STUN (STop UNhealthy) Alcohol Use Now! Implementing Evidence-Based Services for Unhealthy Alcohol Use in Primary Care

NCT04317989 | Completed

• 2 other identifiers: 19-18531R18HS027078-01
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 7

Brief Summary

STUN Alcohol Use Now is an intervention designed to use primary care practice support services (practice facilitation) to help small to medium-size practices (10 or fewer providers) identify and provide services for people with unhealthy alcohol use. The original recruitment goal was 135 primary care practices in North Carolina, which we were unable to meet due to pandemic-related barriers.

Conditions

Risky Health Behavior; Drinking, Alcohol; Alcohol Use Disorder; Drinking, Binge; Drinking Excessive

Keywords

Alcohol, Screening, Counseling, Primary Care

Outcome Measures

Primary Outcomes (6)

• Number of adults screened for unhealthy alcohol use

  number aged 18 or older who were screened with a validated tool for unhealthy alcohol use

  18 months

• Number of adults screened for unhealthy alcohol use

  number aged 18 or older who were screened with a validated tool for unhealthy alcohol use

  12 months

• Number of adults screened for unhealthy alcohol use

  number aged 18 or older who were screened with a validated tool for unhealthy alcohol use

  6 months

• Percent of adults screened for unhealthy alcohol use

  percent of those aged 18 or older who were screened with a validated tool for unhealthy alcohol use

  18 months

• Percent of adults screened for unhealthy alcohol use

  percent of those aged 18 or older who were screened with a validated tool for unhealthy alcohol use

  12 months

• Percent of adults screened for unhealthy alcohol use

  percent of those aged 18 or older who were screened with a validated tool for unhealthy alcohol use

  6 months

Secondary Outcomes (30)

• Number of adults with a positive screen for unhealthy alcohol use

  18 months

• Number of adults with a positive screen for unhealthy alcohol use

  12 months

• Number of adults with a positive screen for unhealthy alcohol use

  6 months

• Percent of adults with a positive screen for unhealthy alcohol use

  18 months

• Percent of adults with a positive screen for unhealthy alcohol use

  12 months

Study Arms (1)

Practice Facilitation

EXPERIMENTAL

All enrolled practices will receive practice facilitation for the duration of the intervention period.

Other: Practice Facilitation

Interventions

Practice Facilitation OTHER

1. Implementing evidence-based protocols and the use of clinical algorithms (for screening, counseling, referral, and MAT) to engage the entire clinical team in a high standard delivery of care. 2. Promoting a strong use of decision support tools and templates to support the practice workflow. 3. Optimizing the use of the electronic health record (EHR) to pull clinical data on a monthly basis to guide the change process. 4. Developing patient registries (e.g., for those identified to have AUD) to identify needed care 5. Proactive, team-based care with assigned roles and responsibilities to prepare the clinical team to develop needed care and engage patients throughout the entire visit process. 6. Enhancing the understanding of available counseling and referral resources to ensure that practices are confident that they have appropriate evidence-based intervention options.

Practice Facilitation

Eligibility Criteria

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

You may qualify if:

• Small-to-medium sized primary care practices (10 or fewer providers) in North Carolina

You may not qualify if:

• Practices with fewer than 100 adult patients (18+ years) or more than 10 providers;
• practices unwilling to implement evidence-based screening and management of patients with unhealthy alcohol use.

Sponsors & Collaborators

• University of North Carolina, Chapel Hill: lead
• Agency for Healthcare Research and Quality (AHRQ): collaborator

Study Sites (7)

Mountain AHEC

Asheville, North Carolina, 28803-2868, United States

Location

Charlotte AHEC

Charlotte, North Carolina, 28232, United States

Location

Greensboro AHEC

Greensboro, North Carolina, 27401, United States

Location

Eastern AHEC

Greenville, North Carolina, 27835, United States

Location

Wake AHEC

Raleigh, North Carolina, 27604-1657, United States

Location

Area L AHEC

Rocky Mount, North Carolina, 27804-0368, United States

Location

Southeast AHEC

Wilmington, North Carolina, 28403, United States

Location

Related Publications (1)

• Jonas DE, Barclay C, Grammer D, Weathington C, Birken SA, DeWalt DA, Shoenbill KA, Boynton MH, Mackey M, Riley S, Cykert S. The STUN (STop UNhealthy) Alcohol Use Now trial: study protocol for an adaptive randomized trial on dissemination and implementation of screening and management of unhealthy alcohol use in primary care. Trials. 2021 Nov 16;22(1):810. doi: 10.1186/s13063-021-05641-7.

  PMID: 34784953 DERIVED

MeSH Terms

Conditions

Health Risk Behaviors; Alcohol Drinking; Alcoholism; Binge Drinking

Condition Hierarchy (Ancestors)

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

Study Officials

• Daniel E Jonas, MD, MPH

  Ohio State University

  PRINCIPAL INVESTIGATOR

• Darren Dewalt, MD, MPH

  UNC Chapel Hill

  PRINCIPAL INVESTIGATOR

Study Design

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

Model Details: This trial will evaluate the effect of primary care practice facilitation on evidence-based screening, counseling, and Medication-Assisted Treatment (MAT). Practices are considered the participants; the intervention is conducted on the practice level. All enrolled practices receive the practice facilitation intervention.

Study Record Dates

• First Submitted: March 16, 2020
• First Posted: March 23, 2020
• Study Start: January 22, 2020
• Primary Completion: June 30, 2023
• Study Completion: October 31, 2023
• Last Updated: June 17, 2025

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (7)