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Alcohol-Related DisordersPhase 3NCT01573416

"Effectiveness of a Brief Intervention for Substances Consumption Linked to the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): A Randomized Control Trial in Chilean Primary Care."

A Phase 3 study testing ASSIST-linked brief intervention for hazardous and harmful substance use. and Observation in people with Alcohol-Related Disorders and Substance-Related Disorders, run by Pontificia Universidad Catolica de Chile at 30 sites in Chile.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Alcohol and drugs consumption are among the highest risk factor for health in Chile and abroad. In Chile, harmful use of alcohol continues to be a major contributor to the burden of disease while lost years of healthy life are higher than many other risk factors such as hypertension, overweight and obesity, and… Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
What is being tested?
ASSIST-linked brief intervention for hazardous and harmful substance use. and Observation
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
400 participants
Where
30 sitesChile
Study dates
Dec 2011to Apr 2013
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Men and women older than 18 years and 50 years
  • Achieving a moderate risk score in the ASSIST screening questionnaire.
  • Without any similar intervention in the last 3 months. (ie. AUDIT test).

Who cannot join

  • Pregnant women.
  • Users with cognitive disabilities.
  • Users with language and communication disabilities.

Trial locations and contacts

30 sites in 1 country.

30 sites in 1 country

Chile30 sites
  • 5ta. Comisaría Conchalí

    Conchalí, RM

  • CS Alberto Bachelet

    Conchalí, RM

  • CS José Symon Ojeda

    Conchalí, RM

  • CS Juanita Aguirre

    Conchalí, RM

  • CS Lucas Sierra

    Conchalí, RM

  • SAPU Lucas Sierra

    Conchalí, RM

  • CESFAM Dr. Sergio Aguilar

    Coquimbo, IV

  • CESFAM San Juan

    Coquimbo, IV

  • CESFAM Santa Cecilia

    Coquimbo, IV

  • CESFAM Tierras Blancas

    Coquimbo, IV

  • SAPU Dr. Sergio Aguilar

    Coquimbo, IV

  • SAPU Tierras Blancas

    Coquimbo, IV

  • 43va. Comisaría Peñalolén

    Peñalolén, RM

  • CESFAM Lo Hermida

    Peñalolén, RM

  • CESFAM Padre Gerardo Whelan

    Peñalolén, RM

  • CS Carol Urzúa Ibañez

    Peñalolén, RM

  • CS La Faena

    Peñalolén, RM

  • SAPU Lo Hermida

    Peñalolén, RM

  • 26va. Comisaría Pudahuel

    Pudahuel, RM

  • CESFAM Gustavo Molina

    Pudahuel, RM

  • CESFAM RAúl Silva Henríquez

    Pudahuel, RM

  • CESFAM Violeta Parra

    Pudahuel, RM

  • Consultorio Estrella

    Pudahuel, RM

  • SAPU La Estrella

    Pudahuel, RM

  • 14va. Comisaría San Bernardo

    San Bernardo, RM

  • APS Carol Urzúa

    San Bernardo, RM

  • APS Confraternidad

    San Bernardo, RM

  • APS El Manzano

    San Bernardo, RM

  • APS Raúl Cuevas

    San Bernardo, RM

  • SAPU Raúl Brañes

    San Bernardo, RM

Other trials in Chile

About this study

Alcohol and drugs consumption are among the highest risk factor for health in Chile and abroad. In Chile, harmful use of alcohol continues to be a major contributor to the burden of disease while lost years of healthy life are higher than many other risk factors such as hypertension, overweight and obesity, and hyperglycemia. It is important to say that the impact of alcohol consumption is greater in younger age groups where fatal injuries occur relatively early in life, as well.

In Chile, the consumption pattern in 2008 showed that 49.8 % consumed at least once in the last month for alcohol, 3.5 % for marihuana and 1.3 % for cocaine. This prevalence was even greater in young adults and adolescents and is associated with other mental health issues and poorer life quality. Those who have consumed marihuana during the last year, 25% report dependence symptoms. For cocaine derives, dependency rises up to 50% among the consumers. This data reinforce the need to design and implement strategies for reducing alcohol and drugs consumption in our population.

