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OpenTrials
Completed

NCT Number: NCT03524599

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

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).

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Key information

Conditions

Alcohol Use Disorder Alcohol-Related Disorders Alcoholism Chemically-Induced Disorders Mental Disorders Substance-Related Disorders

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Health Services Unit Fray Bartolomé de las Casas

Bogotá, 10366, Colombia

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Intervention municipality

Other

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

Primary outcomes

  1. Proportion of consulting adult patients (aged 18+ years) intervened

    Time frame: 18 months

    The number of AUDIT-C positive patients that received oral advice or referral for advice to another provider in or outside the primary health care centre (PHCC), divided by the total number of adult consultations of the participating providers per provider and per PHCC

Secondary outcomes

  1. Proportion of patients screened

    Time frame: 18 months

    The proportion of patients screened will be calculated as the number of completed screens divided by the total number of consultations of all adult patients per participating provider, and averaged per participating PHCC

  2. Proportion of patients advised

    Time frame: 18 months

    The proportion of patients advised will be calculated as the number of brief interventions delivered (received oral brief advice, and/or were referred to another provider in or outside the practice), divided by the total number of screen positives per participating provider and averaged per participating PHCC

Sponsors and collaborators

Lead sponsor

Maastricht University

Other

Collaborators

  • Newcastle University
  • Technische Universität Dresden

Registry information

Acronym: SCALA

Important dates

Study start
2018
Primary completion
2020
Study completion
2021
First posted
May 15, 2018
Registry last updated
Apr 15, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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