Alcohol Abuse, Alcohol-dependence
Conditions
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.
Interventions
BEHAVIORALInpatient Care
21 days of inpatient substance misuse treatment
BEHAVIORALOutpatient Care
21 days of outpatient substance misuse treatment
Sponsors
State University of New York at Buffalo
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| 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 |
Outcome results
None listed