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: |
Adult
Male medicine.medical_specialty business.product_category Cross-sectional study Substance-Related Disorders Alcohol abuse Poison control lcsh:Medicine Disclosure Interactive kiosk McNemar's test emergency medicine Behavioral Health Medicine Humans Original Research Kiosk business.industry alcohol lcsh:R lcsh:Medical emergencies. Critical care. Intensive care. First aid drug Patient Preference General Medicine Emergency department lcsh:RC86-88.9 medicine.disease Triage Alcoholism Cross-Sectional Studies Breath Tests Family medicine Emergency medicine Emergency Medicine Female Brief intervention business Emergency Service Hospital |
| 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 |
| 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 |
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