Preventing Risky Drinking in Veterans Treated with Prescription Opioids

Abstract

Veterans who are taking prescription opioids for chronic pain and are engaging in risky drinking are at heightened risk for drug interactions, including overdose and other negative effects, particularly if they are also using benzodiazepines. In this application, we propose to test an integrated prevention intervention, designed to reduce rates of risky drinking in veterans receiving prescription opioids to treat their chronic pain. This adaptive, patient-centered intervention provides integrated clinical assessment, brief intervention, monitoring, and extended prevention services delivered through a combination of clinical visits, telephone calls, and text messages. We propose to conduct a study in which returning OEF/OIF individuals and other veterans receiving medical care at the Philadelphia VAMC (N=300) who are on daily doses of prescription opioids and screen positive for risky alcohol use will be randomized to receive 12 months of an adaptive integrated prevention intervention (IPI) or to standard care (SC), which consists of a Brief Intervention (BI) with 2 follow-up contacts. Potential participants will be veterans at the Philadelphia VAMC who, based on pharmacy records are using opioids daily to treat chronic pain.

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Document Details

Document Type
Technical Report
Publication Date
Apr 01, 2019
Accession Number
AD1079659

Entities

People

  • James Mckay

Tags

DTIC Thesaurus Topics

  • Contracts
  • Data Analysis
  • Data Management
  • Department Of Defense
  • Diseases And Disorders
  • Drug Abuse
  • Electronic Mail
  • Health Services
  • Medical Personnel
  • Mobile Phones
  • Opioids
  • Pain
  • Standards
  • Technicians
  • Test Methods
  • Text Messaging
  • Training

Fields of Study

  • Medicine

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