Promoting Alcohol Treatment Engagement Post-hospitalization
Promoting Alcohol Treatment Engagement Post-hospitalization With Brief Intervention, Medications and CBT4CBT: A Randomized Clinical Trial in a Diverse Patient Population.
Yale University
450 participants
Sep 13, 2022
INTERVENTIONAL
Conditions
Summary
This study is a 3-arm randomized clinical trial to evaluate the effectiveness of hospital-initiated Alcohol Use Disorder treatment, involving a Brief Negotiated Interview (with referral and telephone booster) alone, BNI+facilitated provision of MAUD, BNI+facilitated provision of MAUD+CBT4CBT on AUD treatment engagement, alcohol use and healthcare utilization.
Eligibility
Inclusion Criteria6
- hospitalized at Yale New Haven Hospital (YNHH)
- meet Diagnostic and Statistical Manual (DSM-5) criteria for a moderate to severe AUD (regardless of primary reason for hospitalization) consistent with clinical guidelines for MAUD initiation
- >1 heavy drinking day by TLFB in 30 days prior to hospitalization
- willing to consider MAUD
- willing and able to be contacted for follow-up
- provide written informed consent
Exclusion Criteria7
- have been engaged in formal AUD treatment in the past 30 days (i.e., excluding mutual help groups, such as Alcoholics Anonymous)
- meet DSM-5 criteria for untreated moderate to severe opioid use disorder
- self-reported or urine testing confirming pregnancy, nursing, or trying to conceive
- life-threatening or unstable medical, surgical, or psychiatric condition that prohibits study participation
- inability to provide >1 collateral contact for a friend or family member
- anticipate being unable to return for follow-up assessments for any reason, such as travel, incarceration, planned procedure
- inability to understand English or Spanish.
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Interventions
Brief Negotiated Interview (with referral and telephone booster) alone
Brief Negotiated Interview (BNI)+ Medication for Alcohol Use Disorder (MAUD)
Brief Negotiated Interview (BNI)+Medication for Alcohol Use Disorder (MAUD)+Computer Based Treatment for Cognitive Behavioral Treatment (CBT4CBT)
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT05338151