unhealthy alcohol use and drug use/drug use disorders, respectively. There were 43 (33%) who screened positive for combined unhealthy alcohol and drug use. Despite willingness to participate in the tablet-based questionnaire, only 20 (15%) with a positive screen indicated via the tablet that a face-to-face meeting with the CADC for further SBIRT would be helpful. Conclusion. Brief tablet-based screening for unhealthy alcohol and drug use in the ED was an effective method to increase the number of adult patients identified than solely by their treating clinicians. However, only a minority of subjects screening positive using this interface believed a face-to-face meeting with the CADC for further SBIRT would be helpful.

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Section: Discussionmentioning

confidence: 99%

Emergency Department Screening for Unhealthy Alcohol and Drug Use with a Brief Tablet-Based Questionnaire

Elder

Chenoweth

et al. 2020

Emergency Medicine International

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“… 23 Ewing et al administered the computerized alcohol screening and intervention (CASI) system to screen over 1,000 traumatized patients for alcohol use with the aforementioned AUDIT tool in electronic format. 24 And although not for screening purposes, an interactive computerized history-taking program has been successfully used to augment history information at triage without delaying patient care. 25 …”

Section: Discussionmentioning

confidence: 99%

Feasibility of Tablet Computer Screening for Opioid Abuse in the Emergency Department

Weiner

Horton

Green

et al. 2015

WestJEM

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IntroductionTablet computer-based screening may have the potential for detecting patients at risk for opioid abuse in the emergency department (ED). Study objectives were a) to determine if the revised Screener and Opioid Assessment for Patients with Pain (SOAPP®-R), a 24-question previously paper-based screening tool for opioid abuse potential, could be administered on a tablet computer to an ED patient population; b) to demonstrate that >90% of patients can complete the electronic screener without assistance in <5 minutes and; c) to determine patient ease of use with screening on a tablet computer.MethodsThis was a cross-sectional convenience sample study of patients seen in an urban academic ED. SOAPP®-R was programmed on a tablet computer by study investigators. Inclusion criteria were patients ages ≥18 years who were being considered for discharge with a prescription for an opioid analgesic. Exclusion criteria included inability to understand English or physical disability preventing use of the tablet.Results93 patients were approached for inclusion and 82 (88%) provided consent. Fifty-two percent (n=43) of subjects were male; 46% (n=38) of subjects were between 18–35 years, and 54% (n=44) were >35 years. One hundred percent of subjects completed the screener. Median time to completion was 148 (interquartile range 117.5–184.3) seconds, and 95% (n=78) completed in <5 minutes. 93% (n=76) rated ease of completion as very easy.ConclusionsIt is feasible to administer a screening tool to a cohort of ED patients on a tablet computer. The screener administration time is minimal and patient ease of use with this modality is high.

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“…Gender is also significantly associated with alcohol consumption 38,39) . Our results revealed that 34% of women drank alcohol compared with 50% of men and that 8% of the women and 16% of men could be considered hazardous drinkers.…”

Section: Discussionmentioning

confidence: 98%

Screening for Hazardous Drinking in Migrant Workers in Southeastern Spain

Pérez-Cárceles

Medina

Pérez‐Flores

et al. 2014

Journal of Occupational Health

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Screening for Hazardous Drinking in Migrant Workers in Southeastern Spain : Maria D. PEREZ‐CARCELES, et al. Department of Health and Social Sciences, Regional Campus of International Excellence “Campus Mare Nostrum”, School of Medicine, University of Murcia, E30100, Spain— Objectives Despite the great impact the migration has had in economic, social and health‐related fields, and the repercussions of alcohol consumption on them, few data exist concerning the extent of alcohol consumption in migrant workers. The aims of this study were to identify workers with a hazardous drinking problem by means of a self‐reported questionnaire (Alcohol Use Disorders Identification Test‐AUDIT) and a biomarker (carbohydrate‐deficient transferrin‐CDT) and to ascertain associated risk factors. Methods A cross‐sectional survey was conducted using a random sample of 385 migrant workers, undergoing a routine health examination as part of occupational health services. Results The results showed that 13.8% (n=53) of the workers were screened as positive with the AUDIT (≥8) and/or CDT (>2.6) and identified as hazardous drinkers and that 53.8% (n=207) were teetotallers. Being a man (OR: 2.0), working in the construction industry (OR: 2.8) or agriculture (OR: 2.2), being resident in Spain for more than 7 years (OR: 2.3) and sharing a house with friends were the factors most closely associated with hazardous drinking. Conclusions Prevention‐orientated programs, adjusted to the characteristics of each country and the origin of the migrants themselves, should be instituted to modify the drinking habits of migrant workers considered at risk.

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Predictors of Hazardous Drinking Behavior in 1,340 Adult Trauma Patients: A Computerized Alcohol Screening and Intervention Study

Cited by 13 publications

References 13 publications

Emergency Department Screening for Unhealthy Alcohol and Drug Use with a Brief Tablet-Based Questionnaire

Emergency Department Screening for Unhealthy Alcohol and Drug Use with a Brief Tablet-Based Questionnaire

Feasibility of Tablet Computer Screening for Opioid Abuse in the Emergency Department

Screening for Hazardous Drinking in Migrant Workers in Southeastern Spain

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