Brief Alcohol Treatment for Alcoholism
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial focuses on developing and testing a new, brief behavioral treatment for women Veterans with alcohol use issues. The researchers aim to determine if the treatment is practical and effective in reducing drinking and improving quality of life. Participants will either receive the new treatment, which includes several short appointments with a behavioral health provider, or the usual care provided by primary care. Women Veterans who have recently had a primary care appointment and have been drinking in a potentially harmful way (as determined by a common screening tool) might be suitable for this trial. As an unphased trial, this study offers a unique opportunity to contribute to the development of innovative treatments that could enhance many lives.
Do I have to stop taking my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your healthcare provider.
What prior data suggests that this behavioral treatment is safe for women Veterans?
Research has shown that short alcohol treatment programs are generally safe and manageable. One study found that brief counseling sessions for veterans, similar to those in this trial, improved mental health without major side effects. Another study highlighted that these treatments, especially when conducted in regular doctor's offices, effectively reduce unhealthy alcohol use. Although detailed information on negative effects is limited, past research suggests that such treatments typically do not cause harm. Notably, this type of treatment does not involve medication, often resulting in fewer side effects. Overall, this approach appears to be a safe option for managing alcohol use in women veterans.12345
Why are researchers excited about this trial?
Researchers are excited about the Brief Alcohol Treatment for Women Veterans because it offers a tailored approach in an integrated primary care setting. Unlike standard care, which typically includes annual alcohol screenings and brief advice, this treatment involves 4-6 focused sessions with a behavioral health provider. These sessions not only tackle alcohol use directly but also offer optional strategies for managing co-occurring mental health issues. This personalized and comprehensive approach could provide more effective support for women veterans struggling with alcohol use.
What evidence suggests that this trial's treatments could be effective for reducing alcohol use in women Veterans?
Research has shown that short alcohol programs can help veterans reduce unhealthy drinking. This trial will compare two approaches: a brief intervention for unhealthy alcohol use and usual care. One study found that using these programs in the VA led to significant changes in drinking habits. Another study found that gender-tailored approaches, like those in these programs, can lower the risks of unhealthy drinking in women veterans. These treatments provide information and skills to help manage alcohol use, which has proven to encourage healthier drinking habits. Overall, strong evidence supports the effectiveness of brief alcohol treatments in helping women veterans manage their alcohol use.26789
Who Is on the Research Team?
Katherine A Buckheit, PhD
Principal Investigator
Veterans Health Research Institute of Central New York, Inc.
Are You a Good Fit for This Trial?
This trial is for women Veterans who have had a primary care visit in the past year and show signs of unhealthy alcohol use. People needing more intensive addiction treatment, those at high risk for withdrawal or suicide, currently in substance use treatment elsewhere, or with severe mental health issues can't join.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Development
Development of a brief behavioral treatment for women Veterans with alcohol use in primary care
Open Trial
Participants attend 4-6 behavioral health appointments to manage unhealthy alcohol use
Pilot Randomized Controlled Trial
Comparison of new behavioral treatment to usual primary care treatment
Follow-up
Participants are monitored for changes in quality of life and alcohol-related problems
What Are the Treatments Tested in This Trial?
Interventions
- Brief Alcohol Treatment for Women Veterans in Primary Care
Trial Overview
The study compares a new brief behavioral therapy designed specifically for women Veterans with unhealthy alcohol use to the usual care provided in primary care settings. Participants are randomly assigned to one of these two groups.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Participants in this arm will attend 4-6 30-minute behavioral health appointments with a behavioral health provider in an integrated primary care setting. All participants will attend 4 core alcohol-focused appointments focused on providing information and skills to manage unhealthy alcohol use. Participants may elect to attend up to 2 additional optional appointments focused on supplemental strategies to manage alcohol use or to address co-occurring mental and behavioral health concerns.
Primary care usual care consists of universal annual alcohol screening; those who are identified as at-risk receive a brief advice intervention from their primary care provider and may be offered an integrated primary care referral. The brief advice intervention is standardized and triggered automatically by a positive screen. Integrated primary care consists of brief assessment and intervention with licensed, independent behavioral health providers. Patients may decline integrated primary care referrals, complete several appointments, and/or be referred to specialty treatment
Find a Clinic Near You
Who Is Running the Clinical Trial?
Syracuse VA Medical Center
Lead Sponsor
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Collaborator
Citations
Alcohol Screening and Brief Intervention in a Representative ...
... women Veterans, suggest a need for quality improvement. Keywords: Alcohol, Brief Intervention, Primary Care, Veteran health, Gender, Unhealthy alcohol use. 1 ...
2.
recoveryanswers.org
recoveryanswers.org/research-post/brief-intervention-reduces-unhealthy-alcohol-use-in-veterans/Brief Intervention Reduces Unhealthy Alcohol Use in ...
This study evaluates the implementation of this brief intervention protocol in the VA to determine its effectiveness at changing drinking patterns among ...
Examining gaps in service delivery for unhealthy alcohol use
There is substantial evidence for gender-sensitive screening (AUDIT-C = 3) and brief intervention (BI) to reduce risks associated with unhealthy alcohol use in ...
Brief Alcohol Treatment for Women Veterans in Primary Care
The study involves a development phase, an open trial phase, and a pilot randomized controlled trial. The main questions it aims to answer are:.
Women veterans' perspectives on the acceptability of ...
ObjectiveThe gap in alcohol consumption among men and women is narrowing, yet rates of alcohol treatment engagement among women veterans remain low.
National Helpline for Mental Health, Drug, Alcohol Issues
SAMHSA's National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) ...
WVSUD-PACT: a Primary-Care-Based Substance Use ... - PMC
Thirty-seven percent of women Veterans misuse alcohol and 16% have SUDs. 2 SUDs are associated with key woman Veteran experiences, including combat and ...
No Decrease in Drinking among Veterans despite Alcohol ...
Conducted at three VA primary care clinics between 10/11 and 9/14, this randomized encouragement trial enrolled 304 VA outpatients who reported heavy drinking (> ...
Brief alcohol counseling improves mental health ...
Methods. Veterans (N=167) screening positive for alcohol misuse during a routine primary care visit were randomized to receive treatment-as-usual ...
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