Trial Outcomes & Findings for Co-Use of Opioid Medications and Alcohol Prevention Study (NCT NCT05599672)

NCT ID: NCT05599672

Last Updated: 2025-09-12

Results Overview

The investigators will use the Timeline Follow Back to assess alcohol use reductions. This measure is a calendar based assessment that captures a continuous number (counts) of days of substance use. This quantitative measure is both valid and reliable.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

112 participants

Primary outcome timeframe

3 Months. Changes in alcohol use will be assessed by comparing baseline to month 2. Changes in alcohol use will also be assessed by comparing month 2 to month 3.

Results posted on

2025-09-12

Participant Flow

Participant milestones

Participant milestones
Measure
Alcohol-targeted Brief Intervention-Medication Therapy Management
Alcohol-targeted Brief Intervention-Medication Therapy Management (ABI-MTM) intervention is a pharmacy-based medication management intervention, combined with Screening, Brief Intervention, and Referral to Treatment Alcohol-targeted Brief Intervention-Medication Therapy Management: Alcohol-targeted Brief Intervention-Medication Therapy Management (ABI-MTM) intervention is a pharmacy-based medication management intervention, combined with Screening, Brief Intervention, and Referral to Treatment. ABI-MTM includes 5 core elements. A common duration for medication counseling in outpatient pharmacies a single 30-45 minute session. These include a medication review, a personal medication record, a medication action plan, a brief motivational intervention, and documentation and follow up.
Standard Medication Counseling
Standard Medication Counseling (SMC) (1) will offer counseling, (2) document counseling was offered, (3) offer a counseling process for patients not present, and (4) discuss generic substitution. Following this session, in the second SMC component, participants will be emailed/mailed (according to participant preference) safety information about co-use of alcohol and opioids Standard medication counseling: Standard Medication Counseling (SMC) will be the treatment as usual condition in this study and was chosen/developed following Gold et al.'s guide for selecting control conditions in behavioral intervention studies. For the first component, all SMC participants will receive a single 5-10 minute medication information/counseling session delivered by a pharmacist, other than the study pharmacist, that possesses a similar level of education and professional licensing. The content of this session follows federal and state pharmacy requirements requiring pharmacists to: (1) offer counseling, (2) document counseling was offered, (3) offer a counseling process for patients not present (not applicable to this study given all patients must screen in person), and (4) discuss generic substitution. Following this session, in the second SMC component, participants will be emailed/mailed (according to participant preference) safety information about co-use of alcohol and opioids.
Qualitative Interviews
Interviews were conducted of pharmacy technicians, pharmacists, and corporate leaders. Interviews assessed perceptions towards screening/intervention, internal organizational challenges, and processes related to ABI-MTM implementation for large-scale research and practice.
Overall Study
STARTED
22
22
68
Overall Study
COMPLETED
22
22
68
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Co-Use of Opioid Medications and Alcohol Prevention Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Alcohol-targeted Brief Intervention-Medication Therapy Management
n=22 Participants
Alcohol-targeted Brief Intervention-Medication Therapy Management (ABI-MTM) intervention is a pharmacy-based medication management intervention, combined with Screening, Brief Intervention, and Referral to Treatment Alcohol-targeted Brief Intervention-Medication Therapy Management: Alcohol-targeted Brief Intervention-Medication Therapy Management (ABI-MTM) intervention is a pharmacy-based medication management intervention, combined with Screening, Brief Intervention, and Referral to Treatment. ABI-MTM includes 5 core elements. A common duration for medication counseling in outpatient pharmacies a single 30-45 minute session. These include a medication review, a personal medication record, a medication action plan, a brief motivational intervention, and documentation and follow up.
Standard Medication Counseling
n=22 Participants
Standard Medication Counseling (SMC) (1) will offer counseling, (2) document counseling was offered, (3) offer a counseling process for patients not present, and (4) discuss generic substitution. Following this session, in the second SMC component, participants will be emailed/mailed (according to participant preference) safety information about co-use of alcohol and opioids Standard medication counseling: Standard Medication Counseling (SMC) will be the treatment as usual condition in this study and was chosen/developed following Gold et al.'s guide for selecting control conditions in behavioral intervention studies. For the first component, all SMC participants will receive a single 5-10 minute medication information/counseling session delivered by a pharmacist, other than the study pharmacist, that possesses a similar level of education and professional licensing. The content of this session follows federal and state pharmacy requirements requiring pharmacists to: (1) offer counseling, (2) document counseling was offered, (3) offer a counseling process for patients not present (not applicable to this study given all patients must screen in person), and (4) discuss generic substitution. Following this session, in the second SMC component, participants will be emailed/mailed (according to participant preference) safety information about co-use of alcohol and opioids.
Qualitative Interviews
n=68 Participants
Interviews were conducted of pharmacy technicians, pharmacists, and corporate leaders. Interviews assessed perceptions towards screening/intervention, internal organizational challenges, and processes related to ABI-MTM implementation for large-scale research and practice.
Total
n=112 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Age, Categorical
Between 18 and 65 years
14 Participants
n=93 Participants
10 Participants
n=4 Participants
68 Participants
n=27 Participants
92 Participants
n=483 Participants
Age, Categorical
>=65 years
8 Participants
n=93 Participants
12 Participants
n=4 Participants
0 Participants
n=27 Participants
20 Participants
n=483 Participants
Sex/Gender, Customized
Males
14 Participants
n=93 Participants
15 Participants
n=4 Participants
26 Participants
n=27 Participants
55 Participants
n=483 Participants
Sex/Gender, Customized
Females
8 Participants
n=93 Participants
17 Participants
n=4 Participants
36 Participants
n=27 Participants
61 Participants
n=483 Participants
Sex/Gender, Customized
Unknown
0 Participants
n=93 Participants
0 Participants
n=4 Participants
6 Participants
n=27 Participants
6 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
1 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 Participants
n=93 Participants
21 Participants
n=4 Participants
0 Participants
n=27 Participants
43 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
68 Participants
n=27 Participants
68 Participants
n=483 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
2 Participants
n=483 Participants
Race (NIH/OMB)
White
20 Participants
n=93 Participants
22 Participants
n=4 Participants
0 Participants
n=27 Participants
42 Participants
n=483 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
68 Participants
n=27 Participants
68 Participants
n=483 Participants
Region of Enrollment
United States
22 participants
n=93 Participants
22 participants
n=4 Participants
68 participants
n=27 Participants
112 participants
n=483 Participants

