Rebecca Cunningham, M.D. Assistant Professor Department of Emergency Medicine Director, Injury Research Center Injury Research Center 300 North Ingalls Building, Room 2D06 Ann Arbor, MI 48109-0437 (734) 615-3704 Office (734) 936-2706 Fax Email: stroh@umich.edu

Research Interest:

Injury prevention, violence-related injury and substance abuse

Selected Publications:

Academic ED BIRT Research Collaborative. Of Screening, Brief Intervention, and Referral Alcohol Curriculum for Academic ED Providers. Substance Abuse. In Press.

Walton, M.A., Cunningham, R.M., Chermack, S.T., Maio, R., Blow, C.F., Weber, J. Gender. Violence History among Injured Patient in an Urban Emergency Department. J Addict Dis. In Press

Cunningham RM, Walton MA, Tripathi SP, Weber J, Maio RF, Booth BM. Past Year Violence Among Patients with Cocaine Related Chest Pain. Am J Drug Alcohol Abuse. In Press

Goldstein A., Walton M., Cunningham R., Trowbridge M., Maio R. Violence, Weapon Carriage, and Substance Use as Predictors of Depression Symptoms among Adolescents in the ED. J Adolesc Health. In Press.

Goldstein AL. Walton MA. Cunningham RM. Trowbridge MJ. Maio RF. Violence and substance use as risk factors for depressive symptoms among adolescents in an urban emergency department. Journal of Adolescent Health. 2007. 40(3):276-9.

Cunningham, R.M., Walton, M.A., Trowbridge, M., Weber, J., Outman, R., Betway, A., Maio, R. Correlates of Violent Behavior Among Adolescents Presenting to an Urban Emergency Department. J Pediatr, 2006; 149:770-776.

Forchheimer, M. Cunningham, RM, Maio, RF .The Relationship of Blood Alcohol Concentration to Impairment Severity in Spinal Cord Injury J Spinal Cord Med 2005; 28: 1-5.

Cunningham RM, Vaidya RS, Maio, RM. Training Emergency Medicine Nurses and Physicians in Youth Violence Prevention. Am J Prev Med 29(5) 220-225 Suppl. 2 Dec 2005.

Booth, B. M. Weber, J.E. Walton, M. Cunningham, RM. Thrush, C. Maio, R.F. Massey, L. Cocaine users presenting to a Chest pain Observation Unit. Acad Emerg Med April 2005 Vol 12 no 4 pp-329-337.

Flynn, H.A., Davis, M., Marcus, S.M., Cunningham, R., Blow, C.F. Rates of Maternal Depression in Pediatric Emergency Department and Relationship to Child Health Care Indices, General Hospital Psychiatry. General Hospital Psychiatry: Vol 26 no 4. 316–32. 2004.

Cunningham, R., Walton, M.A., Maio, R., Blow, F.C., Weber, J. Violence and substance use among an injured ED population. 2003 Acad Emerg Med; 10; 764-775.

Denminghoff, KL, Knox, L, Cunningham, R, Partain, S: Emergency medicine: Competencies for youth violence prevention and control. Acad Emerg Med 2002; 9:947-956.

Cunningham, R., Hill, E. Maio, R., Zink, B.: The Effects of Alcohol on Head Injury in the Motor Vehicle Crash Victim. Alcohol Alcohol 2002. Vol 37, no 3. pp236-240

Cunningham, R., Silbergleit, R.: Viral Myocarditis Presenting With Seizure And Electrocardiographic Findings Of Acute Myocardial Infarction In A 14-Month- Old- Child. Ann Emerg Med June 2000 35(6):618-22

Stroh (Maiden name), R., Christopher, T.A., Ma, X.L.: l- Propionly Carnitine, An Endogenous Ester In Fatty Acid Metabolism, Exerts Anti-Shock And Endothelial Protective Effects In Rat Splanchnic Ischemia-Reperfusion Injury. Shock, Vol 9, No. 3, pp 216-222, 1998.

Grants/Projects:

International Collaborative Alcohol & Injury Research Training Program in Poland
A multi-tiered research training program will be established through collaboration among researchers at UM and Wroclaw Medical University (WMU) and several other academic medical settings in Poland. This builds on a successful training and research collaboration between UM and Polish scientists at the Institute of Neurology and Psychiatry and the Medical Collage of Warsaw focused on substance use disorders. This new specific injury and alcohol collaboration brings together expertise in alcohol-related injury prevention, EMS/Trauma services, psychiatry, public health and transportation research at UM with a developing expertise in injury and trauma medicine and public health at WMU in order to increase training and research capacity in Poland. A consortium at WMU and academic medical and public health locations throughout Poland will be fostered through this collaborative effort. The program will train visiting Polish scientists at the UM in alcohol and injury research methodology, and develop mentored programs of research that address current issues in alcohol and injury prevention, treatment, and evaluation in Poland.
Role: Core Faculty Member.
PAR-04-083 (Blow F)
NIAAA /NIH

