Alcohol Drug Interaction, Alcohol Problem, Alcohol-Related Disorders, Alcohol Use Disorder
Conditions
Keywords
General practice, Feasibility, Implementation
Brief summary
The overall purpose of the proposed research is to increase patients' and general practitioners' (GPs') awareness of alcohol as a relevant factor for a wide variety of health problems in general practice, and enable earlier help and treatment. To achieve this, the investigators aim to test the feasibility of a pragmatic strategy for identification of alcohol-related health problems, and the feasibility of a web-based intervention between consultations, as a supplement to usual care in general practice.
Detailed description
Alcohol use is a major health problem, and there is a strong need for improved identification of and interventions for alcohol-related health problems. These constitute somatic and neuropsychiatric health problems, caused, precipitated, or complicated by alcohol use. The investigators will especially recruit patients in late adulthood (60+), as this group may experience more barriers with digital interventions, and will have more health problems potentially affected by alcohol. The investigators have developed the identification strategy and the interventions in close collaboration with key stakeholders: patients and health care professionals. The aim is to test the feasibility of interventions for hazardous (a quantity or pattern placing patients at risk for adverse health events) and harmful alcohol consumption (consumption resulting in adverse events), with two distinct components, namely pragmatic case finding and a digital self-administered intervention (called Endre) for use between consultations. The study will focus mainly on aspects related to acceptability, demand, implementation and practicality. The results from this feasibility study may give valuable knowledge on how this treatment approach should be adapted and implemented, and will indicate whether a full-scale RCT is warranted. This study is testing the feasibility of interventions intended to facilitate change for both patients (reduced alcohol consumption) and for physicians (improved addressing of alcohol and improved intervention delivery).
Interventions
BEHAVIORAL'Change' - an e-health intervention
The aim of the e-health intervention is to support the patient's change process and facilitate the doctor's ability to help. We plan for a web-application instead of a native application. A web-application enables use from mobile devices and from computers and is thus not dependent on a specific mode or system. Before including patients (postponed to September 2020 because of the Corona-virus pandemic), about 30 members of the general public have tested the e-health intervention.
Sponsors
University of Oslo
Northumbria University
Helse Stavanger HF
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Intervention model description
Feasibility study of a digital intervention supporting change in alcohol consumption for patients in general practice. The digital intervention is a supplement to usual care.
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* Registered patient with participating clinic, accepting that alcohol may be relevant for his/her health problem and wanting to participate
Exclusion criteria
* None, except age
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The number of patients using the intervention for at least four weeks | Six months from start date |
| The number of patients offered the web-based intervention | Three months from start date |
| The number of patients completing baseline registration | Six months from start date |
| The number of patients using the intervention for at least one week | Six months from start date |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes alcohol consumption (AUDIT-C) | Three months from completed baseline registration | Changes in weekly alcohol consumption and binge drinking between baseline and 3 months |
| Changes in quality of life (RAND12) | Three months from completed baseline registration | Changes in quality of life between baseline and 3 months |
| Changes in mental distress (SCL5) | Three months from completed baseline registration | Changes in mental distress between baseline and 3 months |
| Changes in sleeping (Bergen Insomnia Scale) | Three months from completed baseline registration | Changes in sleeping between baseline and 3 months |
Countries
Norway
Outcome results
None listed