Implementing patient-centered care for alcohol use issues
Official title: Systematic Implementation of Patient-centered Care for Alcohol Use Trial: Beyond Referral to Treatment
Run by Kaiser Permanente · NCT06318026 · Data updated 2026-11-12
This study tests two new ways to improve care for people dealing with alcohol use issues in primary care clinics to see if they can help patients make better decisions about their treatment.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1500 (estimated) |
| Sponsor | Kaiser Permanente Academic / other |
| Locations | 1 site (Seattle, Washington) |
| Status | Recruiting |
| Started | March 25, 2025 |
| Main results expected | February 2029 |
| Study ends | February 2029 |
| Registry record updated | May 6, 2025 |
| Trial ID | NCT06318026 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adult primary care patients aged 18 and older who exhibit symptoms of alcohol use disorder and are identified as high-risk drinkers.
✕Probably not a fit
Patients who have opted out of research participation or those involved in the Vanguard pilot study may not benefit from this trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This trial tests two interventions aimed at improving patient-centered care for individuals with alcohol use symptoms within Kaiser Permanente Washington. It employs a pragmatic, cluster-randomized design involving 25 primary care clinics, which will be assigned to either usual care, a primary care intervention, or a centralized intervention. The focus is on enhancing shared decision-making and population-based management for patients experiencing unhealthy alcohol use.
Why it matters
Potential benefit: If successful, this approach could significantly improve the management and outcomes for patients with alcohol use disorder.
How similar studies have gone: Other studies have shown promise in implementing patient-centered care approaches, suggesting potential success for this trial.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Adult primary care patients ≥18 years old on the day of a primary care appointment; and 2. ≥4 symptoms on the Alcohol Symptom Checklist, or 2-3 symptoms on the Alcohol Symptom Checklist with at least one symptom associated with high risk of progression to severe symptoms, documented in the electronic health record associated with the primary care appointment; and 3. high-risk drinking on the alcohol screening questionnaire (AUDIT-C ≥7) on the day of the Alcohol Symptom Checklist or in the prior 30 days documented in the electronic health record. Exclusion Criteria: 1. Documented request to not participate in research, or 2. Patient was eligible for the Vanguard pilot study.
Where it's running
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Kaiser Permanente Washington
Seattle, Washington, United States Recruiting
Study contacts
- Principal investigator: Katharine Bradley, MD, MPH — Kaiser Permanente
- Study coordinator: Katharine Bradley, MD, MPH
- Email: Katharine.A.Bradley@kp.org
- Phone: 206-948-1933
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Supporting health by reducing alcohol use and strengthening relationships
This project tests a couples-focused program to help adults with unhealthy drinking and their partners see if the approach is acceptable and feasible.
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Thiamine to reduce brain injury in adults with alcohol use disorder
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Digital Recovery Support for Black adults with Alcohol Use Disorder in Detroit
This study tests whether a smartphone-based digital recovery program helps Black or African American adults in Detroit maintain their recovery from alcohol use disorder.
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Path180: a computer-based skills program to help teens reduce alcohol use
This 8-week trial tests Path180, a computer-based skills training, added to usual care for teens 13–19 with alcohol use disorder to see if it improves daily-life coping skills and outcomes.
-
Effects of comorbidity on people with severe mental illness
This study tests how having both alcohol/substance use and a severe mental illness affects hospitalizations, medications, and social participation among adults followed at a mental health center.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.