NCT01829308

Brief Summary

The purpose of this study is to examine the implementation of two evidence-based intervention strategies of SBIRT (Generalist vs. Specialist) for adolescent alcohol, tobacco, other drug use, and HIV risk behaviors.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
98

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Apr 2013

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 1, 2013

Completed
8 days until next milestone

First Submitted

Initial submission to the registry

April 9, 2013

Completed
2 days until next milestone

First Posted

Study publicly available on registry

April 11, 2013

Completed
4.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2017

Completed
Last Updated

February 14, 2018

Status Verified

February 1, 2018

Enrollment Period

4.8 years

First QC Date

April 9, 2013

Last Update Submit

February 13, 2018

Conditions

Alcohol-induced DisordersDrug UsersTobacco Use Disorder

Keywords

implementationSBIRTalcohol screeningdrug screeningBrief InterventionReferral to TreatmentadolescentsFederally Qualified Health Centers

Outcome Measures

Primary Outcomes (1)

  • Penetration of BI within the Generalist and Specialist models

    To examine the relative effectiveness of the Generalist condition v. the Specialist condition in terms of penetration of brief intervention (proportion of patients receiving brief intervention \[BI\] among those for whom a BI is indicated).

    12 months

Secondary Outcomes (3)

  • Referral to Treatment

    12 months

  • Long term penetration of BI within the Generalist and Specialist models

    12 months

  • HIV sex-risk behavior screening as part of adolescent SBIRT process

    12 months

Study Arms (2)

Specialist

EXPERIMENTAL

The brief interventions are delivered by behavioral health counselors.

Behavioral: The brief interventions are delivered by behavioral health counselors (Specialist)

Generalist

ACTIVE COMPARATOR

The brief interventions are delivered by the primary care provider.

Behavioral: The brief interventions are delivered by the primary care provider (Generalist)

Interventions

The brief interventions are delivered by behavioral health counselors (Specialist)BEHAVIORAL

Behavioral Health Specialists perform the brief intervention. The screening and referral to treatment processes remain the same as with the Generalist condition.

Specialist
The brief interventions are delivered by the primary care provider (Generalist)BEHAVIORAL

Primary care providers perform the brief intervention. The screening and referral to treatment processes remain the same as with the Specialist condition.

Generalist

Eligibility Criteria

Age18 Years - 99 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • clinic staff

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Total Health Care

Baltimore, Maryland, 21217, United States

Location

Related Publications (2)

  • Mitchell SG, Gryczynski J, Schwartz RP, Kirk AS, Dusek K, Oros M, Hosler C, O'Grady KE, Brown BS. Adolescent SBIRT implementation: Generalist vs. Specialist models of service delivery in primary care. J Subst Abuse Treat. 2020 Apr;111:67-72. doi: 10.1016/j.jsat.2020.01.007. Epub 2020 Jan 20.

    PMID: 32087839DERIVED

  • Monico LB, Mitchell SG, Dusek K, Gryczynski J, Schwartz RP, Oros M, Hosler C, O'Grady KE, Brown BS. A Comparison of Screening Practices for Adolescents in Primary Care After Implementation of Screening, Brief Intervention, and Referral to Treatment. J Adolesc Health. 2019 Jul;65(1):46-50. doi: 10.1016/j.jadohealth.2018.12.005. Epub 2019 Mar 6.

    PMID: 30850312DERIVED

MeSH Terms

Conditions

Alcohol-Induced DisordersDrug MisuseTobacco Use Disorder

Interventions

General Practitioners

Condition Hierarchy (Ancestors)

Alcohol-Related DisordersSubstance-Related DisordersChemically-Induced DisordersMental Disorders

Intervention Hierarchy (Ancestors)

PhysiciansHealth PersonnelHealth Care Facilities Workforce and Services

Study Officials

  • Shannon G Mitchell, PhD

    Friends Research Institute, Inc.

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 9, 2013

First Posted

April 11, 2013

Study Start

April 1, 2013

Primary Completion

December 31, 2017

Study Completion

December 31, 2017

Last Updated

February 14, 2018

Record last verified: 2018-02

Data Sharing

IPD Sharing
Will not share

Locations

US(1)