Integrating Substance Abuse Assessment & Intervention in Primary Care Settings

NCT01751672 | Completed DMC

• 2 other identifiers: SAP No. 410005557809-07-05
• Study Type: interventional
• Target: 600
• Locations: 1 country
• Sites: 3

Brief Summary

The purposes of this study are to: 1) implement a high fidelity Screening, Brief Intervention and Referral to Treatment (SBIRT) protocol with computerized screening technology into three primary care clinics in urban Philadelphia; 2) conduct a randomized controlled trial to determine if an expanded SBIRT (SBIRT+) will help patients attend more specialty substance abuse treatment sessions and reduce substance use compared to SBIRT; 3) conduct a process evaluation of SBIRT+ at the three collaborating clinics consisting of focus groups and structured interviews to assess implementation barriers and workforce attitudinal shifts; and 4) provide an excellent clinical research training environment for undergraduate and graduate students from Lincoln University.

Conditions

Drug Use; Alcohol Use

Keywords

SBIRT; Substance Use; Screening; Brief Intervention; Primary Care

Outcome Measures

Primary Outcomes (1)

• Change in Treatment Session Attendance from Baseline

  Treatment sessions attended for alcohol or drug use issues over time.

  0, 3, 6, 9, 12 months

Secondary Outcomes (2)

• Change in Urinalysis from Baseline

  0, 3, 6, 9, 12 months

• Change in Cost-Effectiveness from Baseline

  0, 3, 6, 9, 12 months

Study Arms (2)

SBIRT

ACTIVE COMPARATOR

Screening, Brief Intervention, and Referral to Treatment

Behavioral: SBIRT

SBIRT+

EXPERIMENTAL

Expanded Screening, Brief Intervention, and Referral to Treatment

Behavioral: SBIRT+

Interventions

SBIRT+ BEHAVIORAL

Expanded Screening, Brief Intervention, and Referral to Treatment. One Standard SBIRT session, plus 2-6 additional Brief Intervention sessions as needed.

SBIRT+

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• patient is 18 years or older
• Alcohol and/or Drug screening score that indicates at least mild problem severity.

You may not qualify if:

• medical or psychiatric complications
• substance use is mild enough that further intervention is not warranted
• patient reports plans to leave the area within the next 12 months
• patient is unable to provide valid informed consent

Sponsors & Collaborators

• Treatment Research Institute: lead
• Pennsylvania Department of Health: collaborator

Study Sites (3)

Eleventh Street Family Health Services of Drexel University

Philadelphia, Pennsylvania, 19123, United States

Location

Public Health Management Corporation's Care Clinic

Philadelphia, Pennsylvania, 19123, United States

Location

Abbottsford-Falls Family Practice, Resources for Human Development, Inc.

Philadelphia, Pennsylvania, 19144, United States

Location

Related Publications (1)

• Chambers JE, Brooks AC, Medvin R, Metzger DS, Lauby J, Carpenedo CM, Favor KE, Kirby KC. Examining multi-session brief intervention for substance use in primary care: research methods of a randomized controlled trial. Addict Sci Clin Pract. 2016 Apr 18;11(1):8. doi: 10.1186/s13722-016-0057-6.

  PMID: 27090097 DERIVED

MeSH Terms

Conditions

Alcohol Drinking; Substance-Related Disorders

Condition Hierarchy (Ancestors)

Drinking Behavior; Behavior; Chemically-Induced Disorders; Mental Disorders

Study Officials

• Adam C Brooks, PhD

  Treatment Research Institute

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 5, 2012
• First Posted: December 18, 2012
• Study Start: June 1, 2012
• Primary Completion: May 1, 2015
• Study Completion: May 1, 2015
• Last Updated: March 28, 2023

Record last verified: 2023-03

Locations

US (3)