Evaluating a Brief Negotiational Intervention for Alcohol Use Among Injury Patients in Tanzania

Summary

A brief negotiational interview (BNI), administered in an Emergency Department setting for both hazardous and harmful drinkers has been shown to cost-effectively reduce a patient's alcohol intake and re-injury rate up to 3 years post intervention. A BNI is a short (5-30 minute) counseling session administered by non-addiction specialists based on the concepts of the FRAMES model of motivational interviewing. Text based boosters have been proposed to prolong the impact of this intervention, either with a standardized or personalized content. The investigators will conduct a pilot study to test the feasibility of the study protocols, acceptance of the intervention, and patient enrollment and retention rates, as we prepare for a fully powered pragmatic randomized adaptive controlled trial of the intervention for patients seen at the Kilimanjaro Christian Medical Center (KCMC) Emergency Department.(ED)

Conditions

• Alcohol Use

Interventions

BEHAVIORAL

Brief Negotiational Intervention

This is a 5-10 minute conversation using the principles of motivational interviewing between the healthcare practioner and the patient to motivate the patient to identify at risk alcohol use and through self-empowerment create a plan to decrease alcohol use.

BEHAVIORAL

Standard Booster

This SMS based intervention will be a text to the participant once weekly including motivational statements to try to have patients reduce their alcohol use.

BEHAVIORAL

Personalized Booster

This SMS based intervention will be a text to the participant once weekly including motivational statements to try to have patients reduce their alcohol use. Information in this text will be personalized based on the participants specific reasons for reducing their alcohol use rather than a standard text content.

Sponsors & Collaborators

• Kilimanjaro Christian Medical Centre, Tanzania

  collaborator OTHER

• Fogarty International Center of the National Institute of Health

  collaborator NIH

• Duke University

  lead OTHER

Principal Investigators

• Catherine A. Staton, MD, MSc · Duke University

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

110 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2018-07-01

Primary Completion

2019-03-01

Completion

2019-03-01

Countries

• Tanzania

Study Locations