Brief Alcohol Treatment for Alcoholism

KA
Overseen ByKatherine A Buckheit, PhD
Age: 18+
Sex: Female
Trial Phase: Academic
Sponsor: Syracuse VA Medical Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

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?

KA

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

Veteran status
Past-year Syracuse VAMC or community-based outpatient clinic (CBOC) primary care appointment
I am a woman or use women's primary care services.
See 1 more

Exclusion Criteria

I do not need detox or residential treatment for alcohol or substance use.
Imminent risk of suicide.
Current substance use treatment outside PC
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Development

Development of a brief behavioral treatment for women Veterans with alcohol use in primary care

Not specified

Open Trial

Participants attend 4-6 behavioral health appointments to manage unhealthy alcohol use

8-12 weeks
4-6 visits (in-person)

Pilot Randomized Controlled Trial

Comparison of new behavioral treatment to usual primary care treatment

8-12 weeks

Follow-up

Participants are monitored for changes in quality of life and alcohol-related problems

6 months

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

Group I: Brief intervention for unhealthy alcohol useExperimental Treatment1 Intervention
Group II: Usual CareActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Syracuse VA Medical Center

Lead Sponsor

Trials
14
Recruited
1,200+

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Collaborator

Trials
865
Recruited
1,091,000+

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 ...

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 ...