Read more

Also, it is well known that a high number of those who suffers from any addiction problem do not get attention in a specialized center. The are many barriers to do so, such as lack of motivation, lack of resources, social problems, access to care problems, and so on.

Chile has a shortage of preventive interventions for those at risk to develop an addiction at an early stage of substance use because front line health services (Primary health care and emergency care) and other social services (police stations, local justice courts) do not have a screening system and a model of brief intervention.

The Pontificia Universidad Catolica de Chile, through its Addiction Studies Center (CEDA UC) and its Department of Family Medicine, is working in conjunction with SENDA (Servicio Nacional para la Prevención y Rehabilitación del Consumo de Drogas y Alcohol ) to design, implement and evaluate a communal system for early detection, brief intervention and referral to treatment (SBIRT), in people older than 18 years, with substance consumption in five municipalities in the country.

The aid of this study is to demonstrate that a model of brief intervention is more effective than the approach currently used in patients with substance use at moderate risk (i.e.follow-up). It is a multicentric randomized controlled trial, single blind, with a group to receive brief intervention and a control group that is kept in control and waiting list being re-evaluated three months later.

The target population is composed by users whose ASSIST screening scores place them in the moderate risk group, for which there has not been defined a structured intervention yet by our health system. The information will be obtained from the scores obtained after the application of the ASSIST-WHO questionnaire.

Being tested
ASSIST-linked brief intervention for hazardous and harmful substance use., Observation
Keywords
Alcohol, Abuse, Drugs, Brief intervention, ASSIST
Medical subject headings
Alcohol-Related Disorders, Substance-Related Disorders, Helping Behavior

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ASSIST-linked brief intervention for hazardous and harmful substance use.Other

    ASSIST-linked brief intervention will be applied to users achieving moderate risk scores in the ASSIST questionnaire. If after randomization are selected to enter the intervention group, they will receive a ten minute counseling carried immediately after the screening instrument. This intervention group will be re-evaluated after 3 months with the same ASSIST screening instrument.

  • ObservationOther

    Subjects who obtain a moderate risk score in the ASSIST screening questionnaire and after randomization are selected for the control group, will receive a brochure with substance-abuse information without any further conversation about the subject with the caregiver. This observation group will be re-evaluated after 3 months with the same ASSIST screening instrument.

Study groups in NCT01573416
Study groupRoleWhat they receive
Control groupPlacebo comparatorNot described
Receives: Other: Observation
Intervention groupActive comparatorNot described
Receives: Other: ASSIST-linked brief intervention for hazardous and harmful substance use.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Post-intervention ASSIST screening score.

    3 months after being recruited, users with moderate risk in the ASSIST questionnaire who received either a brief intervention or observation will be re-evaluated with the same ASSIST instrument. In both the intervened and the control group, changes in the post-intervention ASSIST score will be measured.

    Measured: 3 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Apr 2012 (estimated)
  2. Study startDec 2011
  3. Primary completionApr 2013
  4. Study completionApr 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
400 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01573416
Sponsor's protocol ID
CEDAUC-11-205
Status last verified
Apr 2012
First submitted
5 Apr 2012
Last updated
9 Oct 2013
Results posted
No
Data monitoring committee
No

Publications

  • Humeniuk R, Ali R, Babor T, Souza-Formigoni ML, de Lacerda RB, Ling W, McRee B, Newcombe D, Pal H, Poznyak V, Simon S, Vendetti J. A randomized controlled trial of a brief intervention for illicit drugs linked to the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) in clients recruited from primary health-care settings in four countries. Addiction. 2012 May;107(5):957-66. doi: 10.1111/j.1360-0443.2011.03740.x. Epub 2012 Feb 28.

