Scale-up of Prevention and Management of Alcohol Use Disorders and Comorbid Depression in Latin America

Not Applicable

Completed

• Conditions: Alcohol Use Disorder
• Interventions: Other: Intervention municipality

• Registration Number: NCT03524599
• Lead Sponsor: Maastricht University

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).

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-05-02
• Study First Submitted QC: 2018-05-02
• Study First Posted: 2018-05-15
• Study Start: 2018-09-12
• Primary Completion: 2020-12-31
• Study Completion: 2021-06-30
• Status Verified: 2024-04
• Last Update Submitted: 2024-04-12
• Last Update Posted: 2024-04-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 690

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention municipality	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.

Primary Outcome Measures

Name	Time	Method
Proportion of consulting adult patients (aged 18+ years) intervened	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 Outcome Measures

Name	Time	Method
Proportion of patients screened	18 months	The proportion of patients screened will be calculated as the number of completed screens divided by the total number of consultations of all adult patients per participating provider, and averaged per participating PHCC
Proportion of patients advised	18 months	The proportion of patients advised will be calculated as the number of brief interventions delivered (received oral brief advice, and/or were referred to another provider in or outside the practice), divided by the total number of screen positives per participating provider and averaged per participating PHCC

Trial Locations

Locations (1)

Health Services Unit Fray Bartolomé de las Casas; 🇨🇴 Bogota, Colombia