About this trial
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
Qualifiers
Adult primary care patients ≥18 years old on the day of a primary care appointment; and
≥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
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.
Disqualifiers
Documented request to not participate in research, or
Patient was eligible for the Vanguard pilot study.
Trial design
Treatments tested in this trial
- Centralized Intervention
- Primary Care Intervention
Treatment groups
Sponsors and collaborators
Kaiser Permanente
Lead sponsor
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Collaborator
University of Washington
Collaborator