Preventing Risky Drinking in Veterans Treated with Prescription Opioids
Abstract
We will test an integrated prevention intervention, designed to reduce rates of risky drinking in veterans receiving prescription opioids for chronic pain. Veterans on prescription opioids who screen positive for risky alcohol use will be randomized to receive an adaptive integrated prevention intervention (IPI) or to standard care (SC). Veterans in the IPI condition who reduce alcohol use to non-hazardous levels during this one-month period continue in a monitoring track, consisting of tailored text messages and brief monthly telephone contacts. Veterans who continue to drink at risky levels are placed in a track that provides tailored text messages and more frequent telephone calls. All participants will be followed for 18 months. The primary outcome at each follow-up point will be measure of risky drinking. Secondary outcomes will include frequency of heavy drinking, biological measures of alcohol use and other drug use, opioid overdoses, and ratings of depression and pain. Repeated measures analyses will compare the IPI and SC conditions on primary and secondary outcomes assessed across an 18-month follow-up. Analyses will also test hypothesized moderation and mediation effects.
Document Details
- Document Type
- Technical Report
- Publication Date
- Dec 01, 2020
- Accession Number
- AD1142148
Entities
People
- James R. Mckay
Organizations
- University of Pennsylvania