Wellbeing and Preventable Chronic Diseases Division, Menzies School of Health Research and School of Environmental and Life Sciences, Charles Darwin University, Darwin, Northern Territory, Australia.
BMC Health Serv Res. 2012 Oct 29;12:371. doi: 10.1186/1472-6963-12-371.
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.
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.
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.
The trial has been registered in Australian New Zealand Clinical Trials Registry (ANZCTR) and Trial Registration: ACTRN12611000135910.
澳大利亚北领地的下颌骨骨折发病率非常高，尤其是在原住民中。大多数面部损伤都与酒精中毒有关，因此物质使用是二级预防的一个重要目标。本研究测试了一种简短疗法——动机关怀计划（Motivational Care Planning），在改善因酒精相关面部创伤住院的青年和成年人的幸福感和物质滥用方面的疗效。
这是一项为期 6 个月随访的随机对照试验，旨在检验一种简短且文化适应的干预措施在改善因危险饮酒而住院的创伤患者结果方面的有效性，这些患者在达尔文皇家医院颌面外科接受治疗。使用 AUDIT-C 问卷来识别潜在的参与者。合格的参与者被随机分配到动机关怀计划（MCP）或常规治疗（TAU）组。结果测量将包括通过时间线回溯法测量酒精和其他物质的使用量和频率。招募目标是 154 名参与者，预计有 20%的参与者会脱落，这将为 124 名接受治疗和随访的患者提供数据。
该项目为因面部创伤住院的高危饮酒者引入了筛查和简短干预措施。它引入了一种在医院环境中整合简短干预措施的实用方法，并有可能为面部创伤的高危饮酒者带来显著的益处。
该试验已在澳大利亚和新西兰临床试验注册中心（ANZCTR）和临床试验注册登记：ACTRN12611000135910 进行注册。
