Development and Evaluation of a Theory and Evidence-based Intervention to Reduce Hazardous Alcohol Consumption Among Treatment Seeking Smokers

NCT07228923 | Not Yet Recruiting

• 1 other identifier: DCP-196026
• Study Type: interventional
• Target: 77
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study will evaluate the implementation of a fully automated, direct-to-patient digital alcohol intervention embedded within the STOP Program's patient portal. The STOP Program is a large-scale, population-based smoking cessation initiative operating in over 300 primary care settings across Ontario. It provides free nicotine replacement therapy and behavioural support through a digital portal that facilitates patient self-enrollment and systematic data collection. As part of this study, patients who score ≥8 on the AUDIT-C will be offered the opportunity to view a brief intervention (BI). Those with an AUDIT-C score ≥10 will receive a cautionary message along with tailored content designed to help reduce hazardous drinking. The intervention was developed based on a rapid review (PROSPERO: CRD42023445492) and a Delphi consensus process using the Behaviour Change Techniques Taxonomy V1. Key components include personalized feedback, normative comparisons, reflective prompts, and actionable behaviour change strategies. For patients scoring above a clinical threshold, additional messaging encourages caution regarding abrupt cessation and suggests consulting a healthcare provider. Our primary outcome is acceptance of the new online resource.

Conditions

Alcohol Misuse

Keywords

Smoking Cessation; Alcohol; Brief Intervention; SBIRT

Outcome Measures

Primary Outcomes (1)

• overall acceptance rate

  Data will be collected at baseline

Study Arms (1)

Patient Portal Prompt

EXPERIMENTAL

Brief Alcohol Intervention

Behavioral: Brief alcohol intervention

Interventions

Brief alcohol intervention BEHAVIORAL

The intervention is a prompt that that appears as an alert message in the patient portal, recommending the alcohol intervention.

Patient Portal Prompt

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• seeking treatment for smoking cessation
• enrolling via the patient self-serve portal
• AUDIT-10 score of 8 or higher

You may not qualify if:

• none

Sponsors & Collaborators

• Centre for Addiction and Mental Health: lead

MeSH Terms

Conditions

Smoking Cessation

Interventions

Ethanol; Methods

Condition Hierarchy (Ancestors)

Health Behavior; Behavior

Intervention Hierarchy (Ancestors)

Alcohols; Organic Chemicals; Investigative Techniques

Study Design

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

Study Record Dates

• First Submitted: November 13, 2025
• First Posted: November 14, 2025
• Study Start: November 20, 2025
• Primary Completion (Estimated): August 31, 2026
• Study Completion (Estimated): December 31, 2026
• Last Updated: November 14, 2025

Record last verified: 2025-11