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Study protocol: Screening and treatment of alcohol-related trauma (START) - A randomised controlled trial

Jayaraj, Ramamoorthi, Thomas, Mahiban, Kavanagh, David, d'Abbs, Peter H. N., Mayo, Luke, Thomson, Valerie, Griffin, Carolyn and Nagel, Tricia M. (2012). Study protocol: Screening and treatment of alcohol-related trauma (START) - A randomised controlled trial. BMC Health Services Research,12(1):371-1-371-7.

Document type: Journal Article
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Title Study protocol: Screening and treatment of alcohol-related trauma (START) - A randomised controlled trial
Author Jayaraj, Ramamoorthi
Thomas, Mahiban
Kavanagh, David
d'Abbs, Peter H. N.
Mayo, Luke
Thomson, Valerie
Griffin, Carolyn
Nagel, Tricia M.
Journal Name BMC Health Services Research
Publication Date 2012
Volume Number 12
Issue Number 1
ISSN 1472-6963   (check CDU catalogue  open catalogue search in new window)
Scopus ID 2-s2.0-84867901521
Start Page 371-1
End Page 371-7
Total Pages 7
Abstract Background
The incidence of mandibular fractures in the Northern Territory of Australia is very high, especially among Indigenous people. Alcohol intoxication is implicated in the majority of facial injuries, and substance use is therefore an important target for secondary prevention. The current study tests the efficacy of a brief therapy, Motivational Care Planning, in improving wellbeing and substance misuse in youth and adults hospitalised with alcohol-related facial trauma.

Methods and design
The study is a randomised controlled trial with 6 months of follow-up, to examine the effectiveness of a brief and culturally adapted intervention in improving outcomes for trauma patients with at-risk drinking admitted to the Royal Darwin Hospital maxillofacial surgery unit. Potential participants are identified using AUDIT-C questionnaire. Eligible participants are randomised to either Motivational Care Planning (MCP) or Treatment as Usual (TAU). The outcome measures will include quantity and frequency of alcohol and other substance use by Timeline Followback. The recruitment target is 154 participants, which with 20% dropout, is hoped to provide 124 people receiving treatment and follow-up.

Discussion
This project introduces screening and brief interventions for high-risk drinkers admitted to the hospital with facial trauma. It introduces a practical approach to integrating brief interventions in the hospital setting, and has potential to demonstrate significant benefits for at-risk drinkers with facial trauma.

Trial Registration
The trial has been registered in Australian New Zealand Clinical Trials Registry (ANZCTR) and Trial Registration: ACTRN12611000135910.
Keywords Alcohol related injury
Culturally appropriate intervention
Facial trauma
Indigenous Australians or Aboriginal and Torres Strait Islanders
DOI http://dx.doi.org/10.1186/1472-6963-12-371   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Additional Notes This is an Open Access article distributed under the terms of the Creative Commons Attribution License 2.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Description for Link Link to CC Attribution 2.0 License
URL https://creativecommons.org/licenses/by/2.0/au/legalcode


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