PRIMARY outcome

Timeframe: 3 Months. Changes in alcohol use will be assessed by comparing baseline to month 2. Changes in alcohol use will also be assessed by comparing month 2 to month 3.

The investigators will use the Timeline Follow Back to assess alcohol use reductions. This measure is a calendar based assessment that captures a continuous number (counts) of days of substance use. This quantitative measure is both valid and reliable.

Outcome measures

Outcome measures
Measure
Alcohol-targeted Brief Intervention-Medication Therapy Management
n=22 Participants
Alcohol-targeted Brief Intervention-Medication Therapy Management (ABI-MTM) intervention is a pharmacy-based medication management intervention, combined with Screening, Brief Intervention, and Referral to Treatment Alcohol-targeted Brief Intervention-Medication Therapy Management: Alcohol-targeted Brief Intervention-Medication Therapy Management (ABI-MTM) intervention is a pharmacy-based medication management intervention, combined with Screening, Brief Intervention, and Referral to Treatment. ABI-MTM includes 5 core elements. A common duration for medication counseling in outpatient pharmacies a single 30-45 minute session. These include a medication review, a personal medication record, a medication action plan, a brief motivational intervention, and documentation and follow up.
Standard Medication Counseling
n=22 Participants
Standard Medication Counseling (SMC) (1) will offer counseling, (2) document counseling was offered, (3) offer a counseling process for patients not present, and (4) discuss generic substitution. Following this session, in the second SMC component, participants will be emailed/mailed (according to participant preference) safety information about co-use of alcohol and opioids Standard medication counseling: Standard Medication Counseling (SMC) will be the treatment as usual condition in this study and was chosen/developed following Gold et al.'s guide for selecting control conditions in behavioral intervention studies. For the first component, all SMC participants will receive a single 5-10 minute medication information/counseling session delivered by a pharmacist, other than the study pharmacist, that possesses a similar level of education and professional licensing. The content of this session follows federal and state pharmacy requirements requiring pharmacists to: (1) offer counseling, (2) document counseling was offered, (3) offer a counseling process for patients not present (not applicable to this study given all patients must screen in person), and (4) discuss generic substitution. Following this session, in the second SMC component, participants will be emailed/mailed (according to participant preference) safety information about co-use of alcohol and opioids.
Alcohol Use Reductions
<=19% reduction in drinks per day
11 Participants
12 Participants
Alcohol Use Reductions
20-24% reduction in drinks per day
1 Participants
1 Participants
Alcohol Use Reductions
25-29% reduction in drinks per day
1 Participants
2 Participants
Alcohol Use Reductions
>=30% reduction in drinks per day
9 Participants
7 Participants

