Scale-up of Prevention and Management of Alcohol Use Disorders and Comorbid Depression in Latin America (SCALA)

Maastricht University

Status: Completed

Conditions: Alcohol Use Disorder

Treatments: Other: Intervention municipality

Study type: Interventional

Funder types: Other

Identifiers

NCT03524599

UMFHMLCapH2020

Details and patient eligibility

About

A quasi-experimental study will compare primary health care-based prevention and management of alcohol use disorder, operationalized by heavy drinking, in three intervention cities from Colombia, Mexico and Peru with three comparator cities from the same countries. In the implementation cities, primary health care units (PHCUs) will receive training embedded within ongoing supportive municipal action over an 18-month implementation period. In the comparator cities, practice as usual will continue at both municipal and PHCU levels. The primary outcome will be the proportion of consulting adult patients intervened with (screened and advice given to screen positives).

Enrollment: 690 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Any fully trained medical practitioner, nurse or practice assistant
• Non-temporary employment contract
• Working in the selected primary health care centre
• Involved in medical and/or preventive care

Exclusion criteria

• Not a fully trained medical practitioner, nurse or practice assistant
• Having a temporary employment contract
• Not working in the selected primary health care centre
• Not involved in medical and/or preventive care

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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690 participants in 2 patient groups

Intervention municipality

Experimental group

Description:

In the intervention municipalities, primary health care providers will receive ongoing training and support in undertaking screening and brief advice for heavy drinking. They will also receive community-based five adoption mechanisms and five support systems.

Treatment:

Other: Intervention municipality

Comparator municipality

No Intervention group

Description:

In the comparator municipalities, the primary health care providers will be given a summary card of screening and brief advice for heavy drinking, with no instruction