Hazardous DrinkingPhase 2/3PECONCT01291693
Testing Delivery Channels of Brief Motivational Alcohol Intervention
A Phase 2/3 study testing Personal Counseling and Computer-generated feedback letters in people with Hazardous Drinking, run by University Medicine Greifswald at 1 site in Germany.
Trial summary
The aim of this study is to investigate whether motivation-tailored alcohol interventions are more effective when delivered by person or by computer-generated feedback letters. A sample of 920 general hospital inpatients with risky drinking will be recruited through a computerized screening procedure. Read more about this study
- Who is it for?
- Ages 18 to 64 years
- Conditions the study is for
- Hazardous Drinking
- What is being tested?
- Personal Counseling and Computer-generated feedback letters
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 975 participants
- Where
- 1 siteGermany
- Study dates
- Feb 2011to Nov 2014
- Phase
- Phase 2/3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 64 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- General hospital inpatients with risky drinking (AUDIT-C >= 4/5 (women/men) and AUDIT < 20)
Who cannot join
- Patients already recruited during an earlier hospital stay
- Patients physically and mentally not capable of participating in the study
- Patients with a hospital stay of less than 24 hours
- Patients with insufficient language/ reading skills
- Patients employed at one of the departments participating in the study or conducting the study
- Patients with more severe alcohol problems (AUDIT >= 20)
Trial locations and contacts
1 site in 1 country.
Germany1 site
Institute of Social Medicine and Prevention, University Medicine Greifswald
Greifswald, Mecklenburg-Vorpommern, 17475
About this study
Official title: Testing Delivery Channels of Brief Motivational Alcohol Intervention Among General Hospital Inpatients With Risky Drinking: Personal Counseling Versus Computer-generated Feedback Letters
The aim of this study is to investigate whether motivation-tailored alcohol interventions are more effective when delivered by person or by computer-generated feedback letters. A sample of 920 general hospital inpatients with risky drinking will be recruited through a computerized screening procedure. Patients with more severe alcohol problems will be excluded from the study. Participants will be allocated by time frame randomization to one of three study arms: (1) personal counseling based on Motivational Interviewing, (2) computer-expert system intervention that generates individualized feedback-letters, and (3) control group (treatment-as-usual). The interventions differ in their channel of delivery, but not regarding their content. Both intervention groups receive interventions at three time points: directly after the baseline-assessment at the general hospital, and 1 and 3 months later by mail and phone, respectively. Outcome will be assessed six, 12, 18 and 24 months after baseline.
- Conditions
- Hazardous Drinking
- Being tested
- Personal Counseling, Computer-generated feedback letters
- Keywords
- Hazardous drinking, general hospital, brief intervention, Motivational Interviewing, computer-generated feedback, stage-tailored, delivery channel
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Personal CounselingBehavioural
At three time-points, participants receive counseling by health professionals trained in Motivational Interviewing based counseling. To assure that both interventions do not differ in their content, individual manuals generated by a software program are used. Counseling will be face-to-face during the hospital stay, and by phone one and three months later.
Computer-generated feedback lettersBehavioural
At three time points, participants receive feedback letters, tailored to the stages of change according to the TTM, and generated by a computer software program. The first letter is handed out during their hospital stay and includes normative feedback. One and three months later, participants receive ipsative feedback letters by mail.
| Study group | Role | What they receive |
|---|---|---|
| Personal counseling | Experimental | Not described Receives: Behavioral: Personal Counseling |
| Computer generated feedback letters | Experimental | Not described Receives: Behavioral: Computer-generated feedback letters |
| Control group | No intervention | Treatment as usual |
What is being measured
The primary outcome is the main question the study is designed to answer.
Risky drinking
Determined by using average alcohol consumption per day, heavy occasional drinking, highest blood alcohol concentration, the Alcohol Use Disorder Identification Test-Consumption (AUDIT-C) score
Measured: 6, 12, 18, 24 months
Secondary outcomes (7)
Motivation to reduce drinking
Assessed by a stages of change-algorithm
Measured: 6, 12, 18, 24 months
Attempts to reduce drinking
Measured: 6, 12, 18, 24 months
Knowledge about drinking limits
Measured: 6, 12, 18, 24 months
Self-efficacy scores
Assessed by a modified short-form of the Alcohol-Abstinence-Self-Efficacy-Scale (AASE). The modified form assesses self-efficacy regarding compliance with drinking limits.