Tailored Teen Alcohol and Violence prevention in the ER
Develop and refine a tailored integrated prevention approach with different delivery mechanisms (Computer adapted motivational interviewing / skills training and Therapist adapted motivational interviewing / skills training interventions), that address both alcohol misuse and violence among adolescents ages 14-18 seeking care in an urban ED. Conduct a randomized controlled trial comparing the effectiveness of integrated tailored alcohol and violence prevention approaches with 3-, 6-, and 12-month outcomes. Examine the influence of key moderating variables (e.g., demographic and treatment process) and proximal outcome variables on intervention effectiveness.
Role: Co-PI
1 R01 AA014889-01A1 (Walton M)
NIAAA

Cocaine & Chest Pain in the ED: Services and Outcomes
The specific aims of the study, are: 1) To develop a comprehensive portrait of a consecutive cohort of cocaine users presenting to the ED with chest pain, including socio-demographic characteristics, current and past route of administration and drug use history, DSM-IV substance use diagnoses, drug treatment history, past and present criminal justice involvement, co-occurring psychological distress, other medical complications of cocaine use including injury and interpersonal violence, and health status. 2) To identify specific locations where study participants interact with the health service system in the year following their ED visit and to identify the key patient characteristics associated with types of service use. Services will include drug treatment, linkages to primary care following the index ED visit, as well as patterns of service use. 3) To identify access barriers to engaging in treatment and use of other services including primary care. 4) To measure one-year outcomes for this cohort and to identify key socio-demographic and clinical characteristics of cocaine-using individuals associated with outcomes in the year after their ED visit for chest pain. 5) To identify the timing, service setting, and provisional type of future interventions, based on findings from Specific Aims 1-4 and qualitative date.
Role: Co-Investigator
R-01-DA14343-01 (Booth)
National Institute on Drug Abuse (NIDA), (NIH)

Interventions for Injured ED Substance Abusers
The proposed five year study will screen patients presenting to an inner city Emergency Department for drug abuse/dependence. Those who meet criteria will be randomized into one of three drug abuse/dependence interventions: 1) a 5-session Strengths-Based Case Management (SBCM) model; 2) a 2-session Brief Motivational Enhancement (BME); or 3) a one-time Brief Informational Feedback (BIF) session. The interventions promote linkage to substance abuse assessment, referral, and treatment.
Role: Co-Investigator
1R01 DA016591 (Blow)
National Institute on Drug Abuse Services

Services Interventions for Injured ED Problem Drinkers
This proposed study will compare three alternative interventions in the ED to promote linkage and engagement in treatment for injured patients with alcohol abuse/dependence and has three specific conditions: 1) a 5-session Strengths-Based Case Management (SBCM) model; 2) a 2-session Motivational Enhancement Therapy (MET), or 3) a one-time Brief Informational Feedback (BIF) session. Patients who present to a large inner-city ED with injuries will be screened using a structured survey about alcohol use and consequences.
Role: Co-Investigator
1R01 AA014665-01A1 (Blow)
National Institute on Alcohol Abuse and Alcoholism

Recently completed grants/projects:
Flint Youth Violence Prevention Center
Pilot Project: Brief Emergency Department Intervention (Maio, R. PI)
The specific aims of the Center are to: 1) build the scientific infrastructure to support the development of community-wide youth violence prevention interventions; 2) promote interdisciplinary strategies that foster collaboration; 3) work with community members to address youth violence prevention; 4) institutionalize violence prevention in health provider practice and training; and 5) develop an evaluation plan and surveillance system to monitor progress. The pilot project will adapt an existing alcohol related intervention in the Emergency Department for youth violence prevention. The web-based intervention will be designed to include an interactive component addressing violence prevention. The web-site program content will be based on risk and resiliency factors associated with violence and will include connections between alcohol use and violence, as well as violence not associated with alcohol use.
Role: Co-Investigator
R-49-CCR-518605-01 (Zimmerman)
Centers for Disease Control, Injury Control Center

Emergency Medicine National Alcohol Screening Day Alcohol Education Project
The purpose of this research study to determine the effectiveness of Emergency Department Physicians in giving brief counseling on alcohol misuse to patients seen in the Emergency Department. Approximately 1000 patients from all 14 sites will be involved in the study. At three and six months following their ED visits, patients in both the treatment and control conditions will complete follow-up interviews by telephone using Interactive Voice Response (IVR) technology. Study aims include: the promotion of the adoption of screening, brief intervention and referral to treatment for alcohol abuse (SBIRT) among emergency department (ED) providers in accordance with the Healthy People 2010 objective 26-22, and thus improve the health of ED patients with alcohol use disorders.
Role: Co-Investigator
1 R03 AA015111-01 (Bernstein)
National Institute on Alcohol Abuse and Alcoholism (NIH)
National Alcohol Screening Day Emergency Department Study