An Adapted Brief Negotiation Interview for Alcohol and Cannabis Use Among Assault-Injured Emerging Adults
An adapted brief negotiation interview for alcohol and cannabis use among assault-injured emerging adults: A randomized pilot trial protocol.
Emergency department pilot protocol adapts brief negotiation interview for assault-injured young adults with cannabis and alcohol misuse.
This protocol paper outlines the systematic adaptation of an existing brief intervention for a high-risk population combining trauma exposure with substance misuse. The mixed-methods approach to identify shared psychosocial risk factors represents a methodologically sound strategy for intervention tailoring.
Assault-injured emerging adults with substance misuse face compounded risks and frequently present to emergency departments where brief interventions could be implemented. Developing evidence-based protocols for this vulnerable population addresses a significant clinical gap.
| Study Type | Protocol for Randomized Pilot Trial |
| Population | Assault-injured emerging adults with alcohol and/or cannabis misuse presenting to Emergency Department |
| Intervention | Adapted Brief Negotiation Interview (BNI) |
| Comparator | Not specified in abstract |
| Primary Outcome | Feasibility and acceptability measures |
| Key Finding | Protocol development described, no results reported |
| Journal | Contemporary Clinical Trials |
| Year | Not specified in provided abstract |
This represents a protocol paper describing methodology rather than reporting intervention outcomes. The systematic approach to adapting brief interventions for cannabis and alcohol misuse in trauma-exposed populations follows established intervention development principles.
This protocol paper provides no outcome data on intervention effectiveness, feasibility, or acceptability. No results on substance use patterns, assault recurrence, or clinical outcomes are reported since this describes planned methodology rather than completed research.
Protocol papers cannot demonstrate intervention efficacy or real-world implementation challenges. The brief intervention approach, while evidence-based in other contexts, may face significant barriers in emergency department settings with acutely injured patients.
This protocol describes a methodologically sound approach to intervention adaptation but provides no outcome data. The combination of assault injury and substance misuse represents a clinically important target population that warrants intervention development research.
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FAQ
What is the Brief Negotiation Interview (BNI) and why is it being adapted for assault-injured patients?
The Brief Negotiation Interview is a brief behavioral intervention originally designed to address substance misuse. This study adapts the BNI specifically for assault-injured emerging adults with alcohol and/or cannabis misuse presenting to emergency departments, as this population faces disproportionately high risks for both substance misuse and assault injury.
Emerging adults (typically ages 18-29) are disproportionately at risk for both substance misuse and assault injury. When these factors combine, assault-injured emerging adults with substance misuse have increased risk of morbidity and mortality compared to those without substance use issues.
How will the adapted BNI differ from the standard intervention?
The researchers will first conduct a mixed methods study to identify shared psychosocial risk factors that contribute to both alcohol/cannabis misuse and assault injury in this population. These findings will then be used to specifically tailor the BNI intervention to address the unique needs and risk factors of assault-injured emerging adults.
What will this pilot study measure to determine if the intervention is effective?
The pilot randomized trial will evaluate both the feasibility and acceptability of the adapted BNI intervention when delivered in emergency department settings. These measures will help determine whether the intervention can be practically implemented and whether patients find it acceptable before larger efficacy studies.
Why is the emergency department an important setting for this type of intervention?
Assault-injured emerging adults with substance misuse often receive care in emergency departments, making the ED a critical point of contact for intervention. The emergency department visit represents a teachable moment when patients may be more receptive to brief behavioral interventions addressing their substance use and injury risk.
