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  1. Article ; Online: Emergency Electrocardiography.

    Woolard, Robert H

    Annals of emergency medicine

    1998  Volume 31, Issue 1, Page(s) A1

    Language English
    Publishing date 1998-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603080-4
    ISSN 1097-6760 ; 0196-0644
    ISSN (online) 1097-6760
    ISSN 0196-0644
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Cultural adaptation of a brief motivational intervention for heavy drinking among Hispanics in a medical setting.

    Field, Craig A / Cabriales, José Alonso / Woolard, Robert H / Tyroch, Alan H / Caetano, Raul / Castro, Yessenia

    BMC public health

    2015  Volume 15, Page(s) 724

    Abstract: Background: Hispanics, particularly men of Mexican origin, are more likely to engage in heavy drinking and experience alcohol-related problems, but less likely to obtain treatment for alcohol problems than non-Hispanic men. Our previous research ... ...

    Abstract Background: Hispanics, particularly men of Mexican origin, are more likely to engage in heavy drinking and experience alcohol-related problems, but less likely to obtain treatment for alcohol problems than non-Hispanic men. Our previous research indicates that heavy-drinking Hispanics who received a brief motivational intervention (BMI) were significantly more likely than Hispanics receiving standard care to reduce subsequent alcohol use. Among Hispanics who drink heavily the BMI effectively reduced alcohol use but did not impact alcohol-related problems or treatment utilization. We hypothesized that an adapted BMI that integrates cultural values and addresses acculturative stress among Hispanics would be more effective.
    Methods/design: We describe here the protocol for the design and implementation of a randomized (approximately 300 patients per condition) controlled trial evaluating the comparative effectiveness of a culturally adapted (CA) BMI in contrast to a non-adapted BMI (NA-BMI) in a community hospital setting among men of Mexican origin. Study participants will include men who were hospitalized due to an alcohol related injury or screened positive for heavy drinking. By accounting for risk and protective factors of heavy drinking among Hispanics, we hypothesize that CA-BMI will significantly decrease alcohol use and alcohol problems, and increase help-seeking and treatment utilization.
    Discussion: This is likely the first study to directly address alcohol related health disparities among non-treatment seeking men of Mexican origin by comparing the benefits of a CA-BMI to a NA-BMI. This study stands to not only inform interventions used in medical settings to reduce alcohol-related health disparities, but may also help reduce the public health burden of heavy alcohol use in the United States.
    Trial registration: Trial registration clinicaltrials.gov identifier NCT02429401; Registration date: April 28, 2015.
    MeSH term(s) Alcohol Drinking/ethnology ; Alcohol Drinking/therapy ; Alcohol-Related Disorders/ethnology ; Alcohol-Related Disorders/therapy ; Cultural Competency ; Hispanic Americans ; Humans ; Male ; Mass Screening ; Mexican Americans ; Motivation ; Motivational Interviewing/methods ; Research Design ; United States
    Language English
    Publishing date 2015-07-30
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ISSN 1471-2458
    ISSN (online) 1471-2458
    DOI 10.1186/s12889-015-1984-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: The impact of alcohol, tobacco, and other drug use and abuse in the emergency department.

    D'Onofrio, Gail / Becker, Bruce / Woolard, Robert H

    Emergency medicine clinics of North America

    2006  Volume 24, Issue 4, Page(s) 925–967

    Abstract: Alcohol, tobacco, and other drug use is a significant societal problem. Individuals who use these substances are frequently seen in emergency departments at rates disproportionately greater than their population prevalence. This article highlights the ... ...

