m Health Tool for Alcohol Use Disorders Among Latinos in Emergency Department

Abstract

Latino drinkers experience a disparate number of negative health and social consequences. Emergency Department Alcohol Screening Brief Intervention and Referral to Treatment (ED-SBIRT) is viable and effective at reducing harmful and hazardous drinking. However, barriers (e.g. readily available language translators, provider time burden, resources) to broad implementation remain and account for a major lag in adherence to national guidelines. We describe our approach to the design of a patient-centered bilingual Web-based mobile health ED-SBIRT App that could be integrated into a clinically complex ED environment and used regularly to provide ED-SBIRT for Spanish speaking patients.

Keywords: Alcohol; Emergency Department; Latino; mHealth; screening.

Figure 1

AB-CASI Language Selection Screen

Figure 2

AB-CASI Frequency of Drinks Screen

Figure 3

AB-CASI Tool Management and Administration Interface

Figure 4

Architecture of ED-SBIRT Mobile App Bilingual Text-to-Speech Generation

Figure 5

AB-CASI Ruler Screen