N/A
N=155
Improving Outcomes Among Medical/Surgical Inpatients With Alcohol Use Disorders
Alcohol Use Disorder
Bottom Line
View on ClinicalTrials.gov: NCT03258632 ↗Enrolled (actual)
155
Serious AEs
18.7%
Results posted
Apr 2024
Primary outcome: Primary: Time Line Follow Back — 48; 56 percentage of participants abstinent — p=<.05
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Drinking Options - Motivate, Shared Decisions, Telemonitor (DO-MoST) (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Dec 2021
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Time Line Follow Back |
48; 56 | <.05 sig |
| SECONDARY Utilization of Substance Use-related Care |
21; 6 | — |
Summary
This project aims to help Veterans who are in medical treatment and have untreated alcohol problems. First, the investigators adapted a Decision Aid that explains alcohol-related treatment options and their risks and benefits. Then, the investigators are determining the effectiveness of an intervention called DO-MoST (for Drinking Options-Motivate, Shared Decisions, Telemonitor), whereby a Decision Coach helps Veterans make decisions about alcohol-related behaviors and treatments they prefer, and keeps in contact by phone to continue to help with drinking and treatment decisions. DO-MoST is designed to increase rates at which Veterans decide to reduce or quit drinking, and begin and remain in treatment, and to improve drinking- and medical-related outcomes over time. It may also decrease Veterans' use of expensive health services such as hospitalizations and emergency visits. Finally, the investigators will study how VA can use DO-MoST on an ongoing, more widespread basis. The project should increase patient-centered health care for Veterans with alcohol problems to benefit their recovery.
Eligibility Criteria
Inclusion Criteria
Medical-surgical inpatients with alcohol use disorder at the Ann Arbor or Palo Alto VA. Specifically:
- in a current episode of medical-surgical care,
- meet DSM 5 criteria for an AUD
- no specialty addiction treatment or weekly mutual-help group attendance within 60 days prior to the inpatient episode,
- no restricted access due to infection control requirements (e.g., TB, MRSA, C. diff),
- no significant cognitive impairment,
- ongoing access to a cell or land line telephone,
- at least one contact who will continue to know the patient's contact information, and (8) not having participated in an interview for Aim 1 of this project.
Exclusion Criteria
See inclusion criteria.
Data sourced from ClinicalTrials.gov (NCT03258632). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.