NCT06206161

Brief Summary

The goal of this clinical trial is to establish whether brief interventions for alcohol use can be delivered in schools for both indicated prevention and selected prevention, determine if an expanded workforce is an effective model for screening, brief intervention, and referral to treatment (SBIRT) delivery in schools, and explore whether brief intervention effectiveness is comparable in minoritized versus non-minoritized adolescents. Participants will be students at high schools across Massachusetts. High schools will be randomized to one of four intervention groups. Participants will complete a baseline survey prior to their school-wide screening for SBIRT, and then will complete four follow-up surveys over two years.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
21,000

participants targeted

Target at P75+ for not_applicable

Timeline
19mo left

Started Oct 2023

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
enrolling by invitation

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 Progress63%
Oct 2023Nov 2027

Study Start

First participant enrolled

October 11, 2023

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

January 4, 2024

Completed
12 days until next milestone

First Posted

Study publicly available on registry

January 16, 2024

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 11, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 11, 2027

Last Updated

November 26, 2025

Status Verified

November 1, 2025

Enrollment Period

4.1 years

First QC Date

January 4, 2024

Last Update Submit

November 21, 2025

Conditions

Keywords

Alcohol UseScreening, Brief Intervention, Referral to Treatment (SBIRT)PreventionExpanded Workforce

Outcome Measures

Primary Outcomes (3)

  • Past 30-day alcohol use frequency

    Past 30-day alcohol use frequency (number of days) will be assessed via self-report questions from the Monitoring the Future (MTF) survey.

    6, 12, 18, and 24 months

  • Past 30-day cannabis use frequency

    Past 30-day cannabis use frequency (number of days) will be assessed via self-report questions from the Monitoring the Future (MTF) survey.

    6, 12, 18, and 24 months

  • Past 30-day nicotine use frequency

    Past 30-day nicotine use frequency (number of days) will be assessed via self-report questions from the Monitoring the Future (MTF) survey.

    6, 12, 18, and 24 months

Secondary Outcomes (6)

  • Number of Alcohol Problems

    6, 12, 18, and 24 months

  • Binge Drinking Episode Frequency

    6, 12, 18, and 24 months

  • Past 2-week depression symptoms

    6, 12, 18, and 24 months

  • Past-year thoughts of suicide

    12 and 24 months

  • Past 2-week anxiety symptoms

    6, 12, 18, and 24 months

  • +1 more secondary outcomes

Study Arms (4)

IPO, CLIN

ACTIVE COMPARATOR

Standard brief intervention eligibility criteria involving indicated prevention (i.e., brief interventions delivered to high-risk drinkers only). BIs delivered by standard SBIRT workforce involving school nursing or clinical staff.

Behavioral: Indicated Prevention, Clinical Staff

IPO, CLIN+PARA

EXPERIMENTAL

Standard brief intervention eligibility criteria involving indicated prevention (i.e., brief interventions delivered to high-risk drinkers only). BIs delivered by expanded SBIRT workforce involving school nursing or clinical staff and trained paraprofessionals.

Behavioral: Indicated Prevention, Clinical StaffBehavioral: Expanded Paraprofessional Workforce

SIP, CLIN

EXPERIMENTAL

Expanded brief intervention eligibility criteria involving selective prevention in addition to indicated prevention (i.e., brief interventions delivered to current drinkers with and without risky alcohol use). BIs delivered by standard SBIRT workforce involving school nursing or clinical staff.

Behavioral: Indicated Prevention, Clinical StaffBehavioral: Selective Prevention

SIP, CLIN+PARA

EXPERIMENTAL

Expanded brief intervention eligibility criteria involving selective prevention in addition to indicated prevention (i.e., brief interventions delivered to current drinkers with and without risky alcohol use). BIs delivered by expanded SBIRT workforce involving school nursing or clinical staff and trained paraprofessionals.

Behavioral: Indicated Prevention, Clinical StaffBehavioral: Selective PreventionBehavioral: Expanded Paraprofessional Workforce

Interventions

Standard brief intervention eligibility criteria involving indicated prevention (i.e., brief interventions delivered to high-risk drinkers only). BIs delivered by standard SBIRT workforce involving school nursing or clinical staff.

IPO, CLINIPO, CLIN+PARASIP, CLINSIP, CLIN+PARA

Expanded brief intervention eligibility criteria involving selective prevention in addition to indicated prevention (i.e., brief interventions delivered to current drinkers with and without risky alcohol use).

SIP, CLINSIP, CLIN+PARA

Brief interventions delivered by expanded SBIRT workforce involving school nursing or clinical staff and trained paraprofessionals.

IPO, CLIN+PARASIP, CLIN+PARA

Eligibility Criteria

Age14 Years - 19 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Enrolled in a participating high school and in the grade scheduled to receive SBIRT

You may not qualify if:

  • Passive consent declined by parent/guardian through the opt-out model

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Massachusetts General Hopsital

Boston, Massachusetts, 02114, United States

Location

MeSH Terms

Conditions

Underage DrinkingHealth Risk BehaviorsAlcohol Drinking

Condition Hierarchy (Ancestors)

Adolescent BehaviorBehaviorDrinking BehaviorHealth Behavior

Study Officials

  • Randi M Schuster, PhD

    Massachusetts General Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

January 4, 2024

First Posted

January 16, 2024

Study Start

October 11, 2023

Primary Completion (Estimated)

November 11, 2027

Study Completion (Estimated)

November 11, 2027

Last Updated

November 26, 2025

Record last verified: 2025-11

Data Sharing

IPD Sharing
Will share

The full data package, which includes the de-identified analyzable data set, full protocol, metadata, data dictionary, full statistical analysis plan (including all amendments and all documentation for additional work processes), and analytic code, will be shared with a controlled-access, PCORI-designated repository as outlined in the PCORI Policy for Data Management and Data Sharing.

Shared Documents
STUDY PROTOCOL, SAP, ICF, ANALYTIC CODE
Time Frame
Data will be available within 90 days of submission of the draft final research report and will be maintained in the repository for at least 7 years.
Access Criteria
Investigators seeking access to the data from this PCORI-funded trial will need to complete and submit a data access request to the PCORI-designated repository. The repository will review requests based on the qualifications of the investigators and scientific merit. If the request is approved, the requestor's institution will need to enter into a data use agreement with the PCORI-designated repository with will specify terms and conditions for data use.

Locations