- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06318026
Systematic Implementation of Patient-centered Care for Alcohol Use Trial: Beyond Referral to Treatment
March 18, 2024 updated by: Kaiser Permanente
The Systematic Implementation of Patient-centered Care for Alcohol Use Trial is a pragmatic, cluster-randomized, effectiveness-implementation trial testing two interventions to systematically implement shared decision-making with primary care patients with symptoms due to alcohol use: a primary care intervention and a centralized intervention.
An anticipated 30 primary care clinics will be randomized to one of three conditions: usual care or the primary care or centralized interventions.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
1500
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Megan Addis
- Phone Number: 206-287-2052
- Email: Megan.J.Addis@kp.org
Study Contact Backup
- Name: Katharine Bradley, MD, MPH
- Phone Number: 206-948-1933
- Email: Katharine.A.Bradley@kp.org
Study Locations
-
-
Washington
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Seattle, Washington, United States, 98112
- Kaiser Permanente Washington
-
Contact:
- Megan Addis
- Phone Number: 206-287-2052
- Email: Megan.J.Addis@kp.org
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Adult primary care patients (>=18 years old on the day of a primary care visit); and
- >= 4 symptoms on the Alcohol Symptom Checklist, or 2-3 symptoms on the Alcohol Symptom Checklist with at least one symptom associated with high risk of progression to severe symptoms, on the day of the primary care visit or the prior 30 days documented in the electronic health record; and
- high-risk drinking on alcohol screening questionnaire (AUDIT-C >=7) on the day of the primary care visit or in the prior 30 days documented in the electronic health record.
Exclusion Criteria: Documented request to not participate in research.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
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 |
---|---|
Experimental: Centralized Intervention
A centralized intervention by a social worker or counselor, added to usual care that systematically offers outreach and shared decision-making for symptoms due to alcohol use.
|
A centralized intervention by a social worker or counselor, added to usual care that systematically offers outreach and shared decision-making for symptoms due to alcohol use
|
Experimental: Primary Care Intervention
A primary care intervention added to usual care that uses state-of-the-art implementation interventions to systematically encourage primary care providers to offer routine shared decision-making for symptoms due to alcohol use.
|
A primary care intervention added to usual care that uses state-of-the-art implementation interventions to systematically encourage primary care providers to offer routine shared decision-making for symptoms due to alcohol use.
|
No Intervention: Usual Care
Usual primary care
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Continuous measure of change in alcohol use as documented on the AUDIT-C screening questionnaire.
Time Frame: Up to 24 months.
|
Up to 24 months.
|
Documentation of alcohol or substance use disorder treatment in the electronic health record (including insurance claims).
Time Frame: Treatment initiated up to 12 months.
|
Treatment initiated up to 12 months.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Katharine Bradley, MD, MPH, Kaiser Permanente
- Principal Investigator: Gwen Lapham, PhD, MPH, MSW, Kaiser Permanente
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Estimated)
July 1, 2024
Primary Completion (Estimated)
February 1, 2029
Study Completion (Estimated)
February 1, 2029
Study Registration Dates
First Submitted
March 6, 2024
First Submitted That Met QC Criteria
March 12, 2024
First Posted (Actual)
March 19, 2024
Study Record Updates
Last Update Posted (Actual)
March 20, 2024
Last Update Submitted That Met QC Criteria
March 18, 2024
Last Verified
March 1, 2024
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- R01AA031231 (U.S. NIH Grant/Contract)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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