Measured: 6 months
Decisional balance scores
Assessed by a short form of the Alcohol Decisional Balance Scale (ADBS)
Measured: 6 months
Self-rated health
Measured: 6, 12, 18, 24 months
Health care utilization
Measured: 6, 12, 18, 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Feb 2011 (estimated)
- Study startFeb 2011
- Primary completionNov 2014
- Study completionNov 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Hazardous DrinkingStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 975 participants (actual)
Sponsor and investigators
- Lead sponsor
- University Medicine Greifswald
- Sponsor type
- University, hospital or other
- Collaborators
- German Cancer Aid
- Responsible party
- Principal investigator, Dr. Jennis Freyer-Adam, University Medicine Greifswald
- Investigators
- Jennis Freyer-Adam, PhD, Principal investigator, Institute of Social Medicine and Prevention, University Medicine GreifswaldBeate Gaertner, PhD, Principal investigator, Department of Epidemiology and Health Monitoring, Robert Koch-Institute BerlinUlrich John, Prof PhD, Principal investigator, Institute of Social Medicine and Prevention, University Medicine Greifswald
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01291693
- Sponsor's protocol ID
- 108376
- Other IDs
- DM8-IESO03, 108376, DM8-IESO04, 109737, 110676, 110543, 111346
- Acronym
- PECO
- Status last verified
- Dec 2015
- First submitted
- 4 Feb 2011
- Last updated
- 3 Dec 2015
- Results posted
- No
- Data monitoring committee
- No
Publications
Krolo-Wicovsky F, Baumann S, Tiede A, Bischof G, John U, Gaertner B, Freyer-Adam J. Do in-person and computer-based brief alcohol interventions reduce tobacco smoking among general hospital patients? Secondary outcomes from a randomized controlled trial. Addict Sci Clin Pract. 2023 Nov 13;18(1):68. doi: 10.1186/s13722-023-00425-7.
PubMed 37957757Freyer-Adam J, Baumann S, Bischof G, Staudt A, Goeze C, Gaertner B, John U. Social Equity in the Efficacy of Computer-Based and In-Person Brief Alcohol Interventions Among General Hospital Patients With At-Risk Alcohol Use: A Randomized Controlled Trial. JMIR Ment Health. 2022 Jan 28;9(1):e31712. doi: 10.2196/31712.
PubMed 35089156Freyer-Adam J, Noetzel F, Baumann S, Aghdassi AA, Siewert-Markus U, Gaertner B, John U. Behavioral health risk factor profiles in general hospital patients: identifying the need for screening and brief intervention. BMC Public Health. 2019 Nov 29;19(1):1594. doi: 10.1186/s12889-019-7931-6.
PubMed 31783832Freyer-Adam J, Baumann S, Haberecht K, Tobschall S, Bischof G, John U, Gaertner B. In-person alcohol counseling versus computer-generated feedback: Results from a randomized controlled trial. Health Psychol. 2018 Jan;37(1):70-80. doi: 10.1037/hea0000556. Epub 2017 Oct 2.
PubMed 28967769Baumann S, Gaertner B, Haberecht K, Meyer C, Rumpf HJ, John U, Freyer-Adam J. Does impaired mental health interfere with the outcome of brief alcohol intervention at general hospitals? J Consult Clin Psychol. 2017 Jun;85(6):562-573. doi: 10.1037/ccp0000201. Epub 2017 Mar 23.
PubMed 28333511
Study at a glance
From the registry record, last updated by the sponsor on 3 Dec 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Testing Delivery Channels of Brief Motivational Alcohol Intervention Among General Hospital Inpatients With Risky Drinking: Personal Counseling Versus Computer-generated Feedback Letters
- ClinicalTrials.gov ID
- NCT01291693
- Acronym / sponsor ID
- PECO / 108376
- Conditions
- Hazardous Drinking
- Keywords
- Hazardous drinking, general hospital, brief intervention, Motivational Interviewing, computer-generated feedback, stage-tailored, delivery channel
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 975 participants (actual)
- Lead sponsor
- University Medicine GreifswaldUniversity, hospital or other
- Collaborators
- German Cancer Aid
- Study start
- Feb 2011
- Primary completion
- Nov 2014 (actual)
- Study completion
- Nov 2014 (actual)
- First posted
- 8 Feb 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this study is to investigate whether motivation-tailored alcohol interventions are more effective when delivered by person or by computer-generated feedback letters. A sample of 920 general hospital inpatients with risky drinking will be recruited through a computerized screening procedure. Patients with more severe alcohol problems will be excluded from the study. Participants will be allocated by time frame randomization to one of three study arms: (1) personal counseling based on Motivational Interviewing, (2) computer-expert system intervention that generates individualized feedback-letters, and (3) control group (treatment-as-usual). The interventions differ in their channel of delivery, but not regarding their content. Both intervention groups receive interventions at three time points: directly after the baseline-assessment at the general hospital, and 1 and 3 months later by mail and phone, respectively. Outcome will be assessed six, 12, 18 and 24 months after baseline.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Personal counseling | Experimental | Behavioral: Personal Counseling |
