Substance Treatment and HIV Testing and Referral System

NCT01488630 | Completed Phase 2

• 2 other identifiers: N44DA-10-5543STaRS
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The lack of substance screening and referral in healthcare settings is a significant problem with far-reaching consequences, including excess morbidity, premature mortality, and inflated healthcare costs. An easy to use, time-efficient referral system is needed to address this problem. The Substance Treatment Referral Systems (STaRS), a computer assisted screening and referral system, was developed to meet this need. STaRS Phase I demonstrated the feasibility of STaRS to meet this need. All aims and evaluation goals of the Phase I study were met or exceeded. The purpose of the Phase II research is to demonstrate the clinical utility and commercial viability of STaRS. Specific Aims of Phase II are:

1. 1.Integrate STaRS with the Epic electronic health record used in the Cooper Health System in Camden, N.J.
2. 2.Document STaRS' effectiveness in (a) increasing the number of referrals provided for substance abuse treatment and HIV screening, and (b) increasing the proportion of patients that initiate specialty treatment.
3. 3.Evaluate clinician acceptance and impact upon revenue generation.

Conditions

Substance Abuse

Keywords

substance abuse; alcohol; drug; smoking; HIV screening

Outcome Measures

Primary Outcomes (1)

• Referral Rates for Substance Abuse Treatment and HIV Testing

  A total of 7000 electronic health records ( referred to as "charts") will be reviewed for referral rates. Those charts include 3500 pre-STaRS charts (treatment as usual arm) and 3500 STaRS charts (intervention arm)

  Completed after 3500 pre-STaRS charts and 3500 STaRS intervention charts are reviewed, over a period of one year

Secondary Outcomes (3)

• Treatment Initiation

  70 pre-STarS patients and 70 STaRS patients are enrolled, over a period of six months

• Billing Revenue

  7000 charts reviewed, over a period of one year

• Provider Satisfaction

  Last month of the study, November 2012

Study Arms (2)

Treatment as Usual

NO INTERVENTION

Chart review only.

STaRS

EXPERIMENTAL

Patients asked to participate in follow-up study to get information on whether they went to referral recommended by their provider through the STaRS system.

Other: STaRS

Interventions

STaRS OTHER

The intervention entails testing an automated substance abuse treatment referral system (STaRS) to be implemented in primary care practices through electronic health record systems to improve 1) referral rates to specialty care providers, 2) patient treatment initiation with the specialty care providers, and 3) revenues to the practices.

STaRS

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All English-speaking adult patients (\>= 18 years old) who received a referral for substance abuse treatment or HIV/AIDS screening from Cooper Family Medicine practices during the study period, and who can be reached at a home telephone or have a monthly cell phone plan.

You may not qualify if:

• Patients \< 18 years old and patients with poor English comprehension, or who do not have reliable telephone access (i.e., no phone access or buys minutes for a "disposable" cell phone)

Sponsors & Collaborators

• Polaris Health Directions: lead
• University of Massachusetts, Worcester: collaborator

Study Sites (1)

Cooper Family Medicine

Camden, New Jersey, 08102, United States

Location

MeSH Terms

Conditions

Substance-Related Disorders; Smoking

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders; Behavior

Study Officials

• Grant Grissom, PhD

  Polaris Health Directions

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 1, 2011
• First Posted: December 8, 2011
• Study Start: December 1, 2011
• Primary Completion: March 1, 2013
• Study Completion: March 1, 2013
• Last Updated: July 18, 2018

Record last verified: 2018-07

Locations

US (1)