Harnessing Telemedicine to Improve Alcohol Use Disorder Outcomes in Primary Care Patients

University of Michigan

Status: Active, not recruiting

Conditions: Substance Use; Substance Use Disorders; Substance Dependence

Treatments: Behavioral: TeleTx intervention; Behavioral: Enhanced Usual Care (EUC)

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05410561

HUM00204315

1R01AA029400-01 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The purpose of this trial is to test new programs to see if they might help people manage their health and health behaviors related to alcohol use and well-being. The program sessions focus on getting to know what's important to the participants, reviewing or setting goals, and using different skills and behaviors to better manage health. The trial will help the study team learn about ways to deliver health information in a way that is useful and interesting.

This research will take place remotely (e.g., Zoom, Facetime, Phone) and participants will be randomized to the Telehealth (TeleTx) group intervention or the Enhanced Usual Care (EUC) control group. Both groups will be asked to have follow-up visits up to 12 months from the baseline visit.

Enrollment: 300 estimated patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Current Diagnostic and Statistical Manual (DSM) -5 alcohol use disorder (AUD) based on alcohol symptom checklist
• An average of 3 or more drinking days per week for the past 30 days
• Have regular access to a device with video capabilities or a phone to use for study related calls

Exclusion criteria

• Inability to speak or understand English
• Conditions that preclude informed consent or understanding of assessment or intervention content
• Past 90-day AUD psychotherapy treatment,
• At elevated risk for complicated alcohol withdrawal
• Past-year drug injection.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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300 participants in 2 patient groups

TeleTx intervention

Experimental group

Description:

The evidence-based manualized psychosocial program is via telehealth and uses adaptations of cognitive behavioral therapy and motivational interviewing.

Treatment:

Behavioral: TeleTx intervention

Enhanced Usual Care (EUC)

Active Comparator group

Description:

EUC will include brief psychoeducation about AUD and resources for treatment.

Treatment:

Behavioral: Enhanced Usual Care (EUC)