Implementation and Evaluation of SBIRT

NCT03560076 | Completed

• 1 other identifier: 1801646970
• Study Type: observational
• Target: 2,562
• Locations: 1 country
• Sites: 1

Brief Summary

Alarming rates of unhealthy alcohol, non-prescription drug, and tobacco use highlight the preventable health risks of substance abuse and the urgent need to advance behavioral health systems. Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an efficacious and effective strategy for the delivery of early intervention and treatment services for people with substance use disorders as well as for those who are at-risk for developing these disorders. A mixed methods phased cluster randomized approach is used to evaluate SBIRT implementation in one medical surgical unit from each of 14 hospitals to inform SBIRT implementation methods for rural, community and urban settings in Indiana. The long-term objective is to develop an SBIRT toolkit to disseminate and sustain SBIRT use to increase the screening of substance use, delivery of brief interventions, and referral to treatment services. A broader dissemination will follow based on results of this study.

Conditions

Substance Use Disorders

Keywords

Acute Care; SBIRT; Substance Use; Alcohol; Opioid; Tobacco; Nurse; Toolkit; Implementation

Outcome Measures

Primary Outcomes (1)

• SBIRT Process

  Differences in screening, brief intervention and referral to treatment between intervention group and wait-list control

  6 months

Secondary Outcomes (2)

• Cost of SBIRT implementation

  12 months

• SBIRT Process

  6 and 12 months post group 1 baseline

Study Arms (2)

Group 1

One medical surgical unit in seven acute care facilities in which nurses have received SBIRT training and implementation strategies and are randomized to Group 1 implementation

Other: SBIRT Training and Implementation Strategies

Group 2

One medical surgical unit in seven acute care facilities in which nurses have received SBIRT training and implementation strategies and are randomized to Group 2 (delayed) implementation

Other: SBIRT Training and Implementation Strategies

Interventions

SBIRT Training and Implementation Strategies OTHER

A train-the-trainer approach will be used to train site coordinators on the SBIRT process and implementation strategies.

Also known as: Implementation toolkit

Group 1; Group 2

Eligibility Criteria

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

Study Population

Hospitals: Hospitals (N=14) within one health system will participate. Group 1 (n=7) hospitals will participate in the implementation first, with Group 2 (n=7) following six months later. Nurses: Smoking cessation practices will be collected from nurses (N=560) at baseline. SBIRT use will be collected from nurses on randomly selected days via survey. Patients: SBIRT process data will be abstracted from electronic medical records (EMRs) at three time points: baseline, six-months post and 12 months using a random sample of 61 patient EMRs from the participating hospital units at each time point (N=2,562). Data abstracted is retrospective, and consists of SBIRT process elements only.

You may qualify if:

• a. Medical surgical unit designated as study unit

You may not qualify if:

• Medical surgical unit not designated as study unit
• Units that do not admit medical surgical patients
• Nurses
• a. Nurses employed on study unit
• a. Nurses not employed on study unit
• Patient Electronic Medical Records (EMRs)
• Age 18 or older admitted to study unit
• Records randomly selected from each units
• Age younger than 18 admitted to study unit
• EMRs of patients admitted to units other than the study unit
• EMRs of patients admitted to the study unit that are not randomly selected

Sponsors & Collaborators

• Indiana University: lead

Study Sites (1)

Indiana University

Indianapolis, Indiana, 46202, United States

Location

Related Publications (2)

• Newhouse R, Janney M, Gilbert A, Agley J, Bakoyannis G, Ferren M, Mullins CD, Johantgen M, Schwindt R, Thoele K. Study protocol testing toolkit versus usual care for implementation of screening, brief intervention, referral to treatment in hospitals: a phased cluster randomized approach. Addict Sci Clin Pract. 2018 Dec 27;13(1):28. doi: 10.1186/s13722-018-0130-4.

  PMID: 30587235 BACKGROUND

• Newhouse R, Agley J, Bakoyannis G, Ferren M, Mullins CD, Keen A, Parker E. Effects of a structured SBIRT training program for hospital nursing leaders on utilization of SBIRT within their medical-surgical units: cohort study. BMC Nurs. 2025 Apr 23;24(1):450. doi: 10.1186/s12912-025-03079-9.

  PMID: 40269928 DERIVED

MeSH Terms

Conditions

Substance-Related Disorders

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Study Officials

• Robin P Newhouse, PhD

  Indiana University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dean and Distinguished Professor

Study Record Dates

• First Submitted: June 6, 2018
• First Posted: June 18, 2018
• Study Start: January 1, 2018
• Primary Completion: July 31, 2019
• Study Completion: July 31, 2019
• Last Updated: May 5, 2020

Record last verified: 2020-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)