Alcohol Misuse
Conditions
Keywords
Smoking Cessation, Alcohol, Brief Intervention, SBIRT
Brief summary
This study will evaluate the implementation of a fully automated, direct-to-patient digital alcohol intervention embedded within the STOP Program's patient portal. The STOP Program is a large-scale, population-based smoking cessation initiative operating in over 300 primary care settings across Ontario. It provides free nicotine replacement therapy and behavioural support through a digital portal that facilitates patient self-enrollment and systematic data collection. As part of this study, patients who score ≥8 on the AUDIT-C will be offered the opportunity to view a brief intervention (BI). Those with an AUDIT-C score ≥10 will receive a cautionary message along with tailored content designed to help reduce hazardous drinking. The intervention was developed based on a rapid review (PROSPERO: CRD42023445492) and a Delphi consensus process using the Behaviour Change Techniques Taxonomy V1. Key components include personalized feedback, normative comparisons, reflective prompts, and actionable behaviour change strategies. For patients scoring above a clinical threshold, additional messaging encourages caution regarding abrupt cessation and suggests consulting a healthcare provider. Our primary outcome is acceptance of the new online resource.
Interventions
BEHAVIORALBrief alcohol intervention
The intervention is a prompt that that appears as an alert message in the patient portal, recommending the alcohol intervention.
Sponsors
Centre for Addiction and Mental Health
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* seeking treatment for smoking cessation * enrolling via the patient self-serve portal * AUDIT-10 score of 8 or higher
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| overall acceptance rate | Immediate: acceptance of offered intervention during baseline survey data collection (following eligibility determination in same survey). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Provider-initiated discussion of alcohol use at the first clinical treatment visit | Assessed at the first clinical visit within 2 months after baseline survey completion. | Provider-initiated discussion of alcohol use at the first clinical treatment visit. Following self-enrolment, providers reviewed participant questionnaires prior to or during the first visit and were asked to record whether they had discussed alcohol use with the participant. This outcome is captured via the portal data-collection system. |
Countries
Canada
Outcome results
None listed