Novel educational video module about alcohol use disorder increases treatment rates and decreases return to alcohol...

Patients and providers are often unaware of available treatment options for alcohol use disorder (AUD) and how to pursue them.

To improve AUD treatment rates using an educational video module (EVM).

Prospective single-center cohort study evaluating the impact of a novel interactive patient EVM in promoting AUD treatment among hospitalized patients with alcohol-associated liver disease. Treatment was defined as receiving medication or participating in psychosocial treatment within 30 days of discharge. Primary outcome was change in treatment rates after viewing the EVM compared to a retrospective control cohort. Secondary outcomes were predictors of receiving treatment, EVM feedback, 30-day hospital readmission, outpatient follow-up, return to alcohol use, and mortality.

Forty-two patients were included. Mean age was 45 years, 50% were female, and mean model for end-stage liver disease score 15.5. After viewing the EVM, treatment rates increased for pharmacologic (50% vs 22%, P = 0.0008) and psychosocial treatment (73.8% vs 44%, P = 0.01). Return to alcohol use was significantly lower (7.9% vs 35.6%, P = 0.003). All 100% of patients would recommend the EVM.

EVM allows hospitalized patients to receive standardized education about AUD treatment. This may address patient and provider knowledge gaps and reduce the growing burden of alcohol-associated liver disease. Future studies should evaluate EVM in larger patient populations using a multi-center study design.