N/A N=134 Randomized Health Services Research

Records for Alcohol Care Enhancement

Alcohol Use Disorder (AUD)

Bottom Line

View on ClinicalTrials.gov: NCT05492942 ↗

Enrolled (actual)

134

Serious AEs

0.0%

Results posted

Nov 2025

Primary outcome: Primary: Percent of New Alcohol Use Disorder (AUD) Diagnosis Episodes That Meet Criteria for AUD Treatment Engagement Among Patients With a New AUD Diagnosis Who Are Empaneled to Randomized Clinicians. — 10; 11; 12; 30 New AUD diagnosis episodes

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: Best Practice Advisory (BPA) and Population Health Management (PHM) (Behavioral); Best Practice Advisory (BPA) and Clinical Care Management (CCM) (Behavioral); Best Practice Advisory (BPA) and Population Health Management (PHM) and Clinical Care Management (CCM) (Behavioral)
Age: Adult, Older Adult · 18+ yrs
Sex: All
Sponsor: Boston Medical Center
Primary completion: Oct 2024

Outcome Measures

Outcome	Result	p-value
PRIMARY Percent of New Alcohol Use Disorder (AUD) Diagnosis Episodes That Meet Criteria for AUD Treatment Engagement Among Patients With a New AUD Diagnosis Who Are Empaneled to Randomized Clinicians.	10; 11; 12; 30	—
SECONDARY Percent of New Alcohol Use Disorder (AUD) Diagnosis Episodes That Meet Criteria for AUD Treatment Initiation Among Patients With a New AUD Diagnosis Who Are Empaneled to Randomized Clinicians	32; 38; 44; 59	—
SECONDARY Percent of New Alcohol Use Disorder (AUD) Diagnosis Episodes Within Which an AUD Medication is Prescribed Within 90 Days of the New AUD Diagnosis Among Patients Who Are Empaneled to Randomized Clinicians	18; 26; 28; 27	—
SECONDARY Number of Boston Medical Center (BMC) Outpatient Encounters With an AUD Billing Diagnosis Within 90 Days of a New AUD Diagnosis, Among Patients Who Are Empaneled to a Randomized Clinician.	0; 0; 0; 0	—
SECONDARY Number of BMC Mental Health Clinician Encounters With an AUD Billing Diagnosis Within 90 Days of a New AUD Diagnosis, Among Patients Who Are Empaneled to a Randomized Clinician.	0; 0; 0; 0	—
SECONDARY Number of Referrals for Counseling or Specialty AUD Care Within 90 Days of a New AUD Diagnosis, Among Patients Who Are Empaneled to a Randomized Clinician.	0; 0; 0; 0	—
SECONDARY Number of BMC AUD Specialty Care Encounters With an AUD Billing Diagnosis Within 90 Days of a New AUD Diagnosis, Among Patients Who Are Empaneled to a Randomized Clinician.	0; 0; 0; 0	—
SECONDARY Number of Acute Care Encounters Among Patients With a New AUD Diagnosis Who Are Empaneled to Randomized Clinicians.	1; 1; 2; 3	—
SECONDARY Number of Acute Care Utilization Encounters With an Alcohol-related Diagnosis Among Patients With a New AUD Diagnosis Who Are Empaneled to Randomized Clinicians	0; 0; 1; 2	—

Summary

Unhealthy alcohol use (the spectrum from risky consumption through alcohol use disorder, AUD) is a leading cause of preventable death in the US (88,424 deaths annually costing $249 billion a year), and alcohol-related health harms (e.g. AUD itself, cirrhosis) are increasing. Despite high frequency of contacts with the medical system, most people with unhealthy alcohol use do not receive evidence-based interventions due to factors such as stigma, lack of knowledge, challenges with implementing and maintaining tool-based screening, time or prioritization constraints, and more. Electronic health records (EHRs), Best Practice Advisories (BPA) and registries are known and practical tools to improve management and care of chronic disease by aggregating information about the target population, and by assisting the clinician in reminders, decision support, and disease-specific care management. EHRs may help clinicians identify, assess, treat and monitor care when assisted by targeted staff support such as a clinical care manager (CCM) and population health manager (PHM). These support staff help to track outcomes of care and treatments, allowing for increased engagement with the population, and facilitation of care.

Eligibility Criteria

Inclusion Criteria for Clinician Participants:

Adult (18 years or older)
Physician or Nurse Practitioner
Practices Primary Care at Boston Medical Center in the General Internal Medicine (GIM) Primary Care Clinic
Current position in the practice expected to be unchanged for a minimum of 18 months (not a graduating trainee)

Inclusion Criteria for Patient Participants:

Records (EHR, Medicaid accountable care organizations (ACO) claims) from all patients empaneled (patient is assigned to PCP's primary care panel) by study enrolled clinicians who are:

Adult (18 years or older)
Have had at least 1 completed visit in general internal medicine at BMC during the last 18 months.

Exclusion Criteria

Clinicians who, at the time of study recruitment, are expected to remain in their BMC GIM position for less than 18 months (e.g. resident or fellow trainees expected to graduate within the study time period).

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05492942). 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.