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Identifying and Managing Alcohol-related Health Problems in General Practice

Not Applicable
Completed
Conditions
Alcohol-Related Disorders
Alcohol Drug Interaction
Alcohol Use Disorder
Alcohol Problem
Registration Number
NCT04725552
Lead Sponsor
Helse Stavanger HF
Brief Summary

The overall purpose of the proposed research is to increase patients' and general practitioners' (GPs') awareness of alcohol as a relevant factor for a wide variety of health problems in general practice, and enable earlier help and treatment. To achieve this, the investigators aim to test the feasibility of a pragmatic strategy for identification of alcohol-related health problems, and the feasibility of a web-based intervention between consultations, as a supplement to usual care in general practice.

Detailed Description

Alcohol use is a major health problem, and there is a strong need for improved identification of and interventions for alcohol-related health problems. These constitute somatic and neuropsychiatric health problems, caused, precipitated, or complicated by alcohol use.

The investigators will especially recruit patients in late adulthood (60+), as this group may experience more barriers with digital interventions, and will have more health problems potentially affected by alcohol. The investigators have developed the identification strategy and the interventions in close collaboration with key stakeholders: patients and health care professionals.

The aim is to test the feasibility of interventions for hazardous (a quantity or pattern placing patients at risk for adverse health events) and harmful alcohol consumption (consumption resulting in adverse events), with two distinct components, namely pragmatic case finding and a digital self-administered intervention (called Endre) for use between consultations. The study will focus mainly on aspects related to acceptability, demand, implementation and practicality. The results from this feasibility study may give valuable knowledge on how this treatment approach should be adapted and implemented, and will indicate whether a full-scale RCT is warranted. This study is testing the feasibility of interventions intended to facilitate change for both patients (reduced alcohol consumption) and for physicians (improved addressing of alcohol and improved intervention delivery).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Registered patient with participating clinic, accepting that alcohol may be relevant for his/her health problem and wanting to participate
Exclusion Criteria
  • None, except age

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
The number of patients completing baseline registrationSix months from start date
The number of patients using the intervention for at least four weeksSix months from start date
The number of patients offered the web-based interventionThree months from start date
The number of patients using the intervention for at least one weekSix months from start date
Secondary Outcome Measures
NameTimeMethod
Changes in quality of life (RAND12)Three months from completed baseline registration

Changes in quality of life between baseline and 3 months

Changes in mental distress (SCL5)Three months from completed baseline registration

Changes in mental distress between baseline and 3 months

Changes alcohol consumption (AUDIT-C)Three months from completed baseline registration

Changes in weekly alcohol consumption and binge drinking between baseline and 3 months

Changes in sleeping (Bergen Insomnia Scale)Three months from completed baseline registration

Changes in sleeping between baseline and 3 months

Trial Locations

Locations (4)

Hillevågsdoktoren

🇳🇴

Stavanger, Norway

Nytorget legesenter

🇳🇴

Stavanger, Norway

Sagene Lokalmedisinske senter

🇳🇴

Oslo, Norway

Stavanger Medisinske Senter

🇳🇴

Stavanger, Norway

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