Engaging General Practice in the Prevention of Patients With Alcohol Problems

NCT00298220 | Completed

• 2 other identifiers: KWAZO/GPA-0150-50115-98-041
• Study Type: interventional
• Target: 77
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of the study is to test whether or not a tailored multi-component intervention program to increase the activity of general practice teams in the prevention of hazardous and harmful alcohol consumption results in increase advice giving rate to patient with hazardous and harmful alcohol consumption and a better patient outcome in terms of hazardous and harmful alcohol consumption. The primary objectives of the proposed study are:

1. 1.to test the (cost) effectiveness of a tailored multi-component implementation program to engage general practices (i.e. GPs, nurse practitioners or practice nurses/assistants) in the prevention of hazardous or harmful alcohol consumption, changing both providers' advice giving behaviour and patients' alcohol consumption
2. 2.to identify predictors of effect
3. 3.to examine whether or not the implementation of a tailored multi-component implementation program to engage general practice in the prevention of hazardous or harmful alcohol consumption is feasible.

Conditions

Alcohol Drinking

Keywords

Family Practice; Intervention Studies; Prevention and Control

Outcome Measures

Primary Outcomes (2)

• - Proportion of patients who, with an initial AUDIT score of 16 or more, have an AUDIT score at follow-up (= 18 months) of 15 or less.

• - Proportion of patients who, with an initial AUDIT score of 16 or more, have been given advice by the general practitioner or by other staff (e.g. nurse practitioner, practice nurse).

Secondary Outcomes (7)

• - Average AUDIT score at follow-up (= 18 months).

• - Average alcohol consumption as measured by the AUDIT at follow-up (= 18 months).

• - Proportion of patients with hazardous or harmful alcohol consumption as measured by the AUDIT at follow-up (= 18 months).

• - Proportion of patients with harms from alcohol as measured by the AUDIT at follow-up (= 18 months).

• - Proportion of patients with alcohol dependence as measured by the AUDIT at follow-up (= 18 months).

Study Arms (2)

training

ACTIVE COMPARATOR

tailored multi-component implementation program

Behavioral: Feedback about patients at risk; Behavioral: Dissemination guideline and patient information letters; Behavioral: Tailored educational training; Behavioral: Tailored outreach based facilitator support; Behavioral: Facilitation of co-operation with local addiction services; Behavioral: Patient directed interventions; Behavioral: Reminder-card for GP's desk; Behavioral: Personal feedback to patients

control

NO INTERVENTION

Behavioral: Feedback about patients at risk; Behavioral: Dissemination guideline and patient information letters; Behavioral: Personal feedback to patients

Interventions

Feedback about patients at risk BEHAVIORAL

GPTs receive this feedback about their patient population; obtained through premeasurement results

control; training

Dissemination guideline and patient information letters BEHAVIORAL

control; training

Tailored educational training BEHAVIORAL

for GP(T)s

training

Tailored outreach based facilitator support BEHAVIORAL

in the practices of the GPTs

training

Facilitation of co-operation with local addiction services BEHAVIORAL

training

Patient directed interventions BEHAVIORAL

Like poster for the waiting room, self-help booklets, folders

training

Reminder-card for GP's desk BEHAVIORAL

training

Personal feedback to patients BEHAVIORAL

Patients receive advise based on their premeasurement answers

control; training

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• all GPs in a GPT have to participate or
• patients should be listed per GP

Sponsors & Collaborators

• Radboud University Medical Center: lead
• ZonMw: The Netherlands Organisation for Health Research and Development: collaborator

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MeSH Terms

Conditions

Alcohol Drinking

Condition Hierarchy (Ancestors)

Drinking Behavior; Behavior

Study Officials

• M. Laurant, PhD

  Centre for Quality for Care Research Nijmegen

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: February 21, 2006
• First Posted: March 1, 2006
• Study Start: July 1, 2005
• Primary Completion: May 1, 2008
• Study Completion: April 1, 2009
• Last Updated: September 22, 2009

Record last verified: 2009-08