PRIMARY outcome

Timeframe: 3 Months. Changes in medication use will be assessed by comparing baseline to month 2. Changes in medication use will also be assessed by comparing month 2 to month 3.

The investigators will use the Treatment Services Review 6 to assess if the patients decrease their medication use. This measure is a calendar based assessment that captures a continuous number (counts) of days of substance use. This quantitative measure is both valid and reliable.

Outcome measures

Outcome measures
Measure
Alcohol-targeted Brief Intervention-Medication Therapy Management
n=22 Participants
Alcohol-targeted Brief Intervention-Medication Therapy Management (ABI-MTM) intervention is a pharmacy-based medication management intervention, combined with Screening, Brief Intervention, and Referral to Treatment Alcohol-targeted Brief Intervention-Medication Therapy Management: Alcohol-targeted Brief Intervention-Medication Therapy Management (ABI-MTM) intervention is a pharmacy-based medication management intervention, combined with Screening, Brief Intervention, and Referral to Treatment. ABI-MTM includes 5 core elements. A common duration for medication counseling in outpatient pharmacies a single 30-45 minute session. These include a medication review, a personal medication record, a medication action plan, a brief motivational intervention, and documentation and follow up.
Standard Medication Counseling
n=22 Participants
Standard Medication Counseling (SMC) (1) will offer counseling, (2) document counseling was offered, (3) offer a counseling process for patients not present, and (4) discuss generic substitution. Following this session, in the second SMC component, participants will be emailed/mailed (according to participant preference) safety information about co-use of alcohol and opioids Standard medication counseling: Standard Medication Counseling (SMC) will be the treatment as usual condition in this study and was chosen/developed following Gold et al.'s guide for selecting control conditions in behavioral intervention studies. For the first component, all SMC participants will receive a single 5-10 minute medication information/counseling session delivered by a pharmacist, other than the study pharmacist, that possesses a similar level of education and professional licensing. The content of this session follows federal and state pharmacy requirements requiring pharmacists to: (1) offer counseling, (2) document counseling was offered, (3) offer a counseling process for patients not present (not applicable to this study given all patients must screen in person), and (4) discuss generic substitution. Following this session, in the second SMC component, participants will be emailed/mailed (according to participant preference) safety information about co-use of alcohol and opioids.
Opioid Medication Use
<=10% reduction in morphine milligram equivalents
12 Participants
17 Participants
Opioid Medication Use
11-19% reduction in morphine milligram equivalents
1 Participants
0 Participants
Opioid Medication Use
20-24% reduction in morphine milligram equivalents
1 Participants
0 Participants
Opioid Medication Use
25-29% reduction in morphine milligram equivalents
1 Participants
1 Participants
Opioid Medication Use
>=30% reduction in morphine milligram equivalents
7 Participants
4 Participants

Adverse Events

Alcohol-targeted Brief Intervention-Medication Therapy Management

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Standard Medication Counseling

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Gerald (Jerry) Cochran, PhD

University of Utah

Phone: 801-213-0654

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place