Screening, Brief Intervention, and Referral to Treatment for Drug Use

NCT01683227 | Completed

• 1 other identifier: 1RC1DA028031-01
• Study Type: interventional
• Target: 700
• Locations: 1 country
• Sites: 2

Brief Summary

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a comprehensive, integrated public health approach to identify and deliver a spectrum of early detection and intervention services for substance use in general medical care settings. These settings, such as emergency department visits, offer a potential "teachable moment" because patients may have perceptions of vulnerability about their health, and therefore be particularly receptive to screening and counseling. There is mounting scientific evidence suggesting SBIRT is effective in reducing alcohol use at varying levels of severity in a myriad of health care settings including primary care, emergency departments, and trauma centers. Although the SBIRT approach has shown promise for alcohol, relatively little is known about its effectiveness for adult illicit drug use specifically. This will be among the first studies to rigorously test the SBIRT approach for drug use. It will evaluate the effectiveness of SBIRT for drug use and related factors for 700 multi-ethnic ED patients using a two-group randomized repeated-measures design in which biologically-validated drug use abstinence and related outcomes of an intervention group are compared to those of an attention-placebo control group. Over a 14-month period, bilingual/bicultural Health Educators recruited participants who reported past 30-day illicit drug use in excess of risky alcohol use from the waiting areas of two large hospital's ED and trauma units. Following consent procedures and standardized baseline assessments, Health Educators randomly assigned participants to one of the two conditions. The intervention group received "Life Shift," an SBIRT drug use intervention matched to the participant's drug use risk level. The control group received the same type and quantity of intervention in an unrelated area-Driving and Traffic Safety ("Shift Gears" program), also matched to their driving/traffic risk level. A 6-month face-to-face follow-up visit by trained measurement technicians blind to the participant's assigned condition collected standardized self-report past 30-day drug use measures (ASI-Lite)and hair samples for validating self-reported abstinence. Additional outcome variables are changes in the frequency of drug use, functional status measures (i.e., medical problems, psychiatric problems, and alcohol use), and health care utilization.

Conditions

Drug Abuse

Keywords

drug use; emergency department; brief intervention

Outcome Measures

Primary Outcomes (1)

• past 30 day drug use abstinence

  Based on the addiction severity index-Lite

  6 months post intervention

Secondary Outcomes (1)

• Frequency of drug use

  6 months post intervention

Study Arms (2)

Screening/motivational drug intervention

EXPERIMENTAL

Screening and brief intervention counseling matched to patient's risk level delivered in the ER

Behavioral: Screening/motivational drug intervention

Motivational placebo intervention

PLACEBO COMPARATOR

Screening and brief intervention for driving and traffic safety

Behavioral: Motivational placebo intervention

Interventions

Screening/motivational drug intervention BEHAVIORAL

Screening and brief motivational intervention delivered in the ER to reduce drug use

Also known as: SBIRT

Screening/motivational drug intervention

Motivational placebo intervention BEHAVIORAL

Screening and brief motivational intervention delivered in the ER to reduce driving and traffic risk

Motivational placebo intervention

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• or over
• speak English or Spanish
• competent to give consent and interact
• drug use risk higher than alcohol use risk

You may not qualify if:

• under 18
• non english or spanish speaker
• no telephone where one can be reached
• too injured/sick to participate
• alcohol use risk higher than drug use risk

Sponsors & Collaborators

• San Diego State University: lead

Study Sites (2)

Scripps Mercy Emergency Department and Trauma Unit

San Diego, California, 92103, United States

Location

UCSD Emergency Department and Trauma Unit

San Diego, California, 92103, United States

Location

Related Publications (2)

• Woodruff SI, Clapp JD, Eisenberg K, McCabe C, Hohman M, Shillington AM, Sise CB, Castillo EM, Chan TC, Sise MJ, Gareri J. Randomized clinical trial of the effects of screening and brief intervention for illicit drug use: the Life Shift/Shift Gears study. Addict Sci Clin Pract. 2014 May 22;9(1):8. doi: 10.1186/1940-0640-9-8.

  PMID: 24886786 DERIVED

• Eisenberg K, Woodruff SI. Randomized controlled trial to evaluate screening and brief intervention for drug-using multiethnic emergency and trauma department patients. Addict Sci Clin Pract. 2013 Apr 8;8(1):8. doi: 10.1186/1940-0640-8-8.

  PMID: 23566363 DERIVED

MeSH Terms

Conditions

Substance-Related Disorders; Emergencies

Interventions

Mass Screening

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Diagnostic Techniques and Procedures; Diagnosis; Health Surveys; Surveys and Questionnaires; Data Collection; Epidemiologic Methods; Investigative Techniques; Diagnostic Services; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health; Public Health Practice

Study Officials

• Susan I Woodruff, PhD

  San Diego State University, School of Social Work

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: September 7, 2012
• First Posted: September 11, 2012
• Study Start: April 1, 2010
• Primary Completion: June 1, 2011
• Study Completion: August 1, 2012
• Last Updated: April 19, 2016

Record last verified: 2016-04

Locations

US (2)