Alcohol Telemedicine Consultation in Primary Care (ATC) (ATC)
Alcohol Use Disorder (AUD), Pharmacist-Patient Relations, Alcohol Problem
About this trial
This is an interventional prevention trial for Alcohol Use Disorder (AUD)
Eligibility Criteria
Inclusion Criteria:
- Adult KPNC members who had a primary care visit in Oakland or San Francisco Medical Center between 01/01/2020 and 12/31/2021 (~250,000)
- PCPs working in Oakland and San Francisco Medical Centers (~300).
- Chief physicians, PCPs, and medical assistants working the intervention arm clinics (n~40 Key Informants).
Exclusion Criteria:
Sites / Locations
- Kaiser PermanenteRecruiting
- Kaiser PermanenteRecruiting
Arms of the Study
Arm 1
Arm 2
No Intervention
Active Comparator
Usual Care
ATC Service (intervention)
Usual Care (UC) will consist of treatment as usual, standard and systematic alcohol screening as part of the "rooming" process conducted by medical assistants, and brief interventions and referrals to addiction treatment delivered by PCPs. PCPs can also prescribe the same AUD medications as those in the ATC arm.
ATC components include in-exam-room, real-time videoconferencing or phone contact with the PCPs and their patients, asynchronous, rapid response consultation via email or phone. ATC consultants will offer a flexible service that includes: Direct patient contact, via video or telephone, during primary care visits Motivational Interviewing (MI) - informed facilitation of patient engagement in addiction treatment, Advice to PCP regarding patient-specific treatment options, including pharmacotherapy, addiction treatment, and combined treatments