Alcohol-Related Disorders Clinical Trial
Official title:
National Epidemiologic Survey on Alcohol and Related Conditions -III
Background:
- Alcohol use disorders are the most prevalent mental disorders in the United States and are
a factor in more than 10 percent of all deaths, including heart disease, stroke, and certain
types of cancer and chronic illness. Research into better treatment methods for alcohol use
disorders and their associated disabilities requires a broad amount of information on the
genetic and environmental factors that predispose certain individuals to alcoholism. To
improve the quality of available information for research, the National Institutes of Health
is conducting a nationwide survey on alcohol use disorders and related physical and mental
disabilities, and will collect genetic information through saliva samples.
Objectives:
- To collect interview data and saliva samples from the U.S. civilian noninstitutionalized
population, 18 years and older, in order to study the extent of and contributing factors to
alcohol use and abuse in the United States.
Eligibility:
- Individuals at least 18 years of age who do not live in institutions (i.e., prisons,
inpatient mental hospitals) and who are willing to be interviewed in English, Spanish, and
the four most commonly spoken Asian languages in the United States (e.g., Chinese, Korean).
Design:
- The study will involve three main components: an automated computer-assisted interview,
an automated questionnaire, and the collection of a saliva sample.
- Participants will be recruited through community through publically available U.S.
Census Bureau files.
- The interview and questionnaire will ask standardized questions related to personal
history; alcohol use and possible disorders; symptoms scales of mood, anxiety, and
eating conditions that frequently co-occur with alcohol and drug use disorders; tobacco,
medicine and drug use and disorders; selected personality traits, including behavior;
alcohol, drug, and mental health treatment utilization; and medical conditions related
to alcohol consumption.
- Participants will provide a saliva sample for genetic study.
Background:
- Alcohol use disorders are the most prevalent mental disorders in the United States and are
a factor in more than 10 percent of all deaths, including heart disease, stroke, and certain
types of cancer and chronic illness. Research into better treatment methods for alcohol use
disorders and their associated disabilities requires a broad amount of information on the
genetic and environmental factors that predispose certain individuals to alcoholism. To
improve the quality of available information for research, the National Institutes of Health
is conducting a nationwide survey on alcohol use disorders and related physical and mental
disabilities, and will collect genetic information through saliva samples.
Objectives:
- To collect interview data and saliva samples from the U.S. civilian noninstitutionalized
population, 18 years and older, in order to study the extent of and contributing factors to
alcohol use and abuse in the United States.
Eligibility:
- Individuals at least 18 years of age who do not live in institutions (i.e., prisons,
inpatient mental hospitals) and who are willing to be interviewed in English, Spanish, and
the four most commonly spoken Asian languages in the United States (e.g., Chinese, Korean).
Design:
- The study will involve three main components: an automated computer-assisted interview,
an automated questionnaire, and the collection of a saliva sample.
- Participants will be recruited through community through publically available U.S.
Census Bureau files.
- The interview and questionnaire will ask standardized questions related to personal
history; alcohol use and possible disorders; symptoms scales of mood, anxiety, and
eating conditions that frequently co-occur with alcohol and drug use disorders; tobacco,
medicine and drug use and disorders; selected personality traits, including behavior;
alcohol, drug, and mental health treatment utilization; and medical conditions related
to alcohol consumption.
- Participants will provide a saliva sample for genetic study.
The National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III) is
planned to be fielded in 2012 by the National Institute on Alcohol Abuse and Alcoholism
(NIAAA) in conjunction with Westat, through a contract under data collection authority Title
42 U.S.C. 285 n (Attachment 23.a). The target population of the NESARC-III is the civilian
noninstitutionalized population, 18 years and older, residing in the contiguous United States
(U.S.) and Alaska and Hawaii. The sample (N=46,500) will include households and selected
noninstitutionalized group quarters (e.g., agricultural, vocational training and other
dormitories, halfway houses, hostels, YMCAs, shelters, campgrounds, carnivals). The
NESARC-III will collect information on alcohol use disorders and related physical and mental
disabilities in addition to DNA to be obtained through saliva samples.
This request for IRB approval also includes a pilot test of approximately 50 respondents that
will serve the sole purpose of testing the data collection procedures, operations and system
architecture of the NESARC-III survey. There will also be two small methodological
subcomponents of the NESARC-III proper that will serve the purposes of providing ongoing
validation and assessment of the utility of outcome measures appearing on the major data
collection questionnaire, the Alcohol Use Disorder and Associated Disabilities Interview
Schedule-V (AUDADIS-V: Grant et al., 2008). In the first methodological subcomponent, 1000
respondents participating in the NESARC-III proper will be re-interviewed with a shorter
version of the original AUDADIS-V. In the second methodological subcomponent, 700 different
respondents participating in the NESARC-III proper will be re-interviewed using a different
assessment instrument, the Psychiatric Research Interview for Substance and Mental Disorders
(PRISM: Hasin et al., 2008), covering information on major outcome variables very similar to
those appearing in the AUDADIS-V. NIAAA has conducted such validation/utility tests that have
received OMB approval (OMB No. 0930-0151, OMB No. 0925-0455: Grant et al., 2003a; Ruan et
al., 2008) in the past. The design and procedures associated with each of these
methodological subcomponents will be explicated and discussed within the body of this IRB
submission as necessary.
The NESARC-III will be the fourth national survey conducted by NIAAA. The objectives and
content areas of the NESARC-III are extremely similar to those of the prior three NIAAA
surveys, with the exception of the NESARC-III s provision for collecting saliva samples.
Prior NIAAA national surveys included the 1991-1992 National Longitudinal Alcohol
Epidemiologic Survey (OMB No. 0930-0151: Grant et al., 1994), the 2001-2002 Wave 1 NESARC
(OMB No. 0925-0484: Grant et al., 2003b), and the 2004-2005 Wave 2 NESARC (OMB No. 0925-0484:
Grant et al., 2006).
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