Supporting primary care clinicians in caring for patients with alcohol use disorder: study protocol for Records for Alcohol Care Enhancement (RACE), a factorial four-arm randomized trial

Supporting Primary Care Clinicians in Alcohol Use Disorder Treatment

Study Overview

Alcohol use disorder (AUD) is a major cause of preventable deaths in the U.S. Many people with unhealthy alcohol use do not receive proper treatment. This study aims to see if additional support for primary care providers (PCPs) can improve treatment engagement for patients with AUD.

Study Design

We are conducting a randomized trial with four groups of PCPs from an urban hospital clinic:

  • Group 1: EHR best practice advisory and decision support for alcohol use.
  • Group 2: EHR advisory plus support from a population health manager.
  • Group 3: EHR advisory plus support from a clinical care manager.
  • Group 4: All three supports combined.

All PCPs will receive access to EHR tools that help them manage patient care. Those receiving additional support will get feedback on their patients’ treatment metrics and assistance with AUD treatment processes.

Outcomes Measured

The main goal is to see how many patients with a new AUD diagnosis engage in treatment. We will also look at:

  • How many patients start AUD treatment.
  • How many receive AUD medications within 90 days.
  • The number of various AUD health services used, including outpatient visits and referrals.

Importance of the Study

This research will help us understand how different support systems can improve treatment for AUD, which is important for national healthcare quality.

Trial Registration

ClinicalTrials.gov identifier: NCT05492942.

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