ASAP Study - Hospital-Based Brief Intervention for Alcohol Problems

Study Overview
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Brief Summary
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The objective of this project was to test whether screening and brief intervention for unhealthy alcohol use leads to improved alcohol-related outcomes (such as alcohol consumption and linkage to alcohol assistance) and is cost-effective.

Detailed Description
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In this study the effectiveness and cost-effectiveness of brief intervention for unhealthy alcohol use in a diverse group of hospitalized medical patients was tested. We conducted a randomized trial of medical inpatients with the whole spectrum of alcohol problems from risky use through dependence. Subjects in one group received standard care; subjects in the second group received a brief motivational intervention tailored to the severity of his or her alcohol problem. Primary outcomes are alcohol consumption and linkage to alcohol treatment. Additional outcomes include health-related quality of life, health care utilization, alcohol problems, and readiness to change. Costs, and clinical outcomes measured in quality-adjusted life years, a standard metric that allows comparison to other chronic illnesses, will be compared in a cost-effectiveness analysis.

Official Title
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Hospital-based Brief Intervention for Alcohol Problems

Conditions
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Alcohol Dependence, Alcohol Consumption

Intervention / Treatment
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* Behavioral: Brief Intervention (adaptation of motivational interviewing)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years of age or older Fluent in English or Spanish Consume risky amounts of alcohol Provide 2 contacts to assist with follow-up Have no plans to move from the local area within a year of screening Score >21 on Mini-Mental State Examination (no serious cognitive impairment)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: Brief Intervention (adaptation of motivational interviewing)|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Linkage to alcohol assistance |  |  | 
| Change in drinks per day |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in the number of times a subject exceeded per occasion limits |  |  | 
| Abstinence (dichotomous) |  |  | 
| Change in drinks per day |  |  | 
| Drinking risky amounts (dichotomous) |  |  | 
| Binge drinking (dichotomous) |  |  | 
| Hospitalization |  |  | 
| Emergency Department visits |  |  | 
| Health related quality of life |  |  | 
| Readiness to change alcohol use |  |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Alcohol, Alcohol abuse, Alcohol dependence, Utilization, Alcohol consumption, Unhealthy alcohol use, Hospitalization, Screening, Brief Intervention, Motivational Interviewing, Randomized trial, Effectiveness, Unhealthy alcohol use (Risky alcohol consumption amounts, problem alcohol use, hazardous alcohol use, alcohol abuse and alcohol dependence)