An interventional study of Enhanced Usual Care (pre-operative) and Preoperative Virtual Health Coaching in Alcohol Drinking, sponsored by University of Michigan. Active, not recruiting at 1 site in United States. Open to participants aged 21 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-08-10.
Sponsored by University of Michigan · Not applicable, Interventional, and Treatment
This sequential, multiple assignment, randomized trial will test treatments designed to reduce alcohol use before and after surgery to promote surgical health and long-term wellness.
925 studies on the registry are indexed under Alcohol Drinking; 172 are open to participants now.
This study's planned enrollment of 440 is above the median of 108 across 802 interventional studies indexed under Alcohol Drinking.
Browse Alcohol Drinking studies →University of Michigan is the lead sponsor of 1,475 studies on the registry; 196 are open to participants now.
Of its 162 completed or terminated interventional studies of FDA-regulated products, 128 (79%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Randomized two times (2 possible randomization groups each time). Responder to Enhanced Usual Care
Behavioral: Enhanced Usual Care (pre-operative) · Behavioral: Usual surgical care (post-operative)
Randomized two times (2 possible randomization groups each time). Responder to Enhanced Usual Care
Behavioral: Enhanced Usual Care (pre-operative) · Behavioral: Postoperative Virtual Health Coaching
Randomized two times (2 possible randomization groups each time). Non-responder to Enhanced Usual Care
Behavioral: Enhanced Usual Care (pre-operative) · Behavioral: On-Track (Post-operative)
Randomized two times (2 possible randomization groups each time). Non-responder to Enhanced Usual Care
Behavioral: Enhanced Usual Care (pre-operative) · Behavioral: Postoperative Virtual Health Coaching · Behavioral: On-Track (Post-operative)
Only completed first randomization. Study withdrawal prior to re-randomization
Behavioral: Enhanced Usual Care (pre-operative)
Randomized two times (2 possible randomization groups each time). Responder to Preoperative Virtual Health Coaching
Behavioral: Preoperative Virtual Health Coaching · Behavioral: Usual surgical care (post-operative)
Randomized two times (2 possible randomization groups each time). Responder to Preoperative Virtual Health Coaching
Behavioral: Preoperative Virtual Health Coaching · Behavioral: Postoperative Virtual Health Coaching
Randomized two times (2 possible randomization groups each time). Non-responder to Preoperative Virtual Health Coaching
Behavioral: Preoperative Virtual Health Coaching · Behavioral: On-Track (Post-operative)
Randomized two times (2 possible randomization groups each time). Non-responder to Preoperative Virtual Health Coaching
Behavioral: Preoperative Virtual Health Coaching · Behavioral: Postoperative Virtual Health Coaching · Behavioral: On-Track (Post-operative)
Only completed first randomization. Study withdrawal prior to re-randomization.
Behavioral: Preoperative Virtual Health Coaching
The enhanced usual care will receive standard surgical care, and a resource brochure including basic information on health, alcohol use withdrawal risks, and treatment/emergency resources. The resource brochure will be e-mailed to patients or sent via postal mail.
Preoperative Virtual Coaching is based on principles of health coaching, collaborative care, and motivational interviewing. Health and educational content is framed using the Health Belief Model. During two sessions, that take place approximately 3 and 5 weeks prior to surgery, the health coach presents alcohol use reduction/abstinence as important for surgical health (rather than addiction or chronic health reasons) and engages participants in discussion and patient-centered goal-setting. Participants will also receive a brochure including basic information on health, alcohol use withdrawal risks, and treatment/emergency resources.
This group will receive standard post-operative care.
Postoperative Virtual Coaching uses the same framework and structure as Preoperative Virtual Coaching. These sessions will be delivered by a health coach using a collaborative, and motivational interviewing-based approach. The goal of these sessions is to promote well-being and help participants maintain alcohol abstinence or reduction long-term (or initiate change in alcohol use if they have not already). These sessions promote low-risk alcohol use, provide education on chronic health effects of heavy alcohol use, and teach skills for coping with or avoiding triggers for alcohol use including coping with stress and mood challenges. These sessions introduce skills to help participants manage alcohol, stress, and mood as they recover from surgery.
On-Track is a mobile and web-accessible health tool that uses self-monitoring and provision of feedback on progress towards goals to engage participants in self-management of alcohol use and motivate behavior change through increased self-awareness and accountability for health. The On-Track application includes a) daily tracking of alcohol and other substance use; b) daily tracking of stress, mood, and pain; c) personalized health goals; and d) visual displays of alcohol use, stress, mood, pain, and goal achievement including graphs of trends over time. On-Track also uses novel monetary and non-monetary incentives to encourage utilization including an escalating monetary incentive schedule for self-monitoring.
Alcohol consumption as measured by the timeline follow-back
Alcohol consumption will be assessed using the 30-day Timeline Follow-Back (TLFB). The TLFB will capture information on the frequency and quantity of alcohol use including average drinks/day.
Time frame: 10 months after surgical discharge
World Health Organization Drinking (WHO) Risk Level
WHO drinking risk levels derived from patient reports of the number of standard drinks (defined as 0.6 ounces of absolute alcohol) consumed, converted to grams of pure alcohol (0.6 ounces = 14 grams). Ranging from abstinence (0 grams) to very high risk (101+ males / 61+ females grams).
Time frame: 10 months after surgical discharge
Alcohol Use Disorder Identification test (AUDIT)
We will calculate participant's total score on the AUDIT measure. Scores on the AUDIT range from 0 to 40 with higher numbers indicating greater problematic alcohol use and presence of more alcohol use disorder symptoms.
Time frame: Up to 10 months after surgical discharge
Plan to share: Yes — National Institute on Alcohol Abuse and Alcoholism (NIAAA)-funded investigators conducting applicable human subjects research are expected to submit de-identified, individual-level data to this data archive. The data generated in this grant will also be presented at national or international meetings (e.g., Research Society on Alcoholism, Addiction Health Services Research, etc.) and published in a timely fashion. All final peer-reviewed manuscripts that arise from this proposal will be submitted to the digital archive in PubMed Central.
Supporting information: Study protocol, Sap, Icf
No publications or documents are linked to this record.
This study is active, not recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.
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University of Michigan