Strengths-based linkage to alcohol care for Alcohol Drinking

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Central Arkansas Veterans Healthcare System Eugene J. Towbin Healthcare Center, Little Rock, AR, North Little Rock, AR
Alcohol Drinking+3 More
Strengths-based linkage to alcohol care - Behavioral
Eligibility
18+
All Sexes
Eligible conditions
Select

Study Summary

This study is evaluating whether a behavioral intervention can help link veterans to alcohol care.

See full description

Eligible Conditions

  • Alcohol Drinking
  • Alcohol-induced Disorders
  • Mental Health

Treatment Effectiveness

Effectiveness Estimate

1 of 3

Study Objectives

This trial is evaluating whether Strengths-based linkage to alcohol care will improve 3 primary outcomes and 3 secondary outcomes in patients with Alcohol Drinking. Measurement will happen over the course of 3-month.

3-month
Alcohol consumption
Depression
Linkage to alcohol care
Posttraumatic stress disorder
Utilization of alcohol care
Utilization of alcohol care options

Trial Safety

Safety Estimate

1 of 3

Trial Design

2 Treatment Groups

Usual care
1 of 2
Strengths-based linkage to alcohol care (SLAC)
1 of 2
Active Control
Experimental Treatment

This trial requires 140 total participants across 2 different treatment groups

This trial involves 2 different treatments. Strengths-based Linkage To Alcohol Care is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are in Phase 1 and are in the first stage of evaluation with people.

Strengths-based linkage to alcohol care (SLAC)
Behavioral
SLAC is a behavioral intervention designed to link persons with substance use/misuse to a care or help option
Usual care
Behavioral
Usual care consists of brief intervention in primary care and/or standard referral to more intensive alcohol care (e.g., outpatient/inpatient, pharmacotherapy)

Trial Logistics

Logistics

Participation is compensated

You will be compensated for participating in this trial.

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 3-month
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 3-month for reporting.

Closest Location

Central Arkansas Veterans Healthcare System Eugene J. Towbin Healthcare Center, Little Rock, AR - North Little Rock, AR

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 6 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Have screened positive for hazardous drinking (AUDIT-C score > 5)
PTSD (PC-PTSD-5 score > 3) and/or depression (PHQ-2 score > 3) in the prior 12 months and have positive rescreens
Not have received specialty SUD treatment or participated in weekly mutual-help groups in the past 90-days
Not have significant cognitive impairment
Have ongoing access to a mobile or landline telephone
Provide at least one contact who will know the Veteran's contact information

Patient Q&A Section

Can alcohol drinking be cured?

"This article reviews the evidence for how many (if any) alcoholic drinkers can be safely cured with an effective intervention and the methods of achieving that outcome." - Anonymous Online Contributor

Unverified Answer

How many people get alcohol drinking a year in the United States?

"A significant proportion of men and women under age 65 years drink no alcohol and there are significant differences between sexes and across regions of the country based on drinking patterns and alcohol-related problems, such as alcohol-related accidents. Alcohol consumption in the United States is generally below national and international averages. Alcohol-related harm reduces overall population health in the United States." - Anonymous Online Contributor

Unverified Answer

What is alcohol drinking?

"There are some studies in the area of alcohol consumption and acute gastro-intestinal effects that show a weak link between alcohol and upper gastrointestinal toxicity; this may also apply to the more general association between alcohol consumption and gastro-intestinal health." - Anonymous Online Contributor

Unverified Answer

What does strengths-based linkage to alcohol care usually treat?

"The majority of the studies included in this overview of treatment guidelines are limited by inadequate reporting, and no conclusions can be drawn from many studies. More research is needed to identify, understand, and implement effective practices that prioritize a focus on individuals who are at risk for alcohol misuse." - Anonymous Online Contributor

Unverified Answer

What are common treatments for alcohol drinking?

"There were many treatments for alcohol-induced problems reported by the study sample, with most focused on reducing alcohol intoxication and relapse. Some treatments may be particularly beneficial to individuals with a history of severe alcohol problems, whereas others appear to have the potential to be equally useful across a range of problem severities. The range of therapies currently available to treat alcohol-related problems supports the need for further research to identify the most robust and cost-effective approaches for improving the management of alcohol-related problems." - Anonymous Online Contributor

Unverified Answer

What are the signs of alcohol drinking?

"Alcohol-induced neurologic signs are varied and may be subtle. Signs include headache, somnolence, slurred speech, confusion, and hallucinations. Alcohol intake is probably the most common causes of Wernicke and Korsakoff syndromes, but occasionally Korsakoff syndrome may result from nutritional deficiency. Neurologic problems such as Wernicke-Korsakoff may develop more than 24 hours after alcohol intoxication. The clinical course of alcohol-induced encephalopathy is variable. The diagnosis of alcoholism-related encephalopathy should be confirmed by an objective examination and the exclusion of other causes." - Anonymous Online Contributor

Unverified Answer

What causes alcohol drinking?

"The development of alcohol drinking may be related to the interaction of an individual's genes and the drinking environment. These factors may all contribute to individual differences in alcohol drinking and to the evolution of an individual's behavior with alcohol over the course of time." - Anonymous Online Contributor

Unverified Answer

Who should consider clinical trials for alcohol drinking?

"Most respondents thought that trials are best aimed at women, but others thought trials should be aimed at men. Most respondents thought that studies should include a low-risk control group, but other respondents suggested that trials should have no control group and participants be selected by risk factors only. Almost no respondents thought that trials should include treatment of drinking and smoking as part of the trial. People think that trials should be tailored or individualized to a participant's risk profile, and that all trial participants should be selected by their risk of developing alcohol-related disease. For more information from respondents, see: http://www.acr.org/content/42/1/6." - Anonymous Online Contributor

Unverified Answer

Is strengths-based linkage to alcohol care safe for people?

"Evidence does not support the recommendation that people should abstain from drinking alcohol given non-harm or low-risk adverse events. Although some alcohol care services are known to have improved harm outcomes, no evidence exists of their effectiveness. There is an urgent need to identify the most effective and clinically safe approaches to alcohol care use." - Anonymous Online Contributor

Unverified Answer

Has strengths-based linkage to alcohol care proven to be more effective than a placebo?

"Findings corroborate previous findings. Findings confirm the benefit afforded to people who are already attending alcohol care irrespective of treatment-seeking status. In addition, strength-based linkage was found to be more cost effective and effective than a placebo, particularly in those at highest risk of harms." - Anonymous Online Contributor

Unverified Answer

What is the average age someone gets alcohol drinking?

"The average age people first start drinking is 20.3 years. As for alcohol consumption, for males, an average of 22.6 g/day is drunk through drinking and consumption for females is slightly higher as it averages 23.5 g/day. The highest average ethanol consumed per day over the age of 15 in China is 42.4 g/day." - Anonymous Online Contributor

Unverified Answer

Have there been any new discoveries for treating alcohol drinking?

"Alcohol screening tests are not sensitive enough to provide diagnostic utility in primary care. However, current research is exploring clinical tools that may lead to an automated diagnostic aid. The potential for cost-effective, automated diagnosis may lead to better quality of screening tests in primary care and greater efficiency across the alcohol screening and intervention program." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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