Scale-up of Prevention and Management of Alcohol Use Disorders and Comorbid Depression in Latin America
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Maastricht University
- Enrollment
- 690
- Locations
- 1
- Primary Endpoint
- Proportion of consulting adult patients (aged 18+ years) intervened
Study Overview
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).
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
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
Arms & Interventions
Intervention municipality
In the intervention municipalities, primary health care providers will receive ongoing training and support in undertaking screening and brief advice for heavy drinking. They will also receive community-based five adoption mechanisms and five support systems.
Intervention: Intervention municipality (Other)
Comparator municipality
In the comparator municipalities, the primary health care providers will be given a summary card of screening and brief advice for heavy drinking, with no instruction
Outcomes
Primary Outcomes
Proportion of consulting adult patients (aged 18+ years) intervened
Time Frame: 18 months
The number of AUDIT-C positive patients that received oral advice or referral for advice to another provider in or outside the primary health care centre (PHCC), divided by the total number of adult consultations of the participating providers per provider and per PHCC
Secondary Outcomes
- Proportion of patients screened(18 months)
- Proportion of patients advised(18 months)