Clinical trial NCT03524599: Scale-up of Prevention and Management of Alcohol Use Disorders and Comorbid Depression in Latin America
Official title: Scale-up of Prevention and Management of Alcohol Use Disorders and Comorbid Depression in Latin America
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Alcohol Use Disorder
Keywords: Heavy drinking
Primary health care
Training
Community
Lead sponsor: Maastricht University
Sponsor class: OTHER
Collaborators: name: Newcastle University
name: Technische Universität Dresden
First posted: 2018-05-15
Enrollment: 690
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: 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).


Eligibility criteria: 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

Primary outcomes:
measure: Proportion of consulting adult patients (aged 18+ years) intervened
timeFrame: 18 months
Secondary outcomes:
measure: Proportion of patients screened
timeFrame: 18 months
measure: Proportion of patients advised
timeFrame: 18 months
Other outcomes:
Locations:
city: Bogota
country: Colombia
facility: Health Services Unit Fray Bartolomé de las Casas
Study officials:
affiliation: Professor
name: Peter Anderson, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Solovei A, Jane-Llopis E, Mercken L, Bustamante I, Kokole D, Mejia-Trujillo J, Medina Aguilar PS, Natera Rey G, O'Donnell A, Piazza M, Schmidt CS, Anderson P, de Vries H. Effect of Community Support on the Implementation of Primary Health Care-Based Measurement of Alcohol Consumption. Prev Sci. 2022 Feb;23(2):224-236. doi: 10.1007/s11121-021-01329-1. Epub 2022 Jan 15.
citation: Anderson P, Manthey J, Llopis EJ, Rey GN, Bustamante IV, Piazza M, Aguilar PSM, Mejia-Trujillo J, Perez-Gomez A, Rowlands G, Lopez-Pelayo H, Mercken L, Kokole D, O'Donnell A, Solovei A, Kaner E, Schulte B, de Vries H, Schmidt C, Gual A, Rehm J. Impact of Training and Municipal Support on Primary Health Care-Based Measurement of Alcohol Consumption in Three Latin American Countries: 5-Month Outcome Results of the Quasi-experimental Randomized SCALA Trial. J Gen Intern Med. 2021 Sep;36(9):2663-2671. doi: 10.1007/s11606-020-06503-9. Epub 2021 Jan 19.