Stand Down-Think Before You Drink: An RCT of a Mobile App for Hazardous Drinking With Peer Phone Support
Running, not enrolling · Not applicable
Conditions studied: Alcoholism
In brief
Hazardous drinking is common among Veteran primary care patients and increases risk for more costly and complex medical problems over the long-term. Yet, the vast majority of these Veterans go untreated. By providing an option for care that is easily accessible, private, and self-directed, mobile applications (apps) circumvent many barriers to alcohol use treatment. However, poor patient engagement remains the Achilles' heel of these apps. Through supportive accountability, Peer Specialists can maximize the reach and engagement of these apps with patients and improve drinking outcomes. The goal of this project is to evaluate whether an app for alcohol use self-management ("Stand Down") reduces drinking among Veteran primary care patients who engage in hazardous drinking, and for whom Peer-Supported-Stand Down is more effective than the app alone. If successful, the proposed research has the potential to transform care and increase access to alcohol-related services for Veterans who engage in hazardous drinking but rarely seek treatment, and, in turn, mitigate the adverse health outcomes that stem from untreated hazardous drinking.
Key facts
- Study ID
- NCT05473598
- Run by
- VA Office of Research and Development
- People needed
- 234
- Starts
- 2022-12-01
- Expected to finish
- 2026-08-30
- Last updated by the study team
- 2026-05-19
Who can join
Age: any. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Veterans will be eligible if they:
- had a positive AUDIT-C screen (score of > 5) during a primary care visit in the past month at a clinic at either the VA Palo Alto Health Care System or the Syracuse VA Medical Center
- have documentation in their medical records of receipt of a BI following a positive screen
- did not receive any outpatient, inpatient, or residential care for alcohol use in the month after their positive AUDIT-C
- own a smartphone
You may not qualify if…
- Veterans who have active diagnoses of a psychotic disorder or a cognitive disorder (e.g., dementia) will be excluded
- Veterans who do not agree to be randomized will be excluded as well
Where it is running
- VA Palo Alto Health Care System, Palo Alto, CA — Palo Alto, California, United States
- Syracuse VA Medical Center, Syracuse, NY — Syracuse, New York, United States
Full record on ClinicalTrials.gov
Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.