Talk Therapy by Phone to Promote Treatment for Alcohol Problems

Study Overview
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Brief Summary
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A small percentage of individuals with alcohol use disorder (AUD) obtain alcohol-related care despite research showing that treatment is effective. This randomized controlled trial tests the efficacy of a brief, phone based cognitive behavioral intervention to increase treatment engagement, improve alcohol related outcomes, and show that treatment engagement is a mechanism for the improved outcomes in individuals with AUD.

Official Title
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Cognitive Behavioral Treatment by Phone to Promote Use of Alcohol Related Care and Reduce Drinking

Conditions
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Alcohol Use Disorder, Alcohol Abuse

Intervention / Treatment
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* Behavioral: CBT by Phone to Promote Treatment
* Other: Reading the Subject a Pamphlet on Obtaining Alcohol Use Disorder Treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age 18-plus; score ≥ 16 on AUDIT; within the past 30 days, exceeding the limits for low-risk drinking adopted by NIAAA: >3 standard drinks on any occasion or >7 drinks per week (women); >4 drinks on any occasion or >14 drinks per week (men). Exclusion Criteria: unable to communicate with the researcher in English; unable to comprehend the nature of the study; history of alcohol-related care; alcohol withdrawal necessitating medical evaluation; residency outside of The Greater Rochester Area.

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: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CBT Phone Intervention<br>Cognitive-Behavioral Therapy for Treatment Seeking, CBT-TS, a manualized behavioral intervention, administered by telephone in a single session. | Behavioral: CBT by Phone to Promote Treatment<br>* Structured phone intervention to identify concerns about getting alcohol use disorder treatment and to work through those concerns using cognitive behavioral principles.<br>|
| Active Comparator: Being Read A Pamphlet on Alcohol Treatment<br>Guided review of a National Institute on Alcohol Abuse and Alcoholism (NIAAA) pamphlet on AUD treatment, administered by telephone in a single session. | Other: Reading the Subject a Pamphlet on Obtaining Alcohol Use Disorder Treatment<br>* The pamphlet was created by the National Institute on Alcohol Abuse and Alcoholism to describe evidence based treatments available for alcohol use disorder and how to obtain such treatment.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Average Drinks Per Drinking Day | Average number of standard drinks on days of alcohol consumption at 3-month follow-up | prior 30 days (at 3-month follow-up) | 
| Days Abstinent | Number of days abstinent from alcohol use in prior 30 days | prior 30 days (at 3-month follow-up) | 
| Number Initiating Alcohol Use Disorder Treatment | Number Attending any Alcohol Use Disorder Treatment Session(s) over 3-month follow-up | over 3 months |