[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"alcoholism-and-alcohol-abuse\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:alcoholism-and-alcohol-abuse":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":20,"targetDuration":23,"studyType":24,"phases":4,"briefSummary":25,"conditions":26,"keywords":4,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":31,"lastUpdatePostDateStruct":32,"startDateStruct":35,"completionDateStruct":37,"leadSponsor":39,"locationsCount":4},"100396820","assertive-community-treatment-for-alcohol-misuse-disorder-patients-who-are-high-utilizers-of-emergency-department-services-100396820",false,"NCT04447079","Assertive Community Treatment for Alcohol Misuse Disorder Patients Who Are High Utilizers of Emergency Department Services","Assertive Community Treatment for Alcohol Misuse Disorder Patients Who Are High Utilizers of Emergency Department Services: - A Prospective, Multi-centre, Before-and-After Cohort Study","ARFA","Inclusion Criteria:\n\n* • Patients who are not on active follow-up at the National Addictions Management Service at the Institute of Mental Health (IMH).\n\n  * Patients who speak English or Mandarin.\n  * Patients who are 21 years of age or older.\n  * ≧2 SNOMED alcohol-related ED visits in last 12 months AND ≧5 Emergency Department visits (All-cause)\n  * Patients who are cognitively intact and able to understand and appreciate the contents of the consent.\n\nExclusion Criteria:\n\n* • Patients who are on active follow-up at the NAMS at the Institute of Mental Health (IMH).\n\n  * Patients who are uncontactable by phone AND through opportunistic recruitment.\n  * Patients who do not give consent.\n  * Patients who do not speak English or Mandarin.\n  * Patients who are under 21 years of age.",true,"ALL","21 Years",{"count":21,"type":22},300,"ESTIMATED","2 Years","OBSERVATIONAL","Background Frequent attenders (FAs) at emergency department (ED) in Singapore hospitals have been increasing over the years. More than half of the FAs are reported to be alcohol-related frequent attenders (ARFA) and they were found to be using EDs unnecessarily. We aim to assess if there will be a difference in patient outcomes in terms of ED usage and cost-effectiveness by implementing an assertive community treatment (ACT) program to manage AFRAs.\n\nMethods This is a prospective, multi-centre, before-and-after, superiority and cohort study to assess the impact of ACT from 4 study sites. 200-300 patients will be recruited and followed up for 12 months. The primary objective of the study is to investigate whether there will be a reduction in AFRA ED attendances. The secondary objective is to estimate the change in total cost utilization.\n\nConclusion\u002FSignificance All patients who are on ACT programme will be enrolled in this study. The study intervention will be used as a new mode of care at participating hospitals. We expect to see reduced alcohol addiction level, reduced isolation level, improved motivation and better overall health. With reduced alcohol-related hospital visits, we would also expect to see improved healthcare utilization by ARFAs which will lead to increased cost savings to the healthcare systems and decreased social costs.",[27,28,29],"Alcoholism and Alcohol Abuse","Alcohol Use Disorder","Emergencies","NOT_YET_RECRUITING","2020-08-03",{"date":33,"type":34},"2020-08-05","ACTUAL",{"date":36,"type":22},"2020-08",{"date":38,"type":22},"2027-08",{"name":40,"class":41},"Khoo Teck Puat Hospital","OTHER"]