Implementing Evidence-Based Mental Health Practices in Primary Care
1 other identifier
interventional
167
1 country
1
Brief Summary
This research study will examine the effectiveness of a brief, computerized motivational intervention plus treatment-as-usual to treatment-as-usual alone for treating alcohol misuse in Veterans presenting to primary care. The investigators aim to recruit 162 Veterans screening positive on the AUDIT-C to participate in this study. Participants will be randomly assigned to one of the two intervention conditions and be asked to complete a baseline assessment and two follow-up assessments conducted at three and six months post treatment. Baseline assessments will be conducted in person by a trained research assistant, while all follow-up interviews will be conducted over the phone. The primary outcome for this clinical trial is the reduction in the number of heavy drinking days. Several secondary outcomes will be collected including health status, depressive symptoms, consequences of drinking, pain symptoms, and distress tolerance. The findings from this study may have large scale implications for how alcohol misuse is treated in primary care. In addition, this study will provide evidence for the feasibility of using the computer as a method for delivering evidence-based mental health interventions in primary care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Dec 2009
Longer than P75 for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 14, 2009
CompletedFirst Posted
Study publicly available on registry
October 16, 2009
CompletedStudy Start
First participant enrolled
December 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2012
CompletedResults Posted
Study results publicly available
September 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2016
CompletedJanuary 2, 2017
November 1, 2016
3 years
October 14, 2009
July 22, 2014
November 14, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Reduction in Percentage of Heavy Drinking Days
reduction in the percentage of heavy drinking days over the prior 30-days. a heavy drinking day was defined as drinking above gender-matched NIAAA drinking limits (e.g., greater than 4 drinks on one occasion for men).
baseline to six-month follow-up
Study Arms (2)
standard care only
ACTIVE COMPARATORstandard care only - harmful effects of alcohol use and NIAAA limits
Brief alcohol intervention
EXPERIMENTALGroup receiving brief alcohol intervention
Interventions
this intervention consists of brief assessment and feedback
education about harmful effects of alcohol use and NIAAA recommended drinking limits
Eligibility Criteria
You may qualify if:
- at least 18 years of age,
- speak and read English,
- U.S. Veteran status,
- screen positive on the AUDIT-C
You may not qualify if:
- the presence of any cognitive difficulties that interfere with one's ability to consent to study participation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Central Arkansas Veterans Healthcare System Eugene J. Towbin Healthcare Center, Little Rock, AR
No. Little Rock, Arkansas, 72114-1706, United States
Related Publications (3)
Cucciare MA, Ghaus S. A Web-based intervention for alcohol misuse in VA primary care. Psychiatr Serv. 2012 Mar;63(3):292. doi: 10.1176/appi.ps.20120p292. No abstract available.
PMID: 22388536RESULTCucciare MA, Boden MT, Weingardt KR. Brief alcohol counseling improves mental health functioning in veterans with alcohol misuse: results from a randomized trial. J Affect Disord. 2013 May;147(1-3):312-7. doi: 10.1016/j.jad.2012.11.028. Epub 2012 Dec 6.
PMID: 23218847RESULTCucciare MA, Weingardt KR, Ghaus S, Boden MT, Frayne SM. A randomized controlled trial of a web-delivered brief alcohol intervention in Veterans Affairs primary care. J Stud Alcohol Drugs. 2013 May;74(3):428-36. doi: 10.15288/jsad.2013.74.428.
PMID: 23490572RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Michael A. Cucciare, Ph.D.
- Organization
- Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System
Study Officials
- PRINCIPAL INVESTIGATOR
Michael A Cucciare, PhD
Central Arkansas Veterans Healthcare System Eugene J. Towbin Healthcare Center, Little Rock, AR
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 14, 2009
First Posted
October 16, 2009
Study Start
December 1, 2009
Primary Completion
December 1, 2012
Study Completion
August 1, 2016
Last Updated
January 2, 2017
Results First Posted
September 1, 2014
Record last verified: 2016-11
Data Sharing
- IPD Sharing
- Will share
This project will include data from 167 Veterans screening positive for alcohol misuse (without and without posttraumatic stress disorder \[PTSD\] or depression). Data was collected at three time points including baseline, 3- and 6-month follow-up. The final dataset includes quantitative data including on alcohol consumption, and symptoms of PTSD, and depression. The final dataset will be stripped of identifiers prior to sharing. Release of data for data sharing will occur after publication of the main findings from the dataset. The investigators will make the data and associated documentation available to users under our own auspices by mailing an encrypted hard-drive to users. A data-sharing agreement must be signed that accounts for (1) commitment to using the data only for research; (2) IRB approval at the host institution, (3) a plan for securing the data using appropriate technology, and (4) an agreed upon plan to destroy or return the data upon completion.