N/A
N=205
Improving Outcomes for Emergency Department Patients With Alcohol Problems
Drinking, Alcohol
Bottom Line
View on ClinicalTrials.gov: NCT03536546 ↗Enrolled (actual)
205
Serious AEs
0.0%
Results posted
Aug 2024
Primary outcome: Primary: Number of Drinks Per Day as Assessed by Timeline Follow-Back (TLFB) — 0.91; 1.62 Drinks per day
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Alcohol Peer Mentor Intervention (Behavioral); Brief Advice (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Jun 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Drinks Per Day as Assessed by Timeline Follow-Back (TLFB) |
0.91; 1.62 | — |
| PRIMARY Number of Binge Drinking Days as Assessed by Timeline Follow-Back (TLFB) |
1.0; 3.7 | — |
| SECONDARY Frequency of Healthcare Utilization as Measured by Treatment Services Review (TSR, v6) |
3.0; 1.3; 1.2; 1.2 | — |
Summary
The investigators will conduct a study to examine the impact of an alcohol peer-mentor intervention starting in the emergency department (ED) combined with 6 peer booster sessions to reduce hazardous drinking and facilitate primary/specialty care use compared to enhanced usual care. Approximately 450 Veterans with hazardous drinking behaviors will be randomized to one of these two conditions. Follow-up assessments will occur at 3-, 6-, and 12-month post-randomization.
Eligibility Criteria
Inclusion Criteria
Screening:
- Presenting for care in the Ann Arbor Veterans Health Administration (VHA) ED
- Medically stable
- Able to provide informed consent
Enrollment:
- Have an AUDIT-C score of 4 or more for men and 3 or more for women in the prior 3 months, indicating that they meet criteria for hazardous use (NIAAA 2005; World Health Organization)
- Have a telephone and/or the ability to provide information about individuals who can help contact the participant
Exclusion Criteria
Screening:
- Do not understand English
- Patients in or having received substance abuse treatment in the past 3-months, per medical record
- Patients in or having received peer services in the past 3-months, per medical record
- Pregnant women
- Patients deemed unable to provide informed consent
- Profound psychotic symptoms and/or cognitive deficits that would prevent patients from understanding the content of the intervention and/or assessments
Enrollment:
- Patients currently active in or having received alcohol or other substance abuse treatment in the past 3-months, per self-report screening.
- Patients currently active in or having received peer services in the past 3-months, per self-report screening.
Data sourced from ClinicalTrials.gov (NCT03536546). 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.