The Cost-utility evaluation of ASSIST (Alcohol, Smoking and Substance Involvement Screening Test) linked Brief Intervention for substance abuse.

The Cost-utility evaluation of ASSIST(Alcohol, Smoking and Substance Involvement Screening Test) linked Brief Intervention for Reduction of Substance Abuse in Primary Health Care Setting.

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12613000080729

Enrollment

250

Registered

2013-01-22

Start date

2011-10-15

Completion date

2012-12-31

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Alcohol and drug use leads to the highest Disability Adjusted Life Years (DALY) loss from several diseases and conditions, e.g. traffic accidents, cancers, liver cirrhosis, homicide and suicide. The WHO Alcohol, Smoking, Substance Involvement Screening Test (ASSIST) and its linked Brief intervention (BI) can help prevent this loss by detecting the harmful substance use and providing intervention at an early stage before it has caused serious diseases or other problems. Objectives of this study aimed to evaluate the effectiveness and costs of the ASSIST-linked BI and standard intervention and also evaluate the cost-utility of ASSIST-linked BI for reduction of substance use in primary health care (PHC) settings.

Interventions

After administer the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) and provide the Brief Intervention (BI)composed of 9 steps :1. Feedback 2. Advice 3. Responsibility 4. Concern about ASSIST score 5. Good things about substance use. 6. Less good things about substance use. 7. Summarise 8. Concern about less good things 9. Take home information & booklet provide BI each participant about 10-15 minutes

Study design

Allocation

Randomised controlled trial

Intervention model

Parallel

Primary purpose

Educational / counselling / training

Masking

Blinded (masking used)

Eligibility

Sex/Gender

All

Age

16 Years to 65 Years

Healthy volunteers

Inclusion criteria

1.Scores in the moderate risk range between 4 and 26 for other substance and between 11 and 26 for alcohol of the ASSIST for specific substances 2. Ages 16 to 65 years 3. Be able to communicate in Jawee or Thai 4. Be willing to participate in a 6-month follow-up where they return to the clinic for interview 5. Be physically well enough to participate in a 30-minute interview and intervention session 6. Has fixed address and be able to provide contact details of their home

Exclusion criteria

- ASSIST score in the high risk category (27 or higher for any of the substances - has severe cognitive impairment or intectual disability -has tendency to violent or aggressive behaviour -is intoxicated or going through withdrawal from alcohol or other drugs

Outcome results