Scale-up of Prevention and Management of Alcohol Use Disorders and Comorbid Depression in Latin America

NCT ID: NCT03524599

Last Updated: 2024-04-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

690 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-12

Study Completion Date

2021-06-30

Brief Summary

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A quasi-experimental study will compare primary health care-based prevention and management of alcohol use disorder, operationalized by heavy drinking, in three intervention cities from Colombia, Mexico and Peru with three comparator cities from the same countries. In the implementation cities, primary health care units (PHCUs) will receive training embedded within ongoing supportive municipal action over an 18-month implementation period. In the comparator cities, practice as usual will continue at both municipal and PHCU levels. The primary outcome will be the proportion of consulting adult patients intervened with (screened and advice given to screen positives).

Detailed Description

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Conditions

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Alcohol Use Disorder

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Intervention municipality

In the intervention municipalities, primary health care providers will receive ongoing training and support in undertaking screening and brief advice for heavy drinking. They will also receive community-based five adoption mechanisms and five support systems.

Group Type EXPERIMENTAL

Intervention municipality

Intervention Type OTHER

In intervention municipalities, primary health care centres and the providers working within them will receive training and a range of community support mechanisms.

Comparator municipality

In the comparator municipalities, the primary health care providers will be given a summary card of screening and brief advice for heavy drinking, with no instruction

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Intervention municipality

In intervention municipalities, primary health care centres and the providers working within them will receive training and a range of community support mechanisms.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Any fully trained medical practitioner, nurse or practice assistant
* Non-temporary employment contract
* Working in the selected primary health care centre
* Involved in medical and/or preventive care

Exclusion Criteria

* Not a fully trained medical practitioner, nurse or practice assistant
* Having a temporary employment contract
* Not working in the selected primary health care centre
* Not involved in medical and/or preventive care
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Newcastle University

OTHER

Sponsor Role collaborator

Technische Universität Dresden

OTHER

Sponsor Role collaborator

Maastricht University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter Anderson, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Professor

Locations

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Health Services Unit Fray Bartolomé de las Casas

Bogotá, , Colombia

Site Status

Countries

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Colombia

References

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Solovei A, Jane-Llopis E, Mercken L, Bustamante I, Kokole D, Mejia-Trujillo J, Medina Aguilar PS, Natera Rey G, O'Donnell A, Piazza M, Schmidt CS, Anderson P, de Vries H. Effect of Community Support on the Implementation of Primary Health Care-Based Measurement of Alcohol Consumption. Prev Sci. 2022 Feb;23(2):224-236. doi: 10.1007/s11121-021-01329-1. Epub 2022 Jan 15.

Reference Type DERIVED
PMID: 35032246 (View on PubMed)

Anderson P, Manthey J, Llopis EJ, Rey GN, Bustamante IV, Piazza M, Aguilar PSM, Mejia-Trujillo J, Perez-Gomez A, Rowlands G, Lopez-Pelayo H, Mercken L, Kokole D, O'Donnell A, Solovei A, Kaner E, Schulte B, de Vries H, Schmidt C, Gual A, Rehm J. Impact of Training and Municipal Support on Primary Health Care-Based Measurement of Alcohol Consumption in Three Latin American Countries: 5-Month Outcome Results of the Quasi-experimental Randomized SCALA Trial. J Gen Intern Med. 2021 Sep;36(9):2663-2671. doi: 10.1007/s11606-020-06503-9. Epub 2021 Jan 19.

Reference Type DERIVED
PMID: 33469752 (View on PubMed)

Other Identifiers

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UMFHMLCapH2020

Identifier Type: -

Identifier Source: org_study_id

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