Kiosk versus In-person Screening for Alcohol and Drug Use in the Emergency Department: Patient Preferences and Disclosure

Autor: Leon L. Haley, Amy R Baugher, Kia Colbert, Debra E. Houry, Abigail Hankin
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Western Journal of Emergency Medicine
Western Journal of Emergency Medicine, Vol 16, Iss 2, Pp 220-228 (2015)
Hankin, Abigail; Haley, Leon; Baugher, Amy; Colbert, Kia; & Houry, Debra. (2015). Kiosk versus In-person Screening for Alcohol and Drug Use in the Emergency Department: Patient Preferences and Disclosure. Western Journal of Emergency Medicine, 16(2). doi: 10.5811/westjem.2015.1.24121. Retrieved from: http://www.escholarship.org/uc/item/5s04v1hf
ISSN: 1936-9018
1936-900X
DOI: 10.5811/westjem.2015.1.24121.
Popis: Introduction: Annually eight million emergency department (ED) visits are attributable to alcoholuse. Screening ED patients for at-risk alcohol and substance use is an integral component ofscreening, brief intervention, and referral to treatment programs, shown to be effective at reducingsubstance use. The objective is to evaluate ED patients’ acceptance of and willingness to disclosealcohol/substance use via a computer kiosk versus an in-person interview. Methods: This was a cross-sectional, survey-based study. Eligible participants included thosewho presented to walk-in triage, were English-speaking, ≥18 years, were clinically stable andable to consent. Patients had the opportunity to access the kiosk in the ED waiting room, andwere approached for an in-person survey by a research assistant (9am-5pm weekdays). Bothsurveys used validated assessment tools to assess drug and alcohol use. Disclosure statistics andpreferences were calculated using chi-square tests and McNemar’s test. Results: A total of 1,207 patients were screened: 229 in person only, 824 by kiosk, and 154 byboth in person and kiosk. Single-modality participants were more likely to disclose hazardousdrinking (p=0.003) and high-risk drug use (OR=22.3 [12.3-42.2]; p
Databáze: OpenAIRE