Facilitating Alcohol Screening and Treatment (FAST)

NCT04303676 | Completed

• 2 other identifiers: 19-13481R18HS027079-01
• Study Type: interventional
• Target: 399
• Locations: 1 country
• Sites: 1

Brief Summary

Alcohol use is the third leading cause of death in the United States. Primary care practices need to implement new research findings that help identify and treat alcohol use disorder. This project will compare two methods of supporting small and medium size primary care practices in Colorado and surrounding states to improve their alcohol screening and treatment.

Conditions

Alcohol Use Disorder

Keywords

Primary Health Care; Alcohol Drinking; Quality Improvement

Outcome Measures

Primary Outcomes (6)

• Change from baseline in the proportion of eligible patients screened for unhealthy alcohol use

  Change from baseline in number and percent of eligible patients (18 years old or older) screened for unhealthy alcohol use. Change will be assessed at 3, 6, and 9 months from baseline.

  Baseline, then 3, 6, and 9 months from baseline

• Change from baseline in the proportion of screen positive patients who received brief counseling

  Change from baseline in the number and percent of patients who screened positive for alcohol use disorder who then received brief counseling intervention. Change will be assessed at 3, 6, and 9 months from baseline.

  Baseline, then 3, 6, and 9 months from baseline

• Change from baseline in the proportion of screen positive patients who received MAT

  Change from baseline in the number and percent of patients who screened positive for alcohol use disorder who then received medication assisted treatment (MAT) in the practice. Change will be assessed at 3, 6, and 9 months from baseline.

  Baseline, then 3, 6, and 9 months from baseline

• Change from baseline in the proportion of screen positive patients referred to specialty clinics

  Change from baseline in the number and percent of patients who screened positive for alcohol use disorder who are then referred to specialty clinics. Change will be assessed at 3, 6, and 9 months from baseline.

  Baseline, then 3, 6, and 9 months from baseline

• Change from baseline in the proportion of screen positive patients who received any treatment

  Change from baseline in the number and percent of patients who screened positive for alcohol use disorder who then receive at least one intervention. Change will be assessed at 3, 6, and 9 months from baseline.

  Baseline, then 3, 6, and 9 months from baseline

• Estimated cost of providing virtual practice transformation support

  The costs of providing virtual practice transformation support with and without e-learning will be estimated for the 6-month intervention period. Cost of providing practice transformation support includes both the realized cost of delivering the practice transformation support and the opportunity cost to the practice of the time providers and other practice staff working with practice facilitators as well as working independently on implementation activities.

  Up to 6 months

Secondary Outcomes (2)

• Change from baseline in the implementation of advanced primary care interventions

  Baseline and at 6 months from baseline

• Change from baseline in the use of evidence-based alcohol use disorder (AUD) guidelines

  Baseline and at 6 months from baseline

Study Arms (2)

Virtual Practice Facilitation with e-Learning

ACTIVE COMPARATOR

A virtual practice facilitation intervention, with a practice facilitator working with practices in virtual one-on-one or group sessions utilizing alcohol use e-learning modules to guide and focus the process and content

Other: Virtual Practice Facilitation with e-Learning

Virtual Practice Facilitation without e-Learning

ACTIVE COMPARATOR

A virtual practice facilitation intervention, with a practice facilitator working with practices in virtual one-on-one or group sessions without utilizing alcohol use e-learning modules

Other: Virtual Practice Facilitation without e-Learning

Interventions

Virtual Practice Facilitation with e-Learning OTHER

Virtual practice facilitation intervention using e-learning modules to guide the sessions includes: a. Practice Facilitator (PF) conducts 7 monthly virtual visits with each practice QI team i. Optional: PFs and practices may choose to conduct virtual facilitation in groups of up to 5 practices simultaneously b. MAT training (combination of virtual academic detailing plus online training resource) plus ongoing support to deal with questions through email and/or office hours with our project staff, experts, with additional consultation if needed with an addiction medicine specialist. c. Resources largely included as part of the e-learning module, but supplemented by online resource hub d. Centralized remote health information technology assistance, focused on implementation of registry functionality to track patients for population management and to report the measures required by AHRQ.

Also known as: Virtual practice facilitation intervention using e-learning

Virtual Practice Facilitation with e-Learning

Virtual Practice Facilitation without e-Learning OTHER

Virtual practice facilitation intervention without e-learning to guide the sessions includes: a. Practice Facilitator (PF) conducts 7 monthly virtual visits with each practice QI team i. Optional: PFs and practices may choose to conduct virtual facilitation in groups of up to 5 practices simultaneously b. MAT training (virtual academic detailing) plus ongoing support to deal with questions through email and/or office hours with our project staff, experts, with additional consultation if needed with an addiction medicine specialist c. Online resource hub d. Centralized remote health information technology assistance, focused on implementation of registry functionality to track patients for population management and to report the measures required by AHRQ.

Also known as: Virtual practice facilitation intervention without e-learning modules

Virtual Practice Facilitation without e-Learning

Eligibility Criteria

• Age: 18 Years - 89 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may not qualify if:

• Practices that report they have fully implemented SBIRT (screening brief intervention referral and treatment) and MAT (medication assisted treatment) for AUD (alcohol use disorder) will be excluded. Clinicians and staff who do not speak or read English

Sponsors & Collaborators

• University of Colorado, Denver: lead

Study Sites (1)

University of Colorado at Denver and Health Sciences Center

Aurora, Colorado, 80045, United States

Location

MeSH Terms

Conditions

Alcoholism; Alcohol Drinking

Condition Hierarchy (Ancestors)

Alcohol-Related Disorders; Substance-Related Disorders; Chemically-Induced Disorders; Mental Disorders; Drinking Behavior; Behavior

Study Officials

• W. Perry Dickinson, MD

  University of Colorado, Denver

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This trial will investigate the superiority from an effectiveness perspective of: a) a virtual practice facilitation intervention, with a practice facilitator working with practices in virtual one-on-one or group sessions utilizing alcohol use e-learning modules to guide and focus the process and content, compared to b) a virtual practice facilitation intervention, with a practice facilitator working with practices in virtual one-on-one or group sessions without utilizing alcohol use e-learning modules.

Study Record Dates

• First Submitted: March 2, 2020
• First Posted: March 11, 2020
• Study Start: May 26, 2020
• Primary Completion: February 21, 2023
• Study Completion: April 13, 2023
• Last Updated: December 18, 2023

Record last verified: 2023-12

Locations

US (1)