- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03059082
A Critical Illness Recovery Navigator for Alcohol (CIRNA)
A Critical Illness Recovery Navigator for Alcohol: a Pilot Clinical Trial
Study Overview
Status
Conditions
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Colorado
-
Aurora, Colorado, United States, 80045
- University of Colorado
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Admission to the intensive care unit;
- Age 18 years or older;
- Resolution of critical illness, defined as the intention of the treating team to discharge the patient or downgrade their admission level from the ICU to a progressive care unit or the floor;
Resolution of delirium, defined by:
- a Riker Agitation Sedation Scale score of 0,
- a negative CAM ICU, and
- confirmation from the treating team (nurse, physicians) that the patient is not delirious.
- AUDIT-C score of 3 or greater for women and 4 or greater for men.
Exclusion Criteria:
- Prisoner;
- Pregnant;
- Unable to speak or write in English;
- Unable to provide informed consent;
- Unable to provide a home or cell phone number plus at least one additional way to be contacted (mail, email, friend or family);
- Expected survival less than 6 months.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Continued Interaction
This group will undergo contact with Recovery Navigator on an "as needed basis" up to 6 months.They will then have a 3 month and 6 month follow up visit with the PI. There is no drug or treatment administered to the subject. The intervention is the conversation/contact with the Recovery Navigator, in this arm, it is continued throughout the study. Note: The first 10 subjects will not be randomized and will be assigned to this Arm. The purpose of this is to ensure the fidelity of the intervention. The remaining 60 subjects will be randomized equally among the three Arms. Data from the first 10 subjects will not be considered for the outcome measures. |
This group will undergo contact with Recovery Navigator on an "as needed basis" up to 6 months and then have a 3 month and 6 month follow-up visit.
Other Names:
|
Other: Single interaction
This group will undergo one interaction with the Recovery Navigator prior to the hospital discharge.
They will then have a 3 month and 6 month follow up visit with the PI.
There is no drug or treatment administered to the subject.The intervention is the conversation/contact with the Recovery Navigator, in this arm, it is conducted once.
|
This group will undergo one interaction with Recovery Navigator prior to hospital discharge and then have a 3 month and 6 month follow-up visit.
Other Names:
|
Other: Control
This group will not have any interaction with the Recovery Navigator.
They will then have a 3 month and 6 month follow up visit.
There is no drug or treatment administered to the subject.
|
This group will not have any interaction with Recovery Navigator.
They will have a 3 month and 6 month follow-up visit.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Client Satisfaction and Acceptability of study
Time Frame: 6 months
|
Client satisfaction questionnaire (CSQ-8), with revisions to make it specific to the objectives of this study.
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Subject Recruitment Rate
Time Frame: 6 months
|
The following will be collected to determine the feasibility and design of a larger effectiveness study: recruitment rates calculated as the number of patients recruited per month per hospital.
|
6 months
|
Subject willingness to be randomized
Time Frame: 6 months
|
The number of patients who refuse study participation due to refusal to undergo randomization.
This will be collected to inform the feasibility and design of a larger effectiveness study.
|
6 months
|
Subject Dropout Rates
Time Frame: 3 and 6 months
|
The percentage of subjects who do not show up for study visits calculated for each arm of the study.
|
3 and 6 months
|
Subjects with at least one visit after discharge
Time Frame: 6 months
|
The percentage of subjects with at least one visit after discharge with the navigator.
|
6 months
|
Time per subject visit
Time Frame: 6 months
|
The amount of time per subject visit to determine feasibility of the intervention for a larger study.
|
6 months
|
Number of visits
Time Frame: 6 months.
|
the Number of visits total to help determine feasibility of the intervention for a larger study.
|
6 months.
|
Initiation of treatment within 14 days.
Time Frame: 14 days
|
Initiation of treatment by attendance at one treatment session within 14 days as efficacy measure for larger trial.
|
14 days
|
Initiation of alcohol/drug treatment within 6 months
Time Frame: 6 months
|
Initiation of treatment by attendance at one treatment session within 6 months as efficacy measure for larger trial
|
6 months
|
Engagement in alcohol/drug treatment
Time Frame: 3 and 6 months
|
2 or more inpatient admissions, outpatient visits, intensive outpatient encounters or partial hospitalizations as efficacy measure for larger trial
|
3 and 6 months
|
Completion of alcohol/drug treatment
Time Frame: 3 and 6 months
|
Completion of alcohol treatment program as efficacy measure for larger trial
|
3 and 6 months
|
Hospital re admissions and emergency department visits
Time Frame: 3 and 6 months
|
Number of hospital readmission and emergency department visits as efficacy measure for larger trial
|
3 and 6 months
|
Receipt of treatment for drug problems
Time Frame: 3 and 6 months
|
Receipt of treatment for drug problems as efficacy measure for larger trial.
|
3 and 6 months
|
Receipt of psychiatric treatment.
Time Frame: 3 and 6 months
|
Receipt of psychiatric treatment as efficacy measure for larger trial.
|
3 and 6 months
|
Number of days abstained from alcohol consumption
Time Frame: 30 days
|
Percentage of days abstinent from alcohol consumption in 30 day timeframe
|
30 days
|
Number of days with reported heavy alcohol consumption
Time Frame: 30 days
|
Percentage of days with reported heavy alcohol consumption in 30 day timeframe
|
30 days
|
Phosphatidylethanol (PEth) level at 6 months
Time Frame: 6 months
|
Phosphatidylethanol (PEth) level at 6 months compared against subject's self-reported alcohol consumption and measured by United States Drug Testing laboratory
|
6 months
|
Alcohol related problems measured by SIP-2R
Time Frame: 3 and 6 months
|
alcohol related problems assessed by administering the Short Inventory of Problems 2, revised (SIP-2R).
|
3 and 6 months
|
HADS anxiety assessment
Time Frame: 3 and 6 months
|
Anxiety assessed with 14 item Hospital Anxiety and Depression Scale (HADS).
|
3 and 6 months
|
HADS depression assessment
Time Frame: 3 and 6 months
|
Depression assessed with 14 item Hospital Anxiety and Depression Scale (HADS).
|
3 and 6 months
|
Post Traumatic Stress Disorder (PTSD) symptoms
Time Frame: 3 and 6 months.
|
PTSD symptoms assessed using the Impact of Events Scale, revised.
|
3 and 6 months.
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Brendan J Clark, MD, University of Colorado, Denver
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 16-2094
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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