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Systematic Implementation of Patient-centered Care for Alcohol Use Trial: Beyond Referral to Treatment

Who can join

Ages 18 and older · All sexes

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.

About the study

The Systematic Implementation of Patient-centered Care for Alcohol Use Trial is a pragmatic, cluster-randomized, effectiveness-implementation trial testing two interventions in Kaiser Permanente Washington to systematically implement shared decision-making with primary care patients with symptoms due to alcohol use: a primary care intervention and a centralized intervention. An anticipated 25 primary care clinics will be randomized to one of three conditions: usual care or the primary care or centralized interventions.

What is being tested

• Centralized Intervention (behavioral)
• Primary Care Intervention (other)

Sponsor: Kaiser Permanente · Participants: 1,500 · Started: Mar 25, 2025

Contact the study team

• Katharine Bradley, MD, MPH · Phone: 206-948-1933
• Megan Addis · Phone: 206-287-2052

Official record on ClinicalTrials.gov — NCT06318026

Locations in the U.S.

Conditions

• Alcohol Use Disorder (AUD)

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.