Multidisciplinary Approach to Reduce Injury and Alcohol

The primary purpose of the proposed research is to compare the effectiveness of brief
intervention, brief intervention plus a booster and treatment as usual for adult patients
with an alcohol related injury. The primary outcomes of interest in the proposed trial are
injury recidivism, alcohol intake, and alcohol problems. Because brief alcohol interventions
with injured patients are opportunistic in nature, the patient's motivation to change or
stage of change likely influences their response to brief intervention as well as the need
for additional intervention. Therefore, the primary hypothesis of the proposed research is
that patients presenting for treatment of an alcohol related injury who are in the
precontemplation or contemplation stages of change require brief intervention with booster
while patients in the preparation or action stages of change benefit equally from brief
intervention alone or brief intervention plus booster. That is, an interaction between the
patient's stage of change (Precontemplation and Contemplation or Action) at enrollment and
treatment type (Brief Intervention, Brief Intervention with Booster and Treatment as Usual)
is hypothesized to influence treatment effect at follow up. In addition, the impact of
intervention on the patient's motivation to change at follow up will be assessed.