Team Science (The Liver Health Study)
Team Science to Identify & Intervene on Metabolism- & Alcohol-Associated Liver Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Primary Researcher
- Phone Number: 401-863-6623
- Email: liverhealth@brown.edu
Study Locations
-
-
Rhode Island
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Providence, Rhode Island, United States, 02909
- Clinica Esperanza Hope Clinic
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Be at least 21 years of age.
- Exceed alcohol intake screening guidelines for MetALD.
- Have a Body Mass Index (BMI) >=25 kg/m2.
- Be able to speak and read English or Spanish to provide written informed consent and understand written and oral instructions in English or Spanish.
Exclusion Criteria:
- Pre-existing liver disease or hepatocellular carcinoma or prior liver transplant.
- Pre-existing medical conditions that, in the opinion of the investigative team, would interfere with research participation (e.g., loss of kidney function, uncontrolled infections, multiorgan failure, uncontrolled upper gastrointestinal bleeding, other active malignancies except skin cancer).
- Pre-existing mental health conditions that, in the opinion of the investigative team, would interfere with the ability to provide informed consent and understand written and oral instructions (e.g., hepatic encephalopathy, psychotic disorder diagnosis or symptoms).
- Current pregnancy.
- Be anyone who, based on self-reported withdrawal symptoms and the opinion of the investigative team, could not currently safely be withdrawn from alcohol without medical detoxification.
- Currently receiving formalized psychosocial treatment for an alcohol use or drug problem and/or newly taking medications for an alcohol use or drug problem.
- Currently receiving formalized behavioral weight management treatment and/or newly taking weight loss medications.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Standard Intervention
Participants randomly assigned to this arm will receive psychotherapy utilizing manualized principles of motivational interviewing with standard health information.
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The manualized intervention is delivered individually in two phases by an interventionist trained in motivational interviewing.
The intervention includes liver health information and explains connections with weight-related behaviors.
The standard (control) group does not receive personalized feedback.
The sessions are matched in duration and interventionist skill level with the enhanced (experimental) group.
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Experimental: Enhanced Intervention
Participants randomly assigned to this arm will receive psychotherapy utilizing manualized principles of motivational interviewing that incorporates personalized feedback on self-reported alcohol intake and two scores from Fibroscan® liver imaging that indicate steatosis (liver fat) and fibrosis (liver scaring).
|
The manualized intervention is delivered individually in two phases by an interventionist trained in motivational interviewing.
The intervention includes liver health information and explains connections with weight-related behaviors.
The enhanced (experimental) group receives personalized feedback, i.e., a summary of self-reported drinking patterns and results of liver imaging with Fibroscan®, i.e., steatosis (liver fat) and fibrosis (liver scaring) scores.
The feedback is used to develop discrepancies between a goal of halting or reversing health risks associated with consuming alcohol versus continuing to drink.
The sessions are matched in duration and interventionist skill level with the standard (control) group.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Proportion Screened With Alcohol Intake and Weight-related Risks for Metabolism and Alcohol-associated Liver Disease
Time Frame: Screening
|
The primary feasibility outcome is the proportion screened who have alcohol intake and weight-related risks for metabolism and alcohol-associated liver disease.
Alcohol intake risk is identified by the 3-item Alcohol Use Disorder Identification Test-Consumption subscale (AUDIT-C).
Weight-related risk is identified by body mass index, calculated from weight and height.
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Screening
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Proportion Eligible and Invited to Participate Who Agree to Noninvasive Liver Imaging With Fibroscan® and Arrive for Scheduled Baseline Appointment
Time Frame: Baseline
|
Baseline
|
|
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Satisfaction With Fibroscan® Liver Imaging
Time Frame: Baseline
|
Satisfaction with liver screening is assessed with a single-item visual analog scale with 0 indicating low satisfaction and 100 indicating high satisfaction.
|
Baseline
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Alcohol Intake Assessed by Timeline Followback Interview Before and After Intervention
Time Frame: 30 days prior to intervention and 30 days after intervention
|
Timeline followback interviews will be individually administered in a semi-structured format by outcomes assessors who are masked to intervention condition.
Interviews follow standardized procedures using a 30-day calendar to identify anchoring events, abstinent days, and types of alcohol consumed including ounces and alcohol by volume.
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30 days prior to intervention and 30 days after intervention
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 00000611
- P20GM130414-06S1 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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