| Computer generated feedback letters | Experimental | Behavioral: Computer-generated feedback letters |
| Control group | No intervention | –Treatment as usual |
Who may qualify
- Ages
- 18 to 64 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- General hospital inpatients with risky drinking (AUDIT-C >= 4/5 (women/men) and AUDIT < 20)
Key exclusion criteria (6 listed)
- Patients already recruited during an earlier hospital stay
- Patients physically and mentally not capable of participating in the study
- Patients with a hospital stay of less than 24 hours
- Patients with insufficient language/ reading skills
- Patients employed at one of the departments participating in the study or conducting the study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Personal CounselingAt three time-points, participants receive counseling by health professionals trained in Motivational Interviewing based counseling. To assure that both interventions do not differ in their content, individual manuals generated by a software program are used. Counseling will be face-to-face during the hospital stay, and by phone one and three months later. | Behavioural | Personal counseling |
| Computer-generated feedback lettersAt three time points, participants receive feedback letters, tailored to the stages of change according to the TTM, and generated by a computer software program. The first letter is handed out during their hospital stay and includes normative feedback. One and three months later, participants receive ipsative feedback letters by mail. | Behavioural | Computer generated feedback letters |
Primary outcome
Risky drinking
Time frame: 6, 12, 18, 24 months
Determined by using average alcohol consumption per day, heavy occasional drinking, highest blood alcohol concentration, the Alcohol Use Disorder Identification Test-Consumption (AUDIT-C) score
7 secondary outcomes
Motivation to reduce drinking
Time frame: 6, 12, 18, 24 months
Attempts to reduce drinking
Time frame: 6, 12, 18, 24 months
Knowledge about drinking limits
Time frame: 6, 12, 18, 24 months
Self-efficacy scores
Time frame: 6 months
Decisional balance scores
Time frame: 6 months
Self-rated health
Time frame: 6, 12, 18, 24 months
Health care utilization
Time frame: 6, 12, 18, 24 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Dec 2015.
- Derived from this study: PubMed 37957757Krolo-Wicovsky F, Baumann S, Tiede A, Bischof G, John U, Gaertner B, Freyer-Adam J. Do in-person and computer-based brief alcohol interventions reduce tobacco smoking among general hospital patients? Secondary outcomes from a randomized controlled trial. Addict Sci Clin Pract. 2023 Nov 13;18(1):68. doi: 10.1186/s13722-023-00425-7.
- Derived from this study: PubMed 35089156Freyer-Adam J, Baumann S, Bischof G, Staudt A, Goeze C, Gaertner B, John U. Social Equity in the Efficacy of Computer-Based and In-Person Brief Alcohol Interventions Among General Hospital Patients With At-Risk Alcohol Use: A Randomized Controlled Trial. JMIR Ment Health. 2022 Jan 28;9(1):e31712. doi: 10.2196/31712.
- Derived from this study: PubMed 31783832Freyer-Adam J, Noetzel F, Baumann S, Aghdassi AA, Siewert-Markus U, Gaertner B, John U. Behavioral health risk factor profiles in general hospital patients: identifying the need for screening and brief intervention. BMC Public Health. 2019 Nov 29;19(1):1594. doi: 10.1186/s12889-019-7931-6.
- Derived from this study: PubMed 28967769Freyer-Adam J, Baumann S, Haberecht K, Tobschall S, Bischof G, John U, Gaertner B. In-person alcohol counseling versus computer-generated feedback: Results from a randomized controlled trial. Health Psychol. 2018 Jan;37(1):70-80. doi: 10.1037/hea0000556. Epub 2017 Oct 2.
- Derived from this study: PubMed 28333511Baumann S, Gaertner B, Haberecht K, Meyer C, Rumpf HJ, John U, Freyer-Adam J. Does impaired mental health interfere with the outcome of brief alcohol intervention at general hospitals? J Consult Clin Psychol. 2017 Jun;85(6):562-573. doi: 10.1037/ccp0000201. Epub 2017 Mar 23.
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Telephone-Based Acceptance and Commitment Therapy for Young Adult Hazardous Drinkers
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jennis Freyer-Adam, PhD principal investigator
Institute of Social Medicine and Prevention, University Medicine Greifswald
Beate Gaertner, PhD principal investigator
Department of Epidemiology and Health Monitoring, Robert Koch-Institute Berlin
Ulrich John, Prof PhD principal investigator
Institute of Social Medicine and Prevention, University Medicine Greifswald
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Personal Counseling and Computer-generated feedback letters in people with Hazardous Drinking, run by University Medicine Greifswald at 1 site in Germany.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 Dec 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Risky drinking (time frame: 6, 12, 18, 24 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01291693, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Dec 2015; AzTrials last refreshed its copy on 7 Nov 2026.