    PubMed 22126102
  • Beich A, Thorsen T, Rollnick S. Screening in brief intervention trials targeting excessive drinkers in general practice: systematic review and meta-analysis. BMJ. 2003 Sep 6;327(7414):536-42. doi: 10.1136/bmj.327.7414.536.

    PubMed 12958114
  • Ballesteros J, Duffy JC, Querejeta I, Arino J, Gonzalez-Pinto A. Efficacy of brief interventions for hazardous drinkers in primary care: systematic review and meta-analyses. Alcohol Clin Exp Res. 2004 Apr;28(4):608-18. doi: 10.1097/01.alc.0000122106.84718.67.

    PubMed 15100612
  • Hungerford DW, Pollock DA, Todd KH. Acceptability of emergency department-based screening and brief intervention for alcohol problems. Acad Emerg Med. 2000 Dec;7(12):1383-92. doi: 10.1111/j.1553-2712.2000.tb00496.x.

    PubMed 11099429
  • Anderson PA, Grey SF, Nichols C, Parran TV Jr, Graham AV. Is screening and brief advice for problem drinkers by clergy feasible? A survey of clergy. J Drug Educ. 2004;34(1):33-40. doi: 10.2190/3QH2-VLWN-ELWM-KC67.

    PubMed 15468746
  • Babor TF, McRee BG, Kassebaum PA, Grimaldi PL, Ahmed K, Bray J. Screening, Brief Intervention, and Referral to Treatment (SBIRT): toward a public health approach to the management of substance abuse. Subst Abus. 2007;28(3):7-30. doi: 10.1300/J465v28n03_03.

    PubMed 18077300
  • Gentilello LM, Rivara FP, Donovan DM, Jurkovich GJ, Daranciang E, Dunn CW, Villaveces A, Copass M, Ries RR. Alcohol interventions in a trauma center as a means of reducing the risk of injury recurrence. Ann Surg. 1999 Oct;230(4):473-80; discussion 480-3. doi: 10.1097/00000658-199910000-00003.

    PubMed 10522717
  • Babor TF, Kadden RM. Screening and interventions for alcohol and drug problems in medical settings: what works? J Trauma. 2005 Sep;59(3 Suppl):S80-7; discussion S94-100. doi: 10.1097/01.ta.0000174664.88603.21.

    PubMed 16355071
  • WHO ASSIST Working Group. The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): development, reliability and feasibility. Addiction. 2002 Sep;97(9):1183-94. doi: 10.1046/j.1360-0443.2002.00185.x.

    PubMed 12199834
  • Whitlock EP, Polen MR, Green CA, Orleans T, Klein J; U.S. Preventive Services Task Force. Behavioral counseling interventions in primary care to reduce risky/harmful alcohol use by adults: a summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med. 2004 Apr 6;140(7):557-68. doi: 10.7326/0003-4819-140-7-200404060-00017.

    PubMed 15068985
  • Hawks D. Broadening the base of treatment for alcohol problems: a report which deserves to be debated. The limits of treatment and importance of prevention. Br J Addict. 1991 Jul;86(7):848-9. doi: 10.1111/j.1360-0443.1991.tb01836.x. No abstract available.

    PubMed 1912733
  • Greene MC, Kane J, Alto M, Giusto A, Lovero K, Stockton M, McClendon J, Nicholson T, Wainberg ML, Johnson RM, Tol WA. Psychosocial and pharmacologic interventions to reduce harmful alcohol use in low- and middle-income countries. Cochrane Database Syst Rev. 2023 May 9;5(5):CD013350. doi: 10.1002/14651858.CD013350.pub2.

    PubMed 37158538

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing ASSIST-linked brief intervention for hazardous and harmful substance use. and Observation in people with Alcohol-Related Disorders and Substance-Related Disorders, run by Pontificia Universidad Catolica de Chile at 30 sites in Chile.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Oct 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 sites in Chile. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Post-intervention ASSIST screening score. (time frame: 3 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01573416, which also lists 12 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Oct 2013.

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