Sunday, April 3, 2005
Hall of Mirrors (Hilton Cincinnati Netherland Plaza)
Session: 1222, Undergraduate Submissions, 3:00 PM

Problem Drinking as a Risky Behavior in Emergency Department Patients

Barbara Parkes1, Susan Wall1, and Marilyn Sommers, PhD, RN, FAAN, Associate Dean2. (1) College of Nursing, University of Cincinnati, PO Box 210038, Cincinnati, OH 45221-0038, (2) Nursing Research Division, University of Cincinnati, 3110 Vine Street, Cincinnati, OH 45221

Problem drinking, patterns of alcohol use above the recommended limits proposed by the federal government, is associated with injury. Purpose: The overall project goal is to test the effectiveness of a brief intervention delivered during an Emergency Department (ED) visit. The intervention was developed to reduce selected risk-taking behaviors including problem (as compared to dependent) drinking. This abstract reports screening data collected to identify eligible subjects for enrollment in the behavioral trial. Theoretical Framework: Crisis intervention theory suggests a crisis, such as an ED visit, offers a teachable moment to change risky behaviors. Subjects: Adults 18-45 who are patients in the ED are eligible for enrollment in the trial. Dependant drinkers are excluded. Method: On screening days in the ED, all patients are screened for risky behaviors to determine eligibility in the randomized controlled trial (RCT). The RCT has a three group design with a sample size of 400. Potential subjects are asked 10 questions to determine their drinking behaviors and driving practices. Eligible subjects are then enrolled in the study protocol. Results: Over 6,000 subjects have been screened since study inception. Of the initial 2,111 subjects screened, the mean age was 40.9 years (SD 16.04), with 52% male and 48% female. The two largest racial groups represented were African American at 57.7 % and Caucasian (Not Latino) at 39.6%. Of the sample, 47% drank alcohol. Mean standard drinks on a typical day was 1.71 (SD 3.47; min/max 0/48); mean highest number of standard drinks on a single occasion was 2.24 (SD 4.39; min/max 0/50), and mean highest number of drinks in a single week was 4.13 (SD 10.27; min/max 0/108). Conclusions: Approximately half of the subjects drank alcohol, and patterns of drinking were widely variable. The ED population is an appropriate target for interventions to reduce problem drinking.

Session #1222 - Undergraduate Submissions

The 29th Annual MNRS Research Conference (April 1-4, 2005)