Alcohol Use Disorder Clinical Trial
— CHOICEOfficial title:
Collaborative Care for Primary Care Patients With Alcohol Use Disorders
Verified date | September 2019 |
Source | Kaiser Permanente |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to evaluate the effectiveness of a collaborative care intervention for evidence based management of alcohol use disorders in primary care settings within the Veterans Administration Puget Sound Health Care System (Seattle and American Lake Divisions). The study will test whether patients offered the collaborative care intervention have fewer heavy drinking days at 12 months follow-up and to be abstinent or drinking below recommended limits without problems.
Status | Completed |
Enrollment | 304 |
Est. completion date | December 2015 |
Est. primary completion date | December 2015 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 64 Years |
Eligibility |
Inclusion Criteria: - AUDIT-C score 5 or more (modification described below) - Age less than 65 at time of AUDIT-C screen (modification described below) - Phone number available in electronic medical record - Frequent heavy drinking reported during brief telephone screen (8 heavy drinking days in past 4 weeks, 5 or more drinks in a day for men, 4 or more for women; OR 4 heavy drinking days past four weeks and prior alcohol treatment or attendance at AA) Exclusion Criteria: - Missing address or phone number in electronic medical record - Warning flag regarding violent behavior in medical record - Patient participating in addictions treatment - Primary care provider or patient indicates not to contact patient - Barriers to telephone assessment (hearing, non-English) - Unable to provide adequate collateral contacts - Cognitive impairment - Unstable or acute medical, surgical, or psychiatric problem requiring emergency care - Not available for follow-up (planning to move, life expectancy <1 yr, hospice) - Pregnancy - VA employee Prior to the start of the trial these changes were made (VA IRB approval: 8/2011): - Changed from AUDIT-C score =5 for both men and women TO: AUDIT-C score =5 for men; AUDIT-C score =4 for women (to increase the pool of potentially eligible women) - From age 65 years and younger to age =75 years |
Country | Name | City | State |
---|---|---|---|
United States | Kaiser Permanente Washington Health Research Institute | Seattle | Washington |
Lead Sponsor | Collaborator |
---|---|
Kaiser Permanente | Medical University of South Carolina, University of Washington, VA Puget Sound Health Care System |
United States,
Bradley KA, Bobb JF, Ludman EJ, Chavez LJ, Saxon AJ, Merrill JO, Williams EC, Hawkins EJ, Caldeiro RM, Achtmeyer CE, Greenberg DM, Lapham GT, Richards JE, Lee AK, Kivlahan DR. Alcohol-Related Nurse Care Management in Primary Care: A Randomized Clinical Tr — View Citation
Bradley KA, Ludman EJ, Chavez LJ, Bobb JF, Ruedebusch SJ, Achtmeyer CE, Merrill JO, Saxon AJ, Caldeiro RM, Greenberg DM, Lee AK, Richards JE, Thomas RM, Matson TE, Williams EC, Hawkins E, Lapham G, Kivlahan DR. Patient-centered primary care for adults at high risk for AUDs: the Choosing Healthier Drinking Options In primary CarE (CHOICE) trial. Addict Sci Clin Pract. 2017 May 17;12(1):15. doi: 10.1186/s13722-017-0080-2. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | 1) number of heavy drinking days | at 12 months | ||
Primary | 2) abstinence or drinking below recommended limits without problems | at 12 months | ||
Secondary | Engagement in alcohol-related care | 12-months | ||
Secondary | secondary drinking outcomes and laboratory markers | 12-months | ||
Secondary | health-related quality of life | 12-months | ||
Secondary | health care utilization | 12-months | ||
Secondary | health care costs | 12-months | ||
Secondary | Outcomes 1-7 listed above and secondary drinking, readiness to change, and engagement outcomes. | at 3-months |
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