NCT06318026NARecruiting
Systematic Implementation of Patient-centered Care for Alcohol Use Trial: Beyond Referral to Treatment
Kaiser Permanente
Start Date
3/25/2025
Completion Date
2/1/2029
Summary
The Systematic Implementation of Patient-centered Care for Alcohol Use Trial is a pragmatic, cluster-randomized, effectiveness-implementation trial testing two interventions in Kaiser Permanente Washington to systematically implement shared decision-making with primary care patients with symptoms due to alcohol use: a primary care intervention and a centralized intervention. An anticipated 25 primary care clinics will be randomized to one of three conditions: usual care or the primary care or centralized interventions.
Eligibility Criteria
Age Range: 18 years to No maximum
Inclusion Criteria:
1. Adult primary care patients ≥18 years old on the day of a primary care appointment; and
2. ≥4 symptoms on the Alcohol Symptom Checklist, or 2-3 symptoms on the Alcohol Symptom Checklist with at least one symptom associated with high risk of progression to severe symptoms, documented in the electronic health record associated with the primary care appointment; and
3. high-risk drinking on the alcohol screening questionnaire (AUDIT-C ≥7) on the day of the Alcohol Symptom Checklist or in the prior 30 days documented in the electronic health record.
Exclusion Criteria:
1. Documented request to not participate in research, or
2. Patient was eligible for the Vanguard pilot study.
Interventions
BEHAVIORAL
Centralized Intervention
OTHER
Primary Care Intervention
Conditions
Alcohol Use DisorderUnhealthy Alcohol Use
Locations
Kaiser Permanente Washington
Seattle, Washington 98112
United States