Alcohol Drinking as a Vital Sign
This trial is active, not recruiting.
|Conditions||unhealthy drinking, alcohol dependence|
|Treatment||training & tech support for delivery of alcohol screening, brief intervention, and referral to treatment|
|Collaborator||National Institute on Alcohol Abuse and Alcoholism (NIAAA)|
|Start date||January 2010|
|End date||October 2012|
|Trial size||466000 participants|
|Trial identifier||NCT01135654, CN-09JMert-03-H, R01AA018660|
The purpose of this study is to determine whether Alcohol Screening, Brief Intervention, and Referral to Specialty Chemical Dependency Treatment (as appropriate) by Non-Physicians versus Primary Care Providers (versus control group) is more likely to be implemented and more effective at reducing unsafe drinking.
|Intervention model||parallel assignment|
|Primary purpose||health services research|
Proportion of patients screened for alcohol
time frame: One year
Proportion receiving Brief Intervention among those who screen positive to screener.
time frame: One year.
Proportion of patients referred to treatment
time frame: one year
Changes in quantity of alcohol consumption - average weekly consumption
time frame: one year
Male or female participants at least 18 years old.
Inclusion Criteria: - Patients: All patients aged 18+ who receive primary care visits in the Kaiser Permanente clinics in Northern California. Exclusion Criteria: - Patients younger than 18.
|Official title||Alcohol SBIRT Implementation in an HMO: Non-Physician Providers Vs Physicians|
|Principal investigator||Jennifer Mertens, PhD|
|Description||This health services implementation study is a clustered, randomized trial. We propose to randomize primary care clinics to three arms—a control condition and two alternative modes of delivery of the NIAAA Clinician's Guide to Alcohol Screening, Brief Intervention, and Referral to Treatment (SBIRT) in primary care settings. In the Primary Care Physician or "PCP" arm, PCPs will be trained on the SBIRT protocols outlined in the NIAAA Clinicians' Guide and conduct brief intervention and referrals as needed. In the Non-Physician Provider or "NPP" arm, Medical Assistants will be trained to use the NIAAA screener and enter the results in the Electronic Medical Record, and NPPs (e.g., Behavioral Medicine Specialists, Clinical Nurses and Health Educators) will conduct brief intervention and referral activities. The SBIRT content, based on the NIAAA Guide, is the same in both the NPP and PCP arms; we compare delivery by the two types of providers and versus the control condition, in which providers and staff will not receive any training on SBIRT protocols. We examine implementation outcomes: rates of screening, brief intervention, follow-up screening and brief intervention, referral to Chemical Dependency treatment, and alcohol use disorders medication rates. We also include, as secondary analyses, an effectiveness study examining patient outcomes by study arm.|
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