Screening and Brief Intervention for Substance Misuse Following Traumatic Brain Injury

Jennifer Bogner, PhD, ABPP139 enrolled

Overview

This study is investigating one way to improve health and healthy habits after traumatic brain injury (TBI). The primary goal of this study is to determine if a brief intervention accommodated for persons with moderate or severe TBI is effective in reducing alcohol misuse during the year following injury. It is hypothesized that an adapted Screening, Education and Brief Intervention (adapted SBI) will reduce the number of alcoholic drinks consumed per week over the year following discharge from inpatient rehabilitation, in comparison to a Screening and Education Attention Control condition (SEA control).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

139

Conditions

Traumatic Brain Injury

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Sustained a TBI, defined as damage to brain tissue caused by external force and evidenced by loss of consciousness, post-traumatic amnesia, skull fracture, or objective neurological findings * History of alcohol misuse within the year prior to injury * Be at least 18 years old * English-speaking * Have cleared post-traumatic amnesia * Able and willing to provide informed consent Exclusion Criteria: * Language impairments that would preclude participation in interview * Has not cleared post-traumatic amnesia before discharge

Outcomes

Primary Outcomes

Number of alcoholic drinks consumed per week in past month

Number of drinks will be recorded at baseline, 6, 9, and 12 months. We will be measuring change in the number of drinks consumed of the course of the year, with the primary outcome being measured at the 12 month assessment.

Time frame: Change from baseline to 12 months post-discharge

Secondary Outcomes

Frequency of alcohol binges in past month

Binge is defined as 4 or more drinks in a day for women, 5 or more drinks in a day for men

Time frame: Change in the number of alcohol binges baseline to 12 months post-discharge

Alcohol expectancies

Measured by the shortened Alcohol Expectancies Questionnaire-III

Time frame: 12 months post-discharge

Number of facts retained about negative consequences of substance misuse

Count of number of facts, maximum=8

Time frame: 12 months post-discharge

Number of alcoholic drinks consumed per week during the past month

Count of number of facts, maximum=8

Time frame: Change from baseline to 3 months post-discharge

Number of alcoholic drinks consumed per week in the past month

Time frame: Change from baseline to 6 months post-discharge

Frequency of alcohol binges in past month

Binge is defined as 4 or more drinks in a day for women, 5 or more drinks in a day for men

Time frame: Change from baseline to 6 months post-discharge

Number of alcohol binges in past month

Binge is defined as 4 or more drinks in a day for women, 5 or more drinks in a day for men

Time frame: Change from baseline to 3 months post-discharge

Alcohol expectancies

Measured by the shortened Alcohol Expectancies Questionnaire-III

Time frame: 6 months post-discharge

Alcohol expectancies

Measured by the shortened Alcohol Expectancies Questionnaire-III

Time frame: 3 months post-discharge

Number of facts retained about negative consequences of alcohol use

Count of number of facts, maximum=8

Time frame: 3 months post-discharge

Number of facts retained about negative consequences of alcohol use

Count of number of facts, maximum=8

Time frame: 6 months post-discharge

Screening and Brief Intervention for Substance Misuse Following Traumatic Brain Injury

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes