Systematic Implementation of Patient-centered Care for Alcohol Use Trial: Beyond Referral to Treatment

Description

The Systematic Implementation of Patient-centered Care for Alcohol Use Trial is a pragmatic, cluster-randomized, effectiveness-implementation trial testing two interventions in Kaiser Permanente Washington 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 25 primary care clinics will be randomized to one of three conditions: usual care or the primary care or centralized interventions.

Conditions

Alcohol Use Disorder, Unhealthy Alcohol Use

Study Overview

Study Details

Study overview

The Systematic Implementation of Patient-centered Care for Alcohol Use Trial is a pragmatic, cluster-randomized, effectiveness-implementation trial testing two interventions in Kaiser Permanente Washington 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 25 primary care clinics will be randomized to one of three conditions: usual care or the primary care or centralized interventions.

Systematic Implementation of Patient-centered Care for Alcohol Use Trial: Beyond Referral to Treatment

Systematic Implementation of Patient-centered Care for Alcohol Use Trial: Beyond Referral to Treatment

Condition
Alcohol Use Disorder
Intervention / Treatment

-

Contacts and Locations

Seattle

Kaiser Permanente Washington, Seattle, Washington, United States, 98112

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.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • 1. Adult primary care patients ≥18 years old on the day of a primary care appointment; and
  • 2. ≥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, documented in the electronic health record associated with the primary care appointment; and
  • 3. high-risk drinking on the alcohol screening questionnaire (AUDIT-C ≥7) on the day of the Alcohol Symptom Checklist or in the prior 30 days documented in the electronic health record.
  • 1. Documented request to not participate in research, or
  • 2. Patient was eligible for the Vanguard pilot study.

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Kaiser Permanente,

Katharine Bradley, MD, MPH, PRINCIPAL_INVESTIGATOR, Kaiser Permanente

Gwen Lapham, PhD, MPH, MSW, PRINCIPAL_INVESTIGATOR, Kaiser Permanente

Study Record Dates

2029-02