Brief Motivational Therapy Versus Usual Care for Alcohol Use Disorders in Primary Care.

Last updated: December 20, 2021
Sponsor: Nicolás Barticevic
Overall Status: Active - Recruiting

Phase

N/A

Condition

Alcohol Use Disorder

Substance Abuse

Addictions

Treatment

N/A

Clinical Study ID

NCT04345302
FONDECYT 11190874
  • Ages > 20
  • All Genders

Study Summary

Harmful alcohol use is a leading cause of global disability and death. However increased detection and brief intervention capacity of more severe alcohol use disorders (AUD) has not been accompanied by increased availability of treatment services. Incorporating treatment for such disorders into primary care (PC) is of paramount importance for improving access and health outcomes. This study aims to estimate the effectiveness of a Brief Motivational Treatment (BMT) applied in primary care for treatment of these disorders.

This trial aims to test the superiority of BMT over enhanced usual care with a reasonable margin, over which the BMT could be further considered for incorporation into PC in Chile. Its pragmatic approach ultimately aims to inform policymakers about the benefit of including a brief psychosocial treatment into PC.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Clinical diagnosis of alcohol use disorder according to the DSM-V (AmericanPsychiatric Association, 2013
  • Must fulfill criteria for alcohol use disorder and criteria for harmful alcohol useduring the last month, i.e., five or more heavy drinking occasions in the last month (5 or more drinks in men, 4 or more in women), or an average use of 14 or more drinksa week in men, and 7 or more in women
  • Also, alcohol use should be the main problem motivating participants to seektreatment.

Exclusion

Exclusion Criteria:

  • Clients under 20 years old
  • Clients in whom alcohol use is not the main problem
  • Clients who leave the area or are unable for follow-up contact
  • Clients with severe mental comorbidity
  • Clients with severe cognitive impairment, illiteracy, or unable to follow treatment inSpanish.
  • Clients who are concurrently receiving or planning to receive other psychosocialtreatment for alcohol use disorder other than usual care, i.e., formal professionaltreatment outside of primary care. Participation in community services and AlcoholicsAnonymous is permissible.
  • Clients who have previously participated in the study, or whose family members are orhave been participants.

Study Design

Total Participants: 182
Study Start date:
November 01, 2021
Estimated Completion Date:
November 30, 2022

Study Description

This exploratory trial aims to estimate the effectiveness of a BMT for AUD provided in PC. The underlying question is whether Chilean PC should incorporate this treatment among its regular programs based on its effectiveness.

To answer this question, a randomised comparison between the manualized BMT and EUC will be undertaken. The main hypothesis is a superiority one:

• Participants under BMT will perform better than EUC in the reduction of alcohol consumption.

Also, there are ancillary questions that deserve special attention. The following hypotheses will help with the explanation of the results:

  • Active BMT components (i.e., the working alliance and fidelity to the MI strategies) mediate the effect.

  • Participant´s AUD severity mediates the effect.

  • Participants under BMT will receive a higher amount of additional care (physician consultations, social worker consultations, participation in alcoholic anonymous, and others).

Connect with a study center

  • CESFAM Juan Pablo II

    Santiago,
    Chile

    Active - Recruiting

  • CESFAM Madre Teresa de Calcuta

    Santiago,
    Chile

    Active - Recruiting

  • CESFAM San Alberto Hurtado

    Santiago,
    Chile

    Active - Recruiting

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