Treatment Settings for Those With an Alcohol Problem

Not Applicable

Completed

• Conditions: Alcohol Abuse; Alcohol-dependence
• Interventions: Behavioral: Outpatient Care; Behavioral: Inpatient Care

• Registration Number: NCT02986776
• Lead Sponsor: State University of New York at Buffalo

Brief Summary

A prior study in a tightly controlled clinical research environment found individuals with an alcohol use disorder (AUD) benefited more from inpatient (IP) than outpatient (OP) care, if they presented with high alcohol involvement and/or low cognitive functioning. This study sought to: (a) validate and extend these findings within the uncontrolled environment of a community-based treatment center, and (b) test whether inpatients had fewer days of involuntary abstinence (e.g., incarcerations) relative to outpatients. Based on their need for inpatient treatment, using prior cut-points for alcohol involvement and cognitive functioning, participants were randomly assigned within inpatient need group (No Need for IP; Needs IP) to either 21-days of inpatient substance misuse treatment or 21-days of outpatient treatment, all followed by 6 months of continuing outpatient care. Follow-up were conducted an 90-day intervals across 18 months.

Detailed Description

Not available

Study Timeline

• Study Start: 2002-08
• Primary Completion: 2008-04
• Study Completion: 2008-04
• Study First Submitted: 2016-12-06
• Study First Submitted QC: 2016-12-06
• Study First Posted: 2016-12-08
• Status Verified: 2020-10
• Last Update Submitted: 2020-10-08
• Last Update Posted: 2020-10-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 176

Inclusion Criteria

• Eligible for treatment through the Chemical Dependency treatment programs of a large, community-based healthcare network
• Drank alcoholic beverages within the last 90 days
• Have a current address (not homeless)
• Free of legal stipulations that would affect treatment decisions
• Have a past 3 months Alcohol Use Disorder
• Primary alcohol, or alcohol and drug problem

Exclusion Criteria

• Homeless
• Drug problem only

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Outpatient Care + No Need for Inpatient	Outpatient Care	Individuals with low alcohol involvement and or mid-high cognitive functioning receiving outpatient treatment
Inpatient Care + No Need for Inpatient	Inpatient Care	Individuals with low alcohol involvement or mid-high cognitive functioning receiving inpatient treatment
Inpatient Care + Needs Inpatient	Inpatient Care	Individuals with high alcohol involvement or low cognitive functioning receiving inpatient treatment
Outpatient Care + Needs Inpatient	Outpatient Care	Individuals with high alcohol involvement or low cognitive functioning receiving outpatient treatment

Primary Outcome Measures

Name	Time	Method
Monthly Percentage of Voluntary Abstinent Days (from Timeline Followback Interview)	Change up to 18 months	Percentage of Days Abstinent of those in which drinking was not restricted
Monthly Point Prevalence of Abstinent Days (from Timeline Followback Interview)	Change up to 18 months	Monthly percentage of participants abstinent throughout a month
Monthly Drinks per Drinking Day (from Timeline Followback Interview)	Change up to 18 months	For those drinking in a month, average drinks per drinking day

Secondary Outcome Measures

Name	Time	Method
Monthly percentage of Involuntary abstinent days (from Timeline Followback Interview)	Up to 18 months	Monthly percentage of days in which the participant was incarcerated, hospitalized, or in residential treatment