    Abstract Alcohol, tobacco, and other drug use is a significant societal problem. Individuals who use these substances are frequently seen in emergency departments at rates disproportionately greater than their population prevalence. This article highlights the impact of these drugs on patients and on emergency departments, including common presenting problems of individuals on these substances. Also discussed is how to help and to refer individuals with substance abuse problems through brief motivational interventions.
    MeSH term(s) Adolescent ; Adolescent Behavior ; Adult ; Alcohol Drinking/adverse effects ; Alcohol Drinking/economics ; Alcohol Drinking/epidemiology ; Child ; Emergency Service, Hospital/statistics & numerical data ; Health Promotion ; Humans ; Physician's Role ; Prevalence ; Risk Factors ; Smoking/adverse effects ; Smoking/epidemiology ; Smoking Prevention ; Substance-Related Disorders/economics ; Substance-Related Disorders/epidemiology ; Substance-Related Disorders/prevention & control ; United States/epidemiology
    Language English
    Publishing date 2006-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 605637-4
    ISSN 1558-0539 ; 0733-8627
    ISSN (online) 1558-0539
    ISSN 0733-8627
    DOI 10.1016/j.emc.2006.06.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Beliefs and practices of pediatric emergency physicians and nurses regarding counseling alcohol-using adolescents: can counseling practice be predicted?

    Chun, Thomas H / Spirito, Anthony / Rakowski, William / D'Onofrio, Gail / Woolard, Robert H

    Pediatric emergency care

    2009  Volume 27, Issue 9, Page(s) 812–825

    Abstract: Objectives: The objectives of the study were to investigate the attitudes and practices of pediatric emergency department (PED) physicians (MDs), MD extenders (MD's assistants [PAs], nurse practitioners [NPs]), and nurses (RNs) regarding their ... ...

    Abstract Objectives: The objectives of the study were to investigate the attitudes and practices of pediatric emergency department (PED) physicians (MDs), MD extenders (MD's assistants [PAs], nurse practitioners [NPs]), and nurses (RNs) regarding their counseling of alcohol-using adolescent PED patients and to determine which, if any, PED clinician characteristics predict current counseling practice.
    Methods: An Internet-based survey of PED clinicians (MDs, PAs, NPs, and RNs) from 11 academic US PEDs was conducted. Respondents were asked about their counseling training, current counseling practices, confidence in their counseling skills, importance of counseling, attitudes and beliefs about counseling, and demographic information. Univariate and multivariate analyses were performed to determine the relationship between clinician characteristics and counseling practice.
    Results: Counseling practice was strongly associated with one's profession; PED MDs/PAs/NPs reported significantly higher rates of counseling alcohol-using adolescents than PED RNs. These 2 groups differed significantly in terms of counseling training and experience. Counseling training and experience remained significant predictors of counseling practice, even after controlling for profession and other covariates. Both groups had similar views on the importance of counseling, confidence in their ability to counsel, and counseling substance-using adolescent PED patients.
    Conclusions: Pediatric ED MDs/PAs/NPs differ significantly from PED RNs in their counseling training, experience, and practice. These findings have important implications for the training and support necessary to successfully implement PED counseling. Specifically, formal training in counseling during professional schooling and garnering counseling experience after completing training may be critical factors in promoting PED counseling.
    MeSH term(s) Academic Medical Centers ; Adolescent ; Adolescent Behavior ; Alcohol Drinking ; Attitude of Health Personnel ; Culture ; Data Collection ; Directive Counseling/organization & administration ; Emergency Medicine/education ; Emergency Service, Hospital ; Female ; Health Knowledge, Attitudes, Practice ; Health Promotion/organization & administration ; Humans ; Male ; Nurse's Role ; Nurses/psychology ; Nurses/statistics & numerical data ; Patient Education as Topic/organization & administration ; Pediatric Nursing/education ; Pediatrics/education ; Physician's Role ; Physicians/psychology ; Physicians/statistics & numerical data ; Practice Patterns, Physicians'/statistics & numerical data ; United States
    Language English
    Publishing date 2009-05-03
    Publishing country United States
    Document type Journal Article ; Multicenter Study
    ZDB-ID 632588-9
    ISSN 1535-1815 ; 0749-5161
    ISSN (online) 1535-1815
    ISSN 0749-5161
    DOI 10.1097/PEC.0b013e31822c1343
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Project integrate: translating screening and brief interventions for alcohol problems to a community hospital emergency department.

    Mello, Michael J / Baird, Janette / Nirenberg, Ted D / Smith, Jennifer C / Woolard, Robert H / Dinwoodie, Robert G

    Substance abuse

    2009  Volume 30, Issue 3, Page(s) 223–229

    Abstract: Screening and brief intervention (SBI) for alcohol problems in the emergency department (ED) is effective. The objective of this study was to examine the translation of SBI into a busy community ED environment. The authors assessed key stakeholders views ...

    Abstract Screening and brief intervention (SBI) for alcohol problems in the emergency department (ED) is effective. The objective of this study was to examine the translation of SBI into a busy community ED environment. The authors assessed key stakeholders views of SBI delivery model, then utilized feedback to adapt model. Adoption of SBI was recorded, with data collected on use of screening tool, and referral for a BI. Model was modified due to physicians' and nursing resistance; physicians only screened and a research assistant (RA) delivered the BI. When the RA was present, screening by ED staff increased from 50% to 71% but returned to 50% after the RA left. An identified opportunity was increased nursing interest after observation of SBI, with 15 nurses trained in SBI after ED intervention concluded. Important barriers to translating SBI to community ED clinical practice exist. However, with additional staff present, high levels of SBI can occur.
    MeSH term(s) Alcoholism/diagnosis ; Alcoholism/therapy ; Attitude of Health Personnel ; Emergency Service, Hospital ; Hospitals, Community ; Humans ; Program Development/statistics & numerical data ; Psychotherapy, Brief/methods
    Language English
    Publishing date 2009-07
    Publishing country United States
    Document type Evaluation Studies ; Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 1458030-5
    ISSN 1547-0164 ; 0889-7077
    ISSN (online) 1547-0164
    ISSN 0889-7077
    DOI 10.1080/08897070903040956
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Enhanced motivational interviewing versus brief advice for adolescent smoking cessation: results from a randomized clinical trial.

    Colby, Suzanne M / Nargiso, Jessica / Tevyaw, Tracy O'Leary / Barnett, Nancy P / Metrik, Jane / Lewander, William / Woolard, Robert H / Rohsenow, Damaris J / Monti, Peter M

    Addictive behaviors

    2012  Volume 37, Issue 7, Page(s) 817–823

    Abstract: Background: Motivational interviewing (MI) is widely used for adolescent smoking cessation but empirical support for this approach is mixed.: Methods: Adolescent cigarette smokers 14-18 years old (N=162) were recruited from medical, school, and ... ...

    Abstract Background: Motivational interviewing (MI) is widely used for adolescent smoking cessation but empirical support for this approach is mixed.
    Methods: Adolescent cigarette smokers 14-18 years old (N=162) were recruited from medical, school, and community settings and randomly assigned to enhanced MI or brief advice (BA) for smoking cessation. MI comprised an in-person individual session, a telephone booster session one week later, and a brief telephone-based parent intervention. BA consisted of standardized brief advice to quit smoking. Assessments occurred at baseline, post-treatment and at 1-, 3-, and 6-month follow ups.
    Results: Biochemically-confirmed 7-day point prevalence abstinence rates were low (e.g., 4.5% for MI; 1.4% for BA at 1 month) and did not differ significantly by group at any follow up. Only those in MI reported significant decreases in cigarettes smoked per day (CPD) from baseline to 1 month. At 3 and 6 months, smokers in both groups reported significantly reduced CPD with no differences between groups. MI reduced perceived norms regarding peer and adult smoking rates, while BA had no effect on normative perceptions. No group differences emerged for self-reported motivation or self-efficacy to quit smoking.
    Conclusions: Findings support the efficacy of MI for addressing normative misperceptions regarding peer and adult smoking and for modestly reducing CPD in the short-term; however, these effects did not translate to greater smoking abstinence. MI may have more promise as a prelude to more intensive smoking intervention with adolescents than as a stand-alone intervention.
    MeSH term(s) Adolescent ; Behavior Therapy/methods ; Directive Counseling/methods ; Female ; Follow-Up Studies ; Humans ; Male ; Motivation ; Self Efficacy ; Self Report ; Smoking/epidemiology ; Smoking/psychology ; Smoking Cessation/methods ; Smoking Cessation/psychology ; Smoking Prevention ; Treatment Outcome
    Language English
    Publishing date 2012-03-16
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, N.I.H., Extramural
    ZDB-ID 197618-7
    ISSN 1873-6327 ; 0306-4603
    ISSN (online) 1873-6327
    ISSN 0306-4603
    DOI 10.1016/j.addbeh.